Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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3 Feb 2020, 8:21 am
Stamer advises, represents and defends employers and other management clients and organizations; employer, union, multi-employer, association and other employee benefit plan plans, their sponsors, insurers and fiduciaries, plan administrators, administrative services, technology and other service providers, foreign and domestic governments, and others about employment and other services; health… [read post]
3 Feb 2020, 5:30 am
The Centers for Medicare & Medicaid Services (CMS) has announced a controversial plan to allow states to apply to participate in a new Medicaid “Healthy Adult Opportunity” (HAO) Demonstration. [read post]
30 Jan 2020, 1:37 pm
Further, in line with Goal 2, the Anti-Kickback Statute Safe Harbors and Stark Law Exceptions proposed by HHS’ Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS), respectively, aim to modernize these federal fraud and abuse law protections by removing barriers that currently thwart the efforts of health care providers to engage patients and coordinate care. [read post]
28 Jan 2020, 9:58 pm
Azar, et al lawsuit challenging OCR’s 2016 application of the Patient Rate to third party requests as violating the procedural and substantive protections of the Administrative Procedure Act (“APA”). [read post]
28 Jan 2020, 9:05 pm
Each year, the federal Centers for Medicare and Medicaid Services (CMS) adjusts this limit on out-of-pocket expenses for all households to reflect changes in the price of private health insurance. [read post]
27 Jan 2020, 11:20 am
Medicare fraud can occur anywhere As long as there exists a financial incentive for doctors and healthcare administrators to fraudulently charge for services they never rendered, or falsely inflate the cost of services to receive more money from the government, Medicare and Medicaid fraud will unfortunately continue to happen. [read post]
17 Jan 2020, 12:21 pm
The notice impacts CMPs assessed by the Office of Inspector General, the Centers for Medicare & Medicaid Services, the Food and Drug Administration, the Office for Civil Rights, the Health Resources and Services Administration, the Agency for Healthcare Research and Quality, and the Administration for Children and Families. [read post]
17 Jan 2020, 6:55 am
The Centers for Medicare and Medicaid Services (“CMS”) expanded its Targeted Probe and Educate (“TPE”) program on October 1, 2017. [read post]
3 Jan 2020, 10:06 am
The Centers for Medicare & Medicaid Services (CMS) is inviting suggestions for how it can eliminate Medicare regulations that (1) impose more stringent supervision requirements than existing state scope of practice laws, or (2) restrict health professionals from practicing at the top of their license. [read post]
1 Jan 2020, 10:35 am
Insurers, third of art administrators and others also can face duties and liabilities under state insurance and data privacy laws from regulator or private litigant actions. [read post]
1 Jan 2020, 9:00 am
Medicaid and Medicaid rely on medical services being based on the legitimate needs of the patient and not the profit incentive of the physicians. [read post]
23 Dec 2019, 2:00 pm
The Community Health Center Fund and the National Health Service Corps. [read post]
22 Dec 2019, 9:00 am
Medicare. [read post]
20 Dec 2019, 9:30 am
Second, the Centers for Medicare & Medicaid Services (CMS) has proposed revising the current OPO Conditions for Coverage, effective for the 2022 re-certification cycle. [read post]
18 Dec 2019, 10:03 am
By dispensing drugs without valid prescriptions, Omnicare presented, or caused to be presented, hundreds of thousands of false claims to Medicare, Medicaid, and TRICARE that were ineligible for payment in violation of the False Claims Act. [read post]
16 Dec 2019, 6:13 pm
Many utilize the Nursing Home Compare website run by the Centers for Medicare and Medicaid Services (CMS), which offers information on certified nursing homes across the country. [read post]
16 Dec 2019, 3:13 pm
TX HHSC now administers and provides the services previously provided by DADS as part of its broader operation of state supported living centers; provision of mental health and substance use services; regulation of child care and nursing facilities; and administration of hundreds of other programs for people needing supplemental nutrition benefits, Medicaid and certain other assistance including those previously provided by DADS. [read post]
10 Dec 2019, 9:05 pm
The Centers for Medicare and Medicaid Services (CMS), the federal agency that administers the ACA marketplace subsidies, could attempt to restrict silver loading by requiring insurance companies to spread the cost of CSRs among all plan types. [read post]
10 Dec 2019, 4:02 pm
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
7 Dec 2019, 9:54 am
This one-day symposium brought together PDMP administrators, standards development groups, health IT developers, representatives from pharmacies, and a number of other stakeholders to discuss patient matching challenges and opportunities to support the interoperability of prescription data.Access that data here. [read post]
