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20 Mar 2024, 10:00 pm
Together, Parts A and B are commonly referred to as traditional Medicare or fee-for-service (FFS) because claims for each item or service are submitted to the Centers for Medicare & Medicaid Services (CMS) for reimbursement through its Medicare Administrative Contractors. [read post]
20 Mar 2024, 10:00 pm
Together, Parts A and B are commonly referred to as traditional Medicare or fee-for-service (FFS) because claims for each item or service are submitted to the Centers for Medicare & Medicaid Services (CMS) for reimbursement through its Medicare Administrative Contractors. [read post]
20 Mar 2024, 11:04 am
Nursing facilities are now faced with greater disclosure requirements under a new rule set forth by the Centers for Medicare & Medicaid Services (CMS) meant to create greater transparency of nursing home ownership. [read post]
15 Mar 2024, 5:48 am
The report cited how the federal Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing about 1.2 million nursing home residents nationwide, and for many of those residents at facilities in California and elsewhere, staffing issues are “monumental. [read post]
15 Mar 2024, 5:48 am
The report cited how the federal Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing about 1.2 million nursing home residents nationwide, and for many of those residents at facilities in California and elsewhere, staffing issues are “monumental. [read post]
14 Mar 2024, 6:03 am
Therefore, when the House Ways and Means Committee voted to bar the Centers for Medicare & Medicaid Services (CMS) from finalizing staffing minimums, it sent shockwaves through the advocacy community. [read post]
13 Mar 2024, 10:43 am
Recently, the Centers for Medicare & Medicaid Services (CMS) announced that it will accelerate payments for Medicare Part A providers and Part B suppliers. [read post]
12 Mar 2024, 9:01 pm
Grimm, and Principal Deputy Administrator & Chief Operating Officer, Centers for Medicare & Medicaid Services (CMS) Jonathan Blum. [read post]
11 Mar 2024, 5:01 am
In response to growing concerns, in February 2024 the Centers for Medicare and Medicaid Services under the Biden Administration finalized new regulations to reform the pre-authorization process under Medicare Advantage plans. [read post]
29 Feb 2024, 11:00 pm
Quill argue that six months is not a meaningful marker for people with dementia, concluding that “we, as a society, need to imagine how resources, including resources financed by the Centers for Medicare and Medicaid Services, can be better deployed on behalf of people living with dementia and on behalf of their families, who are often unjustly burdened with unreimbursed costs and with the direct management and provision of care. [read post]
29 Feb 2024, 2:13 pm
In Skyward IT Solutions, LLC – Costs, the GAO denied a protester’s request for reimbursement of the costs of filing and defending its protests.[4] In this case, five unsuccessful vendors, including Skyward, filed protests challenging the Center for Medicare and Medicaid Services’ award of multiple blanket purchase agreements. [read post]
29 Feb 2024, 12:35 pm
The state agency proposed $35,750 in fines but is holding those fines in suspension while the Centers for Medicare and Medicaid Services determine whether to impose federal penalties for the violations. [read post]
27 Feb 2024, 5:00 am
RACs are Medicare contractors charged by the Centers for Medicare & Medicaid Services (CMS) to identify overpayments and underpayments made to providers and to facilitate return of overpayments to the Medicare Trust Fund. [read post]
26 Feb 2024, 12:17 pm
And this spending shows little sign of slowing down: by 2031, the Center for Medicare and Medicaid Services (CMS) projects that Medicaid and the closely- related Children’s Health Insurance Program will cost over $1.2 trillion annually. [read post]
23 Feb 2024, 3:02 pm
The Centers for Medicare & Medicaid Services, in collaboration with HHS-OIG, are also taking measures to address the involvement of providers in health care fraud schemes. [read post]
23 Feb 2024, 5:00 am
In the Medicare Advantage (MA) program, overseen by the Centers for Medicare & Medicaid Services (CMS), Medicare Advantage Organizations (MAOs) – typically private insurers – receive monthly payments from CMS. [read post]
20 Feb 2024, 12:59 pm
” Coburn and Baker allegedly led LabTox to bill Medicare and Kentucky Medicaid for these tests. [read post]
20 Feb 2024, 10:02 am
What counts as encouraging the reduction or limitation of services to people in the Medicare or Medicaid programs. [read post]
20 Feb 2024, 5:00 am
Among the plethora of different contractors used by the Centers for Medicare & Medicaid Services (CMS) to administer the Medicare program is the Supplemental Medical Review Contractor, or SMRC. [read post]
19 Feb 2024, 5:25 pm
She also worked closely with Congress, the Department of Health and Human Services, the National Institutes of Health (NIH), and the Centers for Medicare & Medicaid Services (CMS) on the development of numerous guidances, rulemakings, and policy and legislative initiatives. [read post]
