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12 Jul 2018, 6:45 am
On Saturday, July 7, 2018, the Centers for Medicare & Medicaid Services (CMS) announced the suspension of risk adjustment payments for the 2017 benefit year until the resolution of risk adjustment litigation following the decision in New Mexico Health Connections v. [read post]
25 Jul 2013, 6:01 am
Far too often, these claims are subjected to lengthy and cumbersome reviews by the Centers for Medicare and Medicaid Services (CMS) to determine appropriate set-aside amounts to pay for future medical costs in which Medicare may have an interest. [read post]
23 Mar 2015, 2:54 pm
But in what the WSJ calls a “behind-the-scenes bureaucratic conflict,” The Centers for Medicare & Medicaid Services (Medicare, or CMS) steadfastly has opposed the FDA’s plan to monitor safety via claims data and UDIs. [read post]
3 Feb 2014, 8:19 am
The ACA also dovetails with the substantial body of Social Security, Medicaid and Medicare law and regulation. [read post]
2 Apr 2020, 2:04 pm
In a letter Wednesday to Life Care Center of Kirkland, the Centers for Medicare and Medicaid Services wrote that the nursing home failed to report an outbreak of respiratory illness to local authorities for two weeks as required by law, gave inadequate care to its residents during the outbreak and failed to provide 24-hour emergency doctor services. [read post]
7 Mar 2022, 1:29 pm
The Centers for Medicare & Medicaid Services committed to creating a connection to voter registration services for consumers using HealthCare.gov. [read post]
20 Jul 2017, 4:34 am
Agents and brokers planning to market health insurance coverage sold through the health care marketplaces established under the Patient Protection and Affordable Care Act (ACA) should register and participate in one of the upcoming “Plan Year 2018 Registration & Training Overview For Agents and Brokers” sessions offered by the Centers for Medicare & Medicaid Services (CMS) to: Provide Registration and training information for Plan Year (PY)… [read post]
13 Jul 2021, 4:05 pm
On July 9, 2021, the Biden Administration released an “Executive Order on Promoting Competition in the American Economy” that literally will touch almost every part of the U.S. economy. [read post]
3 May 2012, 10:19 am
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
3 May 2012, 10:19 am
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [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]
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]
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]
8 Jun 2010, 5:32 am
Fifth, the Centers for Medicare & Medicaid Services, in conjunction with the Administration on Aging, will be launching an educational media campaign this summer to educate Medicare beneficiaries about the importance of staying vigilant with their personal Medicare information and getting the facts out about the new law so that scam artists are not able to prey on seniors. [read post]
12 Aug 2022, 4:24 am
Nevertheless, at this time, the Centers for Medicare and Medicaid (CMS) has not specifically approved the coverage of amniotic liquid allografts. [read post]
30 Aug 2011, 12:33 pm
The Medicare Secondary Payer (MSP) Statute was passed in 1980 to provide protection to the Medicare Trust Fund by giving the Center for Medicare and Medicaid Services (CMS) authority to recover payments made by Medicare where a primary payer exists and to avoid payment for future care related to an injury or accident. [read post]
10 Apr 2023, 8:01 am
Preventive Services Task Force (“USPSTF”) as a recommended preventive care service in the current USPSTF’s Guide to Clinical Preventive Services; (ii) the Visa or MasterCard gift card valued at up to $75 was not disproportionately large in relationship to the value of the preventive care service; and (iii) the Test would not be tied, directly or indirectly, to the provision of additional services (such as a colonoscopy) reimbursable by… [read post]
29 Nov 2021, 3:36 pm
The case is one of four lawsuits challenging the Centers for Medicare & Medicaid Services' (CMS) rule and argues that the mandate will exacerbate staffing shortages. [read post]
28 Feb 2014, 6:24 pm
According to the Dallas Morning News, the top-ranking members of the House Committee on Energy and Commerce on Wednesday notified the Centers for Medicare & Medicaid Services, which is a division of the Department of Health and Human Services, that they were “investigating the adequacy of CMS screening” of healthcare providers. [read post]
13 Apr 2011, 3:23 am
" At CMS, we are "working together with the hospital and consumer community to bring hospital-acquired conditions into the forefront and do all we can to eliminate harm from the very healthcare system intended to heal us," said Centers for Medicare and Medicaid Services Administrator Donald Berwick in a statement. [read post]
