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8 Apr 2018, 7:19 pm
Because workers’ compensation has primary responsibility [for covering medical care associated with work-related injuries] versus Medicare’s secondary payor status, failing to adequately account for Medicare’s imperatives may keep the Centers for Medicare & Medicaid Services (CMS), a branch of the Department of Health and Human Services (HHS), the federal agency that runs… [read post]
8 Apr 2018, 6:00 pm
In an effort to prevent fraud, the Centers for Medicare and Medicaid Services (CMS) has redesigned Medicare cards. [read post]
2 Apr 2018, 7:37 am
At last estimate, Medicare Administrative Contractors (MACs) processed an estimated 1.2 billion claims on behalf of America’s seniors.[2] As the Medicare program has grown, the Centers for Medicare and Medicaid Services (CMS) has employed a variety of different claims audit mechanisms to better ensure that the Medicare Trust Fund is protected from waste, fraud and abuse. [read post]
27 Mar 2018, 10:22 am
The Centers for Medicare & Medicaid Services (CMS) is proposing to exempt states with high rates of Medicaid managed care enrollment from current requirements to analyze and monitor access in fee-for-service (FFS) delivery systems. [read post]
23 Mar 2018, 8:28 am
A proposal was recently released by the Center for American Progress (CAP) for Medicare Extra, an enhanced version of the Medicare program and a plan to guarantee universal health coverage in the United States. [read post]
8 Mar 2018, 9:30 pm
Arkansas is the third state to have imposed “community engagement” requirements on its Medicaid recipients since the Centers for Medicare and Medicaid Services informed states that they could impose such requirements earlier this year. [read post]
7 Mar 2018, 3:23 pm
The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid, and other federally funded programs. [read post]
6 Mar 2018, 6:30 am
That document considered data on MSA submissions to the Centers for Medicare and Medicaid Services (CMS) between September 2009 and November 2013. [read post]
2 Mar 2018, 7:48 am
Trump’s Centers for Medicare and Medicaid Services moved to strip legal rights from abused and neglected nursing home patients, forcing them into secret, rigged arbitration systems controlled by the negligent nursing home. [read post]
21 Feb 2018, 9:48 am
Antipsychotics Still Overprescribed to Residents According to one news source, research conducted by the Centers for Medicare and Medicaid Services shows that the percentage of long-term nursing home residents being given antipsychotic drugs has decreased in recent years. [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]
19 Feb 2018, 6:31 am
On February 14, 2018, the Centers for Medicare & Medicaid Services (CMS) announced projections that national health care spending is expected to increase an average of 5.5% a year between 2017 – 2026 and will account for almost 20% of Gross Domestic Product by 2026. [read post]
19 Feb 2018, 6:00 am
Companies in its portfolio include Cano Health, an operator of “primary care plus” healthcare centers, and Comfort Health, an operator of Medicare HMO and Medicaid healthcare centers. [read post]
15 Feb 2018, 4:41 pm
Resolution Agreement OCR announced February 13, 2018 also contains critical lessons for Covered Entities about their dealings with their own business associates when read in conjunction with the April, 2017 resolution agreement the Center for Children’s Digestive Health (CCDH) agreed to resolve OCR charges CCDC, as a Covered Entity, violated HIPAA by allowing FileFax, Inc. to act as its business associate without adequately complying with HIPAA’s business associate requirements.… [read post]
6 Feb 2018, 6:49 am
The post Centers for Medicare & Medicaid Services proposes policies and updates to Medicare Advantage and Part D programs for 2019 appeared first on Health Law Pulse. [read post]
31 Jan 2018, 3:06 pm
The joint report provides suggested model practices to the Centers for Medicare & Medicaid Services (CMS) and States for comprehensive compliance oversight of group homes to help ensure better health and safety outcomes and that critical incident reporting is compliant with federal law and obligations. [read post]
31 Jan 2018, 7:46 am
The Center for Medicare Advocacy commented that it was “dismayed to see CMS [Centers for Medicare and Medicaid Services] attempting to reverse its own guidance in favor of the nursing home industry’s demands. [read post]
25 Jan 2018, 11:04 am
Three organizations representing 15 Kentucky Medicaid recipients filed a federal lawsuit [complaint, PDF] Thursday against the Trump administration, Department of Health and Human Services [official website], Seema Verma, Administrator of the Centers for Medicare and Medicaid Services, and others over approval of numerous section 1115 waivers in Kentucky to change the way that Medicaid functions in the state. [read post]
25 Jan 2018, 11:03 am
Veterans Administration and CMS Announce Partnership to Address Fraud Prevention (January 25, 2018): On January 23rd, the Veteran Administration (VA) and the Centers for Medicare and Medicaid Services (CMS) announced a “partnership to strengthen prevention of fraud, waste and abuse. [read post]
