Search for: "THE OFFICE OF MEDICAID POLICY AND PLANNING"
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14 Jun 2013, 12:53 pm
Department of Health and Human Services (HHS) Office of Civil Rights today (June 14, 2013). [read post]
6 Jun 2013, 3:43 pm
For Help With Compliance, Risk Management, Investigations, Policy Updates Or Other Needs If you need help with HIPAA and other health and health plan related regulatory policy or enforcement developments, or to review or respond to these or other human resources, employee benefit, or other compliance, risk management, enforcement or management concerns, the author of this update, attorney Cynthia Marcotte Stamer may be able to help. [read post]
30 May 2013, 12:57 pm
Federal law requires that all facilities that are Medicare/Medicaid-certified have written plans and procedures that will meet all potential emergencies, as well as have adequate training for employees. [read post]
22 May 2013, 5:55 am
For more information, please contact Emily Suski, Planning Committee Co-Chair for the Poverty Law Section at esuski@gsu.eduor Hina Shah, Planning Committee Member for the Clinical Legal Education Section at hshah@ggu.edu. [read post]
16 May 2013, 8:00 pm
§ 1396a(a)(23)), which provides that state Medicaid plans must allow Medicaid beneficiaries to obtain medical assistance from any qualified provider, creates federal “rights” in Medicaid beneficiaries that may be privately enforced under 42 U.S.C. [read post]
2 May 2013, 8:29 am
A beneficiary costing the government $6,000 a year for Medicaid would cost $9,000 on a private plan on the exchange, the Congressional Budget Office has estimated. [read post]
22 Apr 2013, 8:13 pm
The Coalition For Responsible Health Care Policy provides a resource that concerned Americans can use to share, monitor and discuss the Health Care Reform law and other health care, insurance and related laws, regulations, policies and practices and options for promoting access to quality, affordable healthcare through the design, administration and enforcement of these regulations. [read post]
10 Apr 2013, 2:58 pm
Increase the minimum Medicare Advantage (MA) coding intensity adjustment (which decreases MA plan payments to reflect differences in coding practices between Medicare fee-for-service and MA) and align employer group waiver plan payments with MA bids, saving $19 billion over 10 years. [read post]
3 Apr 2013, 11:47 am
The WCRG states: "The WCRG follows all CMS policy memorandums currently in effect. [read post]
7 Mar 2013, 4:48 am
It’s a common issue, and it becomes a problem with many doctor offices who want to bill Medicare (wrongly) to get paid faster or medical billers who are confused on the interplay between Medicare, Medicaid and medical expenses for a Michigan car accident victim: Q. [read post]
6 Mar 2013, 7:17 am
In light of the record number in recovery amounts and the increased funding to support initiatives to detect fraud and abuse, now is a better time than ever for health care providers to analyze their current compliance plans and policies. [read post]
5 Mar 2013, 1:51 pm
Sebelius ruling, most business leaders, plan fiduciaries, health insurers, administrators of employment-based group health plans have recognized the need to act to prepare for the impending radical changes in their health plan related responsibilities scheduled to take effect in 2014. [read post]
4 Mar 2013, 8:25 am
HB 1536: Relating to a Medicaid provider’s right to an administrative hearing on an action taken by the office of inspector general for the Health and Human Services Commission to recover overpayments under the Medicaid program. [read post]
28 Feb 2013, 11:37 am
•Med Pay: You may have Medical Payments Coverage ("Med Pay") on your own auto insurance policy. [read post]
26 Feb 2013, 5:00 am
Similar MLR requirements are already benefitting consumers in the private health insurance market, says the Centers for Medicare and Medicaid Services (CMS), which has sent the proposed rule to the White House Office of Information and Regulatory Affairs (OIRA). [read post]
25 Feb 2013, 11:49 am
In addition to her continuous day-to-day involvement helping businesses to manage employment and employee benefit plan concerns, she also has extensive public policy and regulatory experience with these and other matters domestically and internationally. [read post]
23 Feb 2013, 5:00 pm
The Health Insurance Portability & Accountability Act (HIPAA) generally requires that health care providers, health plans, health care clearinghouses and their businesses associates safeguard personal health care information or “PHI” and restrict its use, access and disclosure in accordance with the extensive and highly detailed requirements of the Privacy, Security and Breach Notification Regulations of the Department of Health & Human Services Office of… [read post]
19 Feb 2013, 10:50 am
Stamer’s health benefit experience includes extensive and highly-innovative dealings with insured and self-insured managed care, defined contribution, indemnity and other health benefit, disability, life, occupational injury, Medicare and Medicaid Advantage, and other welfare benefit and insurance plans and policies; and a wide range of other employee benefits, compensation, insurance, equity and other related arrangements. [read post]
14 Feb 2013, 9:01 pm
Moreover, Social Security and banks each carry risks—risks that things will not work as planned. [read post]
7 Feb 2013, 8:52 am
Helderman and Tara Bahrampour, Published: January 29 The release of a new bipartisan Senate plan to overhaul the nation’s immigration laws and a policy address expected Tuesday from President Obama have launched dramatic new momentum on a long-stalled issue. [read post]
