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17 Oct 2017, 6:30 am
States administer eligibility and claims processing functions, while the federal Centers for Medicare & Medicaid Services (CMS) oversees state compliance with federal Medicaid rules. [read post]
9 Oct 2017, 6:30 am
Telehealth Now Offered for CareGuard Members Ametros has announced their partnership with Kura MD to offer online telehealth services to expedite access to medical care for workers’ compensation injuries. [read post]
25 Sep 2017, 3:04 pm
The Centers for Medicare & Medicaid Services (CMS) CMS has announced a “new direction” for the CMS Innovation Center that is intended to “promote patient-centered care and test market-driven reforms. [read post]
19 Sep 2017, 6:30 am
In its review, CMS accepted the attestations as confirmation of the change in drug therapy and approved Tower’s submitted MSA at $641,930. [read post]
18 Sep 2017, 9:44 am
The Graham-Cassidy legislation would repeal the ACA’s individual and employer mandates and medical device tax and replace the ACA with annual block grants to the states. [read post]
30 Aug 2017, 7:31 am
Blanco of the Justice Department’s Criminal Division, Acting Director Andrew McCabe of the FBI, Acting Administrator Chuck Rosenberg of the Drug Enforcement Administration (DEA), Inspector General Daniel Levinson of the HHS Office of Inspector General (OIG), Chief Don Fort of IRS Criminal Investigation, Administrator Seema Verma of the Centers for Medicare and Medicaid Services (CMS), and Deputy Director Kelly P. [read post]
30 Aug 2017, 6:30 am
The changes to this section of the Reference Guide provide hope that CMS may be more open to recognizing state statutes, like Georgia’s, as a basis for limiting medical treatment and medications in the MSA. [read post]
29 Aug 2017, 6:14 am
That is, CMS will work with Medicare Administrative Contractors “to confirm whether they are requesting such information when claims are selected for medical review and, if not, whether such information should be included in any additional documentation requests. [read post]
29 Aug 2017, 4:41 am
See The HHS Centers for Medicare & Medicaid Services’ (CMS) beneficiaries and their health care providers greater flexibility to provide Medicare-covered health care to meet emergency health needs under his authority in the Public Health Service Act and Social Security Act. [read post]
24 Aug 2017, 1:07 pm
The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) includes the following pathways: the Merit-Based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) Incentive program. [read post]
14 Aug 2017, 12:03 pm
On August 3, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of the State of Florida’s Managed Medical Assistance Section 1115 Waiver Demonstration. [read post]
14 Aug 2017, 10:00 am
., Board Certified by The Florida Bar in Health Law On August 3, 2017, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of Florida’s Managed Medical Assistance (MMA) section 1115 demonstration. [read post]
13 Aug 2017, 9:10 pm
., Board Certified by The Florida Bar in Health Law On August 3, 2017, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of Florida’s Managed Medical Assistance (MMA) section 1115 demonstration. [read post]
Nursing Home Lawsuit Settled After Allegations of Prescribing Powerful Drugs With No Patient Consent
12 Aug 2017, 7:44 am
Centers for Medicare and Medicaid Services found use of these drugs doubled patients’ risk of death. [read post]
10 Aug 2017, 4:04 am
In addition, CMS adopted its proposed subregulatory process for adopting changes to the ICD–10–CM medical code data set for the presumptive methodology lists. [read post]
8 Aug 2017, 6:30 am
While the Commercial Repayment Center (CRC) has faced some valid criticism over the course of the past year and half in relation to its recovery efforts on behalf of the Centers for Medicare and Medicaid Services’ (CMS), not all problems start with the CRC. [read post]
7 Aug 2017, 9:50 am
On August 2, the Centers for Medicare & Medicaid Services published its Fiscal Year 2018 Medicare Hospital Inpatient Prospective Payment System and Long Term Acute Care Hospital Prospective Payment System Final Rule. [read post]
3 Aug 2017, 6:30 am
This includes recommendations on the following topics: Whether a service provider should be utilized to prepare a Medicare Set-aside allocation; If the Medicare Set-aside should be included for review and approval under the voluntary CMS process; and Matters concerning conditional payment identification and repayment. [read post]
31 Jul 2017, 8:53 am
Senate rejects health care reform legislation; CMS releases home health proposed rule for CY 2018 appeared first on Health Law Pulse. [read post]
27 Jul 2017, 1:21 pm
With regard to Part B drugs, CMS proposes to implement average sales price-based reimbursement for drugs furnished through an item of durable medical equipment, in conformance with the 21st Century Cures Act. [read post]
