Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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4 Jun 2019, 6:30 am
The Centers for Medicare and Medicaid Services (CMS) asserts it has the right to deny paying for a treatment if a settlement recipient still has funds in a Medicare Set Aside (MSA) or has not properly reported their full exhaustion of those funds. [read post]
29 May 2019, 2:06 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
24 May 2019, 10:46 pm
The legally, operationally and politically sensitive discussions require both management of compliance and risks arising from the administration of these responsibilities themselves and the dealing with vendors, patients, other providers and payers and the community make it highly advisable that management of HIPAA Entities involve experienced legal counsel throughout the process to utilize legal advice and attorney-client privilege and other evidentiary tools to help safeguard… [read post]
23 May 2019, 7:03 pm
Department of Veterans Affairs (VA) announcing they are collaborating with the Centers for Medicare & Medicaid Services (CMS) to greatly improve drug safety monitoring of prescriptions, including opioids. [read post]
22 May 2019, 9:00 am
If the medical practice changes ownership, then Medicare, Medicaid, and other payors will need to be properly notified of the change. [read post]
19 May 2019, 2:30 pm
In parallel with the Department’s criminal actions, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) simultaneously took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million. [read post]
15 May 2019, 1:00 pm
Medications prescribed for the injured worker are expected to be included in the MSA to gain approval by the Centers for Medicare and Medicaid Services. [read post]
10 May 2019, 8:16 am
In order to secure a new Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) contractor, the Centers for Medicare and Medicaid Services (CMS) has temporarily paused both Short Stay and Higher Weighted Diagnosis-Related Group (HWDRG) reviews. [read post]
9 May 2019, 2:35 pm
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule streamlining the process for Medicare Parts A and B claims appeals and for Medicare Part D coverage determination appeals in order to “reduce associated burden on providers, beneficiaries, and appeals adjudicators. [read post]
9 May 2019, 8:06 am
On Wednesday, May 8, 2019, Health and Human Services(“HHS”) Secretary Alex Azar announced the adoption of a Medicare and Medicaid Programs; Regulation to Require Drug Pricing Transparency Final Rule (the “Rule”) by the Centers for Medicare & Medicaid Services (“CMS”) requiring direct-to-consumer television advertisements for prescription pharmaceuticals covered by Medicare or… [read post]
8 May 2019, 12:44 pm
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
7 May 2019, 9:05 pm
Seema Verma, the current Administrator for the Centers for Medicare and Medicaid Services (CMS), has argued that the growth in Medicaid enrollment is not a cause for celebration, and that “for able bodied adults, we should celebrate helping people move up, move on, and move out” of the Medicaid program. [read post]
6 May 2019, 5:44 pm
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private… [read post]
2 May 2019, 3:00 pm
Agency Promises More Frequent Drug/Device HCPCS Code Update Opportunities, Bars MACs from Adopting New Blanket Noncoverage Policies without Evidence Review On May 2, 2019, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma outlined new improvements to the HCPCS coding and local coverage decision processes that are intended to “ensure safe and effective treatments are readily accessible to beneficiaries without… [read post]
1 May 2019, 1:09 pm
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare acute inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2020. [read post]
1 May 2019, 4:39 am
As the person responsible for GAG’s finances, Cooper was required to withhold federal income taxes and Social Security and Medicare taxes from employees’ wages and pay those amounts to the Internal Revenue Service (IRS). [read post]
30 Apr 2019, 10:23 am
For example, if the individual selects an app that the covered health care provider uses to provide services to individuals involving ePHI, the FAQs state that the health care provider may be subject to liability under the HIPAA Rules if the app impermissibly discloses the ePHI received. [read post]
29 Apr 2019, 9:05 pm
Third, and more generally, the ACA created the Center for Medicare and Medicaid Innovation (CMMI), which provides the Centers for Medicare and Medicaid Services with the legal authority to “test innovative payment and service delivery models” within those programs. [read post]
29 Apr 2019, 7:21 am
A Wisconsin employer did not violate the National Labor Relations Act (“NLRA”) by ceasing to deduct union dues from employees’ paychecks for remittance to their certified union in response to Wisconsin’s enactment of a right-to-work law that curtailed dues checkoff, or communicating with employees about this action according the National Labor Relations Board ruling in Metalcraft of Mayville, Inc. [read post]
28 Apr 2019, 9:05 pm
For example, the Center for American Progress toted its proposal, Medicare Extra for All, by arguing that health care constitutes a right, as opposed to a privilege. [read post]
