Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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15 Sep 2015, 5:37 am
Self-insured group health plan sponsors and fiduciaries, health insurance issuers, third party administrators (TPAs) and administrative services-only (ASO) contractors who may participate in helping contributing entities submit reinsurance contributions required by the Patient Protection & Affordable Care Act (ACA) should consider participating one of the “Module 3: 2015 Reinsurance Contributions: Form Completion, Submission, and Payment” training model… [read post]
8 Dec 2014, 11:32 am
On December 5, 2014, the Centers for Medicare & Medicaid Services (CMS) published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds, effective February 3, 2015. [read post]
29 May 2024, 6:55 am
” State survey agencies have previously been required to investigate reports of suspected abuse or mistreatment by the Centers for Medicare & Medicaid Services. [read post]
12 Apr 2018, 3:00 am
The Centers for Medicare and Medicaid Services (CMS) issued guidance, which imposes a new timeline and requirements on these contractors effective March 1, 2018. [read post]
24 Oct 2022, 12:08 pm
The Centers for Medicare and Medicaid Services (CMS) announced last Friday that it’s bolstering scrutiny for chronically under-performing nursing homes through revisions of its Special Focus Facility Program. [read post]
11 Sep 2018, 2:49 pm
The H.R. 6690 bill, requires the Centers for Medicare & Medicaid Services (CMS) to establish a pilot program that evaluates the feasibility of using smart card technology to address Medicare fraud. [read post]
4 Nov 2019, 11:51 am
On October 31, 2019, the Centers for Medicare & Medicaid Services (CMS) released its final rule with comment period that sets forth updates to the home health prospective payment system (HH PPS) for calendar year (CY) 2020 and includes other policy changes for home health agencies (HHA). [read post]
12 Feb 2013, 1:23 pm
The federal Center for Medicare and Medicaid Services (CMS) had classified Liberty as a Special Focus Facility (SFF), defined as nursing homes with an unacceptable number of deficiencies found by CMS inspectors. [read post]
8 Mar 2023, 12:59 pm
Marselas writes that according to the Centers for Medicare and Medicaid Services, the new metrics will include the turnover rates for RNs, and administrators as well as the number of nursing home staff present at facilities on weekends. [read post]
27 Jul 2022, 1:49 pm
Marselas writes that according to the Centers for Medicare and Medicaid Services the new metrics will include the turnover rates for RNs, administrators as well as a number of nursing home staff present at facilities on weekends. [read post]
6 Feb 2019, 6:30 am
The myriad of moving parts and high chance for error, along with getting approval from the Centers for Medicare and Medicaid Services are the reasons a specialized industry has arisen around MSAs as well as other components to Medicare Secondary Payer compliance. [read post]
21 Jul 2023, 9:01 am
On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. [read post]
10 Jan 2024, 5:18 am
Additional Resources The Legal Services Corporation: https://www.lsc.gov/ The National Center for Law and Economic Justice: https://www.nclej.org/ The Administration for Community Living: https://acl.gov/ The post Legal Services for Older Adults: Accessing Legal Assistance for Various Matters first appeared on Kraft Elder Law. [read post]
30 Jan 2023, 9:14 pm
Among these are a series of blanket waivers and flexibilities issued by the Centers for Medicare & Medicaid Services. [read post]
15 Nov 2023, 12:01 pm
The Center for Medicare and Medicaid has issued new rules requiring the disclosure of ownership of nursing homes and skilled nursing facilIties, including ownership by private equity firms. [read post]
7 Jun 2017, 10:44 am
by Mark Kantor and Karl Bayer The Centers for Medicare and Medicaid Services (CMS), an arm of the United States Department of Health and Human Services, released an announcement on June 5th withdrawing its 2016 Rule prohibiting pre-dispute arbitration agreements for long-term care nursing home contracts. [read post]
15 Nov 2011, 6:16 am
In the spring of this year, the Centers for Medicare and Medicaid Services (CMS) released the proposed rules governing Accountable Care Organizations (ACOs) participating in the CMS Shared Savings Program. [read post]
9 Mar 2021, 6:30 am
Section 111 Penalties There remains uncertain where the Centers for Medicare and Medicaid Services (CMS) will go in terms of proposed rulemaking related to civil money penalties for Non-Group Health Plans (NGHP) who fail to report claims properly. [read post]
14 Jul 2015, 7:00 am
The federal Centers for Medicare & Medicaid Services administered the program and doled out millions of dollars with minimal follow-up to ensure that recipients used the money properly. [read post]
30 May 2017, 8:39 am
The alleged insider trading scheme involved tips related to three announcements by the Center for Medicare & Medicaid Services (“CMS”) regarding non-public rate changing decisions affecting the stock of issuers in the healthcare industry. [read post]
