Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of… [read post]
16 Jun 2020, 9:05 pm
Under the 2022 Medicaid option to establish health homes, states would be required to submit a plan to the Centers for Medicare and Medicaid Services (CMS) detailing how the state would work with health homes to ensure “prompt and timely access” to out-of-state care for children with medically complex conditions. [read post]
19 Feb 2018, 9:50 am
Some in-home healthcare services may not be covered under the Medicare or Veteran’s Administration plans, so seniors with Medicaid may need to bill for some medical services separately. [read post]
19 Feb 2018, 9:50 am
Some in-home healthcare services may not be covered under the Medicare or Veteran’s Administration plans, so seniors with Medicaid may need to bill for some medical services separately. [read post]
27 Mar 2017, 6:04 am
Last year, the federal Centers for Medicare and Medicaid Services (CMS) initiated a rule that prohibits nursing homes from requiring patients to sign mandatory arbitration agreements prior to disputes. [read post]
6 Nov 2011, 10:35 am
The 10% cuts which were approved byThe Centers for Medicare and Medicaid Services on October 27th of this year may actuallybe higher since they are based on payment rates in effect two years ago. [read post]
16 Jun 2020, 8:53 am
Her opinion begins: In May 2019, the United States Department of Health and Human Services' Centers for Medicare and Medicaid Services published a rule that broadly requires drug manufacturers to disclose in their television advertisements the wholesale acquisition cost of many prescription drugs and biological products for which payment is available under Medicare or Medicaid. [read post]
14 Aug 2011, 4:06 am
My proclivity is to oppose cuts that will reduce Medicare services that my clients need. [read post]
16 Apr 2014, 6:24 am
More than three years after publication of final regulations to implement Affordable Care Act (ACA) provisions that strengthen provider and supplier enrollment screening provisions under federal health care programs, the Centers for Medicare & Medicaid Services (CMS) has selected a Fingerprint-Based Background Check Contractor (FBBC) and intends to phase in fingerprint-based background checks beginning in 2014. [read post]
8 Sep 2014, 8:28 am
In an effort to reduce the amount of cases currently pending appeal, specifically the backlog at the Administrative Law Judge (ALJ) level of appeal, the Centers for Medicare & Medicaid Services (CMS) announced an offer to hospital appellants to settle their patient status claim denials currently pending appeal. [read post]
29 Dec 2021, 10:14 am
One is an interim final rule promulgated by the Centers for Medicare and Medicaid Services (“CMS”); the other is an Emergency Temporary Standard (“ETS”) issued by the U.S. [read post]
14 May 2013, 6:56 am
On April 10, 2013, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule updating Medicare inpatient prospective payment system (IPPS) and long-term acute care hospital prospective payment system (LTCH PPS) rates and policies for fiscal year (FY) 2014, which begins October 1, 2013. [read post]
13 Oct 2014, 9:00 am
Using the AMP and Best Price information, the Centers for Medicaid and Medicare Service will tell the manufacturer what rebate the state is owed. [read post]
4 Nov 2020, 5:07 am
Because Medicare, Medicaid, and CHIP will pay for the doses and administration of the vaccine, providers cannot use the PRF payment to reimburse themselves for these expenses. [read post]
26 Mar 2020, 7:43 am
Since these pronouncements, Liles Parker attorneys have received numerous calls asking for clarification on these waivers and other guidance from HHS and the Centers for Medicare and Medicaid Services (CMS). [read post]
21 Apr 2010, 12:20 pm
Glossary of MSP Acronyms AWP Average Wholesale Price CMS Centers for Medicare and Medicaid Services (Formerly the Health Care Financing Administration (HCFA)) COB Coordination of Benefits Contractor DOI Date of Incident or Injury GHP Group Health Plans HICN Health Insurance Claim Number ICD-9 International Classification of Diseases, 9 th Edition MMA Medicare Modernization Act of 2003 MMSEA Medicare, Medicaid… [read post]
15 Dec 2021, 6:19 am
Important guidance regarding COVID-19 testing in the workplace was recently issued by the Centers for Medicare & Medicaid Services (“CMS”) in the form of Frequently Asked Questions regarding Over the Counter (“OTC”) Home Testing and CLIA Applicability. [read post]
3 Jul 2018, 1:12 pm
On January 11, 2018 the Centers for Medicare & Medicaid Services (CMS) released a letter to State Medicaid Directors announcing a commitment to support section 1115 demonstration projects that include work or community engagement requirements (HL Pulse summary here). [read post]
22 Mar 2017, 9:19 am
That’s because the Centers for Medicare & Medicaid Services (CMS) issued a new rule barring any nursing home that accepts federal money from CMS (which is virtually all nursing homes) from requiring mandatory arbitration agreements during the admissions process. [read post]
22 May 2018, 6:30 am
Since a majority of workers’ compensation settlements involve Medicare Set-Asides, the professional administrator should be able to competently handle all reporting aspects required by the Centers for Medicare and Medicaid Services. 24-Hour Help. [read post]
