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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
As part of its Behavioral Health Strategy, CMS aims to improve access and quality of mental health care and services, such as substance use disorder prevention and treatment services. [read post]
17 Nov 2023, 5:26 am
The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and Medicaid to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
16 Nov 2023, 8:47 am
The Centers for Medicare and Medicaid Services (CMS) is an agency within the U.S. [read post]
13 Nov 2023, 5:40 pm
Referral services. [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]
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]
2 Nov 2023, 9:00 am
Earlier this month, the Centers for Medicare & Medicaid Services (CMS) quietly added “Outreach Site/ Street” as an allowable place of service (POS) code for Medicare and Medicaid providers to use in claims submission for “street medicine” services provided. [read post]
19 Oct 2023, 5:00 am
The traditional model for post-graduate education for medical students, called residency, is regulated by the Accreditation Council for Graduate Medical Education (ACGME) and largely funded by the Center for Medicare Services (CMS). [read post]
17 Oct 2023, 9:33 pm
” With this proposed rule, FDA explains that it does not seek to duplicate the oversight provided by the Centers for Medicare and Medicaid Services (CMS) under the Clinical Laboratory Improvement Amendments (CLIA) but rather finds the established regulatory scheme under CLIA to be complementary to the agency’s proposed regulatory oversight. [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings submitted to private payors. [read post]
9 Oct 2023, 8:15 pm
Three patient advocacy groups sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging the agencies’ 2020 NBPP Rule as plainly unlawful on the grounds that it conflicts with the definition of “cost sharing” in both the ACA and the agencies’ existing regulations, and is arbitrary and capricious. [read post]
6 Oct 2023, 1:46 pm
As part of that process, the Centers for Medicare & Medicaid Services (CMS) has announced a series of patient-focused listening sessions as part of the Medicare Drug Price Negotiation Program. [read post]
4 Oct 2023, 7:34 am
This initiative involved retrieving medical records from healthcare providers, reviewing them for relevant medical conditions, and assigning diagnoses codes to submit to CMS for additional payments. [read post]
3 Oct 2023, 6:42 am
The Centers for Medicare and Medicaid Services (CMS) pays the MA Plans a fixed monthly amount for each beneficiary who enrolls. [read post]
2 Oct 2023, 4:50 pm
The Centers for Medicare and Medicaid Services (CMS) pays the MA Plans a fixed monthly amount for each beneficiary who enrolls. [read post]
29 Sep 2023, 4:26 pm
For example, a contractor that performs services in a federal facility may find that the facility is closed, so the contractor’s employees do not have access to their workplace. [read post]
29 Sep 2023, 3:56 am
The process is authorized by the Medicare Secondary Payer Act (MSP).The Centers for Medicare & Medicaid Services (CMS) Medicare Program will continue during a lapse in appropriations at a significantly reduced staffing level. [read post]
29 Sep 2023, 1:56 am
In addition to the practical benefits of Medicaid coverage, which include free preventative services, access to free or low-cost medications, and reductions in excess morbidity and mortality, having insurance coverage just gives people peace of mind. [read post]
28 Sep 2023, 1:49 pm
One example is Marquis Solutions LLC, B-419891, 2021 CPD ¶ 316 (Sept. 2021), a protest of a VA contract for medical courier services. [read post]
