Search for: "Center for Medicare and Medicaid Services"
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3 Mar 2022, 6:59 am
United Memorial Medical Center, a hospital system with four locations in Houston, will lose its contracts with Medicare after several inspections found health and safety violations from failing to screen staff for COVID-19 to rusted equipment to cockroaches in the operating room, according to the Centers for Medicare and Medicaid Services. [read post]
3 Mar 2022, 6:43 am
One step that could be taken is for the Social Security Administration to add long COVID to its list of qualifying conditions, which would assist patients in becoming eligible for Medicaid or Medicare benefits. [read post]
2 Mar 2022, 12:53 pm
In a memorandum issued February 28, the Centers for Medicare & Medicaid Services, one of the federal agencies that promulgated the rule (along with the Employee Benefits Security Administration and the Internal Revenue Service) indicated that it was still reviewing the court’s decision and considering next steps, which could include an appeal to the U.S. [read post]
24 Feb 2022, 1:38 pm
Department of Health and Human Services and Centers for Medicare and Medicaid Services (have issued new rules modernizing the Stark law. [read post]
24 Feb 2022, 6:29 am
The federal agency that oversees Medicare, the Centers for Medicare & Medicaid Services (CMS), performs few audits itself, but outsources these duties to a series of independent contractors, such as Medicare Administrative Contractors (MACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
24 Feb 2022, 6:10 am
Unfortunately, not all hospitals provide the same level of service to their patients. [read post]
23 Feb 2022, 4:27 am
With respect to administrative reviews, both private health insurer anti-fraud units and Unified Program Integrity Contractors (UPICs) for the Center for Medicare and Medicaid Services (CMS) have moved forward with Medicaid audits of dental claims around the country. [read post]
22 Feb 2022, 6:00 am
When the tenuous resources of Medicare, Medicaid, TRICARE and other government programs are used to pay claims tainted by improper conduct, there are fewer resources available for meritorious care. [read post]
22 Feb 2022, 5:01 am
The Centers for Medicare & Medicaid Services (CMS) will not approve a hospital for participation in the Medicare and Medicaid system unless its brick-and-mortar facilities comply with the standards of the Life Safety Code of the National Fire Protection Association (or a comparable code imposed by state law) and the association’s separate Health Care Facilities Code. [read post]
21 Feb 2022, 6:25 am
The Centers for Medicare & Medicaid Services (CMS) contracts with a Supplemental Medical Review Contractor (SMRC), which performs a variety of Medicare and Medicaid audit and medical review tasks. [read post]
18 Feb 2022, 4:36 pm
Previous blog posts provided an overview of the Centers for Medicare and Medicaid Services’s (“CMS”) Vaccine Mandate and addressed whether boosters are required. [read post]
17 Feb 2022, 2:58 pm
The losing party must also pay the IDR fees.The Act outlines a series of factors that arbitrators were supposed to consider when evaluating each side’s final offer:Qualifying payment amount (QPA): a geographic area’s median in-network rate for similar medical services or proceduresThe provider’s level of training, teaching status, and case mixThe provider’s market shareThe quality and outcomes typically deliveredThe complexity and scope of servicesThe acuity of the… [read post]
17 Feb 2022, 6:56 am
The investigation found that at least 2,700 dangerous incidents were not factored into the rating system run by the federal Centers for Medicare and Medicaid Services which is designed to give people reliable information to evaluate the safety and quality of thousands of nursing homes. [read post]
16 Feb 2022, 9:00 am
The Centers for Medicare & Medicaid Services (CMS) have recently released updated guidance regarding hospital co-locations arrangements. [read post]
15 Feb 2022, 9:13 am
According to a recent report, the Centers for Medicare & Medicaid Services (CMS) announced that it would begin to report weekend staffing and staff turnover for nursing homes with greater transparency. [read post]
11 Feb 2022, 12:39 pm
” The press release states: “Because CMC submitted claims for payment to Medicare, Medicaid, and other federal health care programs for the services referred by the cardiologist, the United States alleged that these claims were the result of unlawful kickbacks. [read post]
11 Feb 2022, 9:56 am
Neil Meltzer, president and CEO of LifeBridge Health, joined the Advisory Panel on Outreach and Education (APOE), a federal health care advisory committee to the Centers for Medicare & Medicaid Services (CMS). [read post]
10 Feb 2022, 9:03 pm
Layton, professor of health care policy at Harvard Medical School, discussed why Centers for Medicare and Medicaid Services (CMS) should abandon its proposal for a new method of “scoring” the health risks of patients enrolled in different insurance plans. [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
9 Feb 2022, 4:31 pm
According to the Centers for Medicare and Medicaid Services (CMS), spending in the U.S. health care industry accounts for almost a fifth (19.7%) of our Gross Domestic Product (GDP) with $4.1 Trillion (yes, trillion) spent in health care during the calendar year 2020 alone. [read post]
