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30 Sep 2014, 6:30 am by Jacob Lazarovic, M.D.
This approach can result in fragmented care with minimal coordination across providers and health care settings. [read post]
31 Aug 2009, 10:09 am
CMS contracts with Recovery Audit Contractors (“RACs”) to identify Medicare overpayments and underpayments made to health care providers. [read post]
31 Aug 2009, 10:09 am
CMS contracts with Recovery Audit Contractors (“RACs”) to identify Medicare overpayments and underpayments made to health care providers. [read post]
3 Apr 2012, 8:27 am by Jerri Lynn Ward, J.D.
The health care reform law will result in millions more Texans on the Medicaid rolls. [read post]
25 Aug 2015, 1:18 pm
State Medicaid agencies and other CMS state partners determined that the moratoria would not create issues related to access to care for Medicaid or Children's Health Insurance Program ("CHIP") beneficiaries. [read post]
11 Mar 2010, 1:25 pm by Elder Law
From the Center for Medicare Advocacy: The state of Missouri requires Medicaid beneficiaries to be "confined to the home" in order to receive home health services provided under its Medicaid program. [read post]
25 Sep 2017, 8:05 am by Thomas Dowdell (US)
For example, states could lift existing caps on out-of-pocket costs and enable insurers to forego providing benefits that are now required, for example, coverage for mental health care, drug addiction treatment, and maternity care. [read post]
21 Nov 2016, 2:46 pm by Debra A. McCurdy
This requirement applies to:  network providers and suppliers; first-tier, downstream, and related entities; providers and suppliers in Program of All-inclusive Care for the Elderly plans; suppliers in cost health maintenance organizations and competitive medical plans; providers and suppliers participating in demonstration and pilot programs; locum tenens suppliers; and incident-to-suppliers. [read post]
30 Jan 2014, 1:08 pm by Debra A. McCurdy
On January 16, 2014, CMS published a final rule that implements expanded federal support for HCBS offered as an optional benefit through state Medicaid programs, as authorized by the Affordable Care Act (ACA) and the Deficit Reduction Act. [read post]
8 Jan 2014, 8:44 am by Debra A. McCurdy
New CMS policy announcements address “recalcitrant” Medicare providers and suppliers, hospice enrollees’ drug expenses, hospital equipment maintenance requirements, Medicare DMEPOS payments, and accountable care organizations. [read post]
1 Aug 2016, 6:17 am by The Health Law Partners
CMS also announced the Provider Enrollment Moratoria Access Waiver Demonstration (“PEWD”). [read post]
16 Apr 2018, 1:28 pm by Jeff Wurzburg (US)
The Payment Notice is an annual rule that provides policies surrounding health insurance coverage in the individual and small group markets, including the Affordable Care Act (ACA) market reforms and premium stabilization programs, and provides rules regarding the Exchanges. [read post]
If you have any questions about compliance with this rule or about regulation of long term care facilities, please reach out to the authors or the health care lawyers at Reed Smith. [read post]
22 Sep 2015, 3:50 pm by Law Offices of Ben Yeroushalmi
Yelp has recently partnered with ProPublica, an award-winning nonprofit new organization,  to integrate health care statistics and consumer opinion survey data displayed on the Yelp business pages of over 25,000 medical care facilities. [read post]
Norton Rose Fulbright attorneys will continue to provide relevant updates for healthcare providers on the Health Law Pulse during the COVID-19 public health crisis. [read post]
19 Dec 2017, 6:51 am by Nursing Home Law Center Staff
This designation identifies the nursing home as a facility that provides health care services much below the national average at unacceptable levels. [read post]
29 Nov 2012, 11:27 am by Debra A. McCurdy
According to CMS, access to the new provider performance reports will enable employers and consumer organizations to “identify and reward high quality health care providers in their local areas and develop online tools to help consumers and their families make health care choices informed by this useful data. [read post]
13 May 2020, 3:10 pm by Thomas Dowdell (US)
The post CMS Issues FY 2021 Hospital IPPS and LTCH PPS Proposed Rule appeared first on Health Law Pulse. [read post]
21 Jun 2022, 12:56 pm by Nicole Aiken-Shaban and Ellen Pighini
Please reach out to the authors of this post or to the health care attorneys at Reed Smith if you have any questions. [read post]