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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]
3 Jul 2018, 9:00 am
(July 3, 2018): On June 26, 2018, the Centers for Medicare and Medicaid Services (CMS) announced “new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. [read post]
2 Jul 2018, 2:35 pm
As part of its “Regulatory Sprint to Coordinated Care,” the Centers for Medicare & Medicaid Services (CMS) is seeking input on how it can address “unnecessary obstacles to coordinated care, real or perceived, caused by the physician self-referral law. [read post]
28 Jun 2018, 3:04 pm
Bowdich of the FBI, Assistant Administrator John Martin of the Drug Enforcement Administration (DEA), Deputy Inspector General Gary Cantrell of the HHS Office of Inspector General (OIG), Deputy Chief Eric Hylton of IRS Criminal Investigation (CI), Centers for Medicare and Medicaid Services (CMS) Deputy Administrator and Director of the Center for Program Integrity Alec Alexander and Director Dermot F. [read post]
28 Jun 2018, 6:30 am
” The Centers for Medicare and Medicaid Services (“CMS” or “Medicare”) is accustomed to the use of annuities with MSAs. [read post]
26 Jun 2018, 7:28 am
As we reported last April, the Centers for Medicare and Medicaid Services (CMS) announced in its Final Call Letter for bids from plans that participate in the Medicare Advantage program (MA) for 2019. [read post]
25 Jun 2018, 1:56 pm
Centers for Medicare & Medicaid Services (“CMS”) released a Request for Information (“RFI”) that seeks feedback from stakeholders in the healthcare industry on possible regulatory changes to the Stark Law. [read post]
19 Jun 2018, 9:12 am
The Centers for Medicare and Medicaid Services (CMS) have called for an additional reduction of 15 percent by next year for those facilities that still report a high percentage of using these drugs. [read post]
19 Jun 2018, 9:12 am
The Centers for Medicare and Medicaid Services (CMS) have called for an additional reduction of 15 percent by next year for those facilities that still report a high percentage of using these drugs. [read post]
15 Jun 2018, 9:38 am
Settlement Conference Facilitation (SCF) is an alternative dispute resolution process which provides appellants and the Center for Medicare and Medicaid Services (CMS) an opportunity to discuss a mutually agreeable resolution for claims appealed to the Administrative Law Judge (ALJ) or Medicare Appeals Council (Council) levels of appeal. [read post]
15 Jun 2018, 9:38 am
Settlement Conference Facilitation (SCF) is an alternative dispute resolution process which provides appellants and the Center for Medicare and Medicaid Services (CMS) an opportunity to discuss a mutually agreeable resolution for claims appealed to the Administrative Law Judge (ALJ) or Medicare Appeals Council (Council) levels of appeal. [read post]
15 Jun 2018, 9:00 am
Other medical resources include the doctor’s local or state medical society, medical societies for your particular specialty, and the Centers for Medicare and Medicaid Services. [read post]
11 Jun 2018, 1:11 pm
In September 2017 the Center for Medicare & Medicaid Innovation (CMMI) published an RFI requesting comments on the new direction for the center and received over 1,000 comments, which may be read here. [read post]
7 Jun 2018, 9:30 pm
The registry is a joint project between FDA, the Centers for Medicare and Medicaid Services, and the U.S. [read post]
29 May 2018, 4:55 pm
The Centers for Medicare & Medicaid Services (CMS) is announcing that under the new program, home health agencies (HHAs) could choose to undergo either pre-claim or post-payment reviews, or to forgo reviews but take a 25% payment reduction on all claims submitted for home health services. [read post]
25 May 2018, 11:02 am
Even in face of the assault on access to healthcare being waged by the Trump Administration and congressional Republicans, state and local leaders can take action. [read post]
22 May 2018, 11:23 am
The Departments found the application to be incomplete, as communicated to the Ohio Department of Insurance in a 5/17/18 letter from Randy Pate, Director of the Center for Consumer Information & Insurance Oversight (CCIIO) and Deputy Administrator of the Centers for Medicare & Medicaid Services. [read post]
22 May 2018, 9:00 am
Doctors who use a telemedicine practice must understanding which services they can bill Medicare, Medicaid for, and private insurance carriers. [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]
20 May 2018, 2:26 pm
As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
