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12 Jan 2022, 3:22 pm
On January 7, the Supreme Court heard an oral argument regarding the applications for an emergency stay of the Occupational Safety and Health Administration (OSHA) COVID-19 Vaccination and Testing Emergency Temporary Standard (ETS) as well as the regulations issued by the Centers for Medicare & Medicaid Services. [read post]
12 Jan 2022, 11:05 am
However, the Centers for Medicare and Medicaid Services announced that visitors will still be allowed to enter nursing home facilities. [read post]
11 Jan 2022, 11:45 am
Health Net Federal Services – Unique on this list because this settlement involves no allegations of fraud against the Medicare or Medicaid program, Health Net agreed to pay $97 million to resolve allegations that it overbilled the VA for services provided under an insurance arrangement called the Patient Centered Community Care Program, which provides coverage to veterans who cannot access VA facilities. [read post]
11 Jan 2022, 11:45 am
Health Net Federal Services – Unique on this list because this settlement involves no allegations of fraud against the Medicare or Medicaid program, Health Net agreed to pay $97 million to resolve allegations that it overbilled the VA for services provided under an insurance arrangement called the Patient Centered Community Care Program, which provides coverage to veterans who cannot access VA facilities. [read post]
10 Jan 2022, 3:35 pm
Department of Health and Human Services’ (DHHS) Centers for Medicare and Medicaid Services, which seeks to require vaccination for certain health care workers in facilities participating in Medicare and Medicaid programs. [read post]
10 Jan 2022, 10:31 am
As we teed up for our readers, the various appeals over the OSHA Emergency Temporary Standard (ETS) and the Center for Medicare & Medicaid Services (CMS) health care worker vaccination mandate were argued before the U.S. [read post]
7 Jan 2022, 2:17 pm
Supreme Court on January 7 heard arguments both pro and con on whether the federal Occupational Safety and Health Administration (OSHA) has the authority to impose a vaccination rule affecting private employers with at least 100 employees and another rule from the Centers for Medicare and Medicaid Services affecting healthcare workers. [read post]
7 Jan 2022, 1:56 pm
Alito was skeptical, asking Fletcher whether the states had clear notice that by taking funds for Medicare and Medicaid they would later be subject to the vaccine requirement, but Roberts appeared to be more convinced. [read post]
6 Jan 2022, 6:03 am
According to the Centers for Medicare & Medicaid Services, the consumer will receive a surprise bill when the out-of-network provider bills the consumer for the difference between what the healthcare provider charges and the amount paid by their health insurance. [read post]
6 Jan 2022, 12:00 am
Note that EKRA’s reach is broader than the Anti-Kickback Statute, which applies only to “federal healthcare programs” — e.g., Medicare, Medicaid, Tricare, etc. [read post]
4 Jan 2022, 6:03 am
Late last year, the Centers for Medicare & Medicaid Services (CMS) released new guidance for hospital co-location. [read post]
3 Jan 2022, 1:57 pm
As we’ve reported, on that day the Court will hear appeals related to the OSHA Emergency Temporary Standard (ETS) and the Center for Medicare & Medicaid Services (CMS) healthcare worker vaccination mandate. [read post]
3 Jan 2022, 6:55 am
Meanwhile, the second proxy measure, known as the Medicaid fraction, is the percentage of all of a hospital’s patient days that are attributable to individuals who were eligible for Medicaid coverage but who were not entitled to Medicare Part A benefits. [read post]
30 Dec 2021, 12:02 pm
To assist health care providers that will soon be required to enforce a COVID-19 vaccine mandate, the Centers for Medicare & Medicaid Services issued guidance on December 28, 2021 regarding updated timelines for compliance and available enforcement remedies. [read post]
29 Dec 2021, 3:23 pm
The Centers for Medicare & Medicaid Services (CMS) announced it will enforce the COVID-19 Health Care Staff Vaccination Interim Final Rule in the 25 states, District of Columbia, and territories in which the healthcare vaccine rule has not been enjoined by a court. [read post]
29 Dec 2021, 12:47 pm
As previously reported, on November 4, 2021 the Centers for Medicare and Medicaid (CMS) issued an Interim Final Rule (the CMS Rule) requiring most Medicare and Medicaid certified providers and suppliers to vaccinate staff members within 60 days. [read post]
29 Dec 2021, 11:54 am
For the rule involving health-care workers, [Centers for Medicare and Medicaid Services] waived the normal period for taking public comment into consideration before issuing final regulations.... [read post]
29 Dec 2021, 11:46 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]
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]
29 Dec 2021, 9:46 am
In addition to OSHA issuing the ETS, the Centers for Medicare & Medicaid Services (“CMS”) issued a COVID-19 vaccination mandate for eligible staff at health care facilities that participate in the Medicare and Medicaid programs. [read post]
