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19 Dec 2023, 8:43 am
They feel that it is CMS’s job as an agency dedicated to providing effective health care coverage. [read post]
11 Dec 2023, 8:33 pm
In fact, as of November 2023, the CMS’s Standards and Certification’s (S&C’s) Quality, Certification and Oversight Reports (QCOR) CLIA Laboratory Lookup Database shows 17,206 CLIA-certified laboratories. [read post]
7 Dec 2023, 5:00 am
The two Assembly reports on “Lessons for the future from an effective and rights-based response to Covid-19” and “Public health emergency: the need for a holistic approach to multilateralism and health care” provide states with policy recommendations in this regard. [read post]
29 Nov 2023, 5:04 pm
On Nov. 8, 2023, the Senate Finance Committee voted 26-0 to approve the Better Mental Health, Lower Cost Drugs, and Extenders Act. [read post]
28 Nov 2023, 8:10 pm
Melissa Andrews was a paralegal for around 15 years and is now working in health care compliance and privacy. [read post]
28 Nov 2023, 10:00 am
Gag clauses, which now are prohibited from being included in agreements between health plan providers and group health plans/insurers, would restrict plans and insurers from disclosing provider-specific cost or quality of care information or data to plan sponsors, referring providers, and eligible individuals. [read post]
27 Nov 2023, 11:59 am
To ensure the payments accurately reflect the expected cost of providing health care to each beneficiary, CMS uses a process called “risk adjustment” to adjust payments based on the health condition of its enrollees. [read post]
21 Nov 2023, 2:55 pm
Not only will seeking regular medical care ensure your health and well-being, it creates medical records and other documentation, which you need to support your claim. [read post]
20 Nov 2023, 10:19 am
Pursuant to the Improper Payments Information Act of 2002,5 CMS is required to estimate the improper Medicare fee-for-service payments made to health care providers each year. [read post]
17 Nov 2023, 9:11 am
Improving Access to Behavioral Health Care Providers The Proposed Rule would expand MA network adequacy requirements to encompass outpatient behavioral health in order to improve access to behavioral health care providers. [read post]
17 Nov 2023, 5:26 am
Please reach out to the authors or other health care attorneys at Reed Smith if you have any questions about how this rule might impact your organization. [read post]
16 Nov 2023, 8:47 am
CMS provides health coverage through Medicaid to about 84.5 million enrollees as of July 2023, including eligible low-income adults. [read post]
15 Nov 2023, 12:01 pm
Providers and suppliers will be allowed to use the prior version of Form CMS-855A for 30 days following the release of the revised form. [read post]
15 Nov 2023, 9:00 am
Hospitals’ and health systems’ ability to continue caring for patients and providing essential services for their communities may be in jeopardy, which is why the AHA is urging Congress for additional support by the end of the year. [read post]
13 Nov 2023, 5:40 pm
These are defined as “safe harbors,” and they are legally defined defenses to any kickback charge against a physician or other health care provider. [read post]
13 Nov 2023, 9:00 am
The Centers for Medicare and Medicaid Services (“CMS”) designed the Guiding an Improved Dementia Experience (“GUIDE”) model (the “Model”) for health care providers enrolled in Medicare Part B and that treat ... [read post]
7 Nov 2023, 12:23 pm
As of October 2nd, 2023, the American Health Care Association (AHCA) announced that they would continue to fight against the proposed federal staffing mandate by the Centers for Medicare and Medicaid Services (CMS). [read post]
6 Nov 2023, 9:00 pm
Reg. __ ( unpublished version ); CMS, Fact Sheet . [read post]
6 Nov 2023, 7:32 am
Supreme Court. ( KFF HEALTH NEWS , MODERN HEALTHCARE , AXIOS ) GOP Govs Object to Proposed Long-Term Care Staffing Requirements The Republican governors of 15 states sent a letter to President Biden asking his administration to reconsider its proposed nurse staffing requirements for long-term care facilities. [read post]
5 Nov 2023, 3:10 pm
The CMS waiver programs required DADS to collect and report to CMS applicant and enrollee community and institutional service choice, Level of Care, Plan of Care, waiver provider choice and other waiver program performance data for CLASS and DBMD as part of a required evidentiary report on all §1915(c) waiver programs. [read post]
