Search for: "Centers for Medicare and Medicaid Services"
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10 Jul 2024, 8:33 am
Without Chevron, HHS’ and CMS’ determinations of what items or services will receive Medicare or Medicaid coverage could also be at risk. [read post]
10 Jul 2024, 7:13 am
See, for example, this (now stickered) comment to the Centers for Medicare & Medicaid Services on “Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs. [read post]
27 Jun 2024, 12:58 pm
“Every dollar saved by investigating fraud is critical to the sustainability of the Medicare program and the needs of the people who depend on it,” said Administrator Chiquita Brooks-LaSure of the Centers for Medicare & Medicaid Services (CMS). [read post]
26 Jun 2024, 7:12 am
The Centers for Medicare & Medicaid Services (CMS) recent fact sheet sheds light on the enormous amount of funds spent yearly on healthcare: The National Health Expenditure (NHE) is $4.5 trillion Annual Medicare spending equals $944.3 billion Medicaid spending costs $805.7 billion annually Because the federal government cannot monitor this vast industry on its own, it must rely on the help of private citizens (sometimes called… [read post]
24 Jun 2024, 6:06 pm
Additionally, OIG found that the arrangement qualifies for the “Promotes Access to Care” Exception under the Beneficiary Inducement CMP because (1) there are potential barriers to accessing the gene therapy product; and (2) the arrangement presents a low risk of harm to the Medicare and Medicaid programs and their beneficiaries. [read post]
24 Jun 2024, 12:40 pm
” Commercial Health Insurers Slow to Embrace Food is Medicine The bulk of the activity related to the food is medicine movement has largely been confined to Medicare and Medicaid. [read post]
20 Jun 2024, 8:57 am
On June 5, Bluestone Physician Services of Florida LLC, Bluestone Physician Services, P.A., and Bluestone National LLC agreed to pay $14.9 million to settle allegations of submitting false claims for certain Evaluation and Management (E&M) codes inconsistent with Medicare, Medicaid and TRICARE requirements. [read post]
18 Jun 2024, 8:01 pm
At the federal level, all nursing homes that participate in Medicare or Medicaid are required to meet certain standards as stipulated by the Centers for Medicare & Medicaid Services (CMS). [read post]
18 Jun 2024, 12:08 pm
You received an explanation of benefits (EOB) from your insurer, much like one described by the Centers for Medicare and Medicaid Services, denying your health insurance claim that a medical provider sent in, and now you are expected to pay for that costly medical procedure. [read post]
17 Jun 2024, 7:59 am
Evergreen Treatment Services: On June 13, DOJ announced the Seattle-based drug treatment center agreed to pay roughly $1.5 million to settle charges it violated the False Claims Act by double billing Medicare for certain drug treatment services during a six-month window in 2020. [read post]
15 Jun 2024, 9:05 pm
Center for Science in the Public Interest. [read post]
14 Jun 2024, 12:08 pm
., Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that decreased overall payment rates for services provided under the Physician Fee Schedule [...] [read post]
13 Jun 2024, 5:32 pm
Medicare, Medicaid and commercial insurers ultimately paid out roughly $14 million, prosecutors wrote in the indictment. [read post]
12 Jun 2024, 9:00 am
According to data from the Centers for Medicare and Medicaid Services (CMS), about 1.2 million Americans reside in nursing homes. [read post]
10 Jun 2024, 10:43 am
Group 2: Covered hospitals with high populations of Medicare/Medicaid patients, covered rural independent health care facilities, and covered health care facilities that are owned, affiliated or operated by a county with a population of less than 250,000 as of January 1, 2023. [read post]
9 Jun 2024, 9:05 pm
Patent and Trademark Office; The Chief Actuaries of the Centers for Medicare and Medicaid Services (CMS) and the Social Security Administration (SSA); The Administrator, Chief Operating Officer for the air traffic control system, and Director of Whistleblowers at the Federal Aviation Administration; The Commissioner of Labor Statistics; Various officials within the Department of Treasury, including the heads of the Internal Revenue Service, Comptroller of… [read post]
4 Jun 2024, 12:57 pm
Losing Medicaid and not having it immediately replaced by Medicare is a potential life-threatening situation. [read post]
4 Jun 2024, 11:02 am
Under the Trump Administration, the Centers for Medicare & Medicaid Services announced in May 2020 that the Part D Senior Savings Model participating plans would cap insulin copays to $35 per month’s supply, and over 1,750 Medicare Advantage and Medicare Part D plans applied to offer lower insulin costs. [read post]
4 Jun 2024, 6:26 am
Be enrolled in Medicaid, or Medicare and Medicaid. [read post]
31 May 2024, 11:58 am
To measure that population, the DSH formula focuses on three public-assistance programs: Medicare, Medicaid, and Supplemental Security Income. [read post]
