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9 Oct 2023, 8:15 pm by Kurt R. Karst
”  As applied to manufacturer assistance, CMS did not adopt a single interpretation of the statutory or regulatory definition of “cost sharing. [read post]
6 Oct 2023, 1:46 pm by Paul Premack
These ten medications treat various conditions including heart disease, certain cancers, diabetes, and autoimmune diseases. [read post]
4 Oct 2023, 7:34 am by Kelly Shivery
This initiative involved retrieving medical records from healthcare providers, reviewing them for relevant medical conditions, and assigning diagnoses codes to submit to CMS for additional payments. [read post]
3 Oct 2023, 6:42 am by jeffreynewmanadmin
To make these adjustments, CMS collects “risk adjustment” data, including medical diagnosis codes, from the MA Plans. [read post]
2 Oct 2023, 4:50 pm by Ben Vernia
To make these adjustments, CMS collects “risk adjustment” data, including medical diagnosis codes, from the MA Plans.Cigna owns and operates MA Organizations that offer MA Plans to beneficiaries across the country. [read post]
29 Sep 2023, 3:56 am by Jon L. Gelman
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]
28 Sep 2023, 1:49 pm by Keeley A. McCarty
 Thus, in bid protests, the same arguments prevail whether the government is contracting for medical devices or jet engines. [read post]
26 Sep 2023, 5:10 pm by Sherica Celine
Differentiate between types of medical expenses—like deductibles and out-of-pocket medical expenses—that can and cannot be paid from HSAs. [read post]
22 Sep 2023, 4:10 pm by Jehl Law Group, PLLC
Here are some of the fundamental rights nursing home residents are entitled to: High-quality medical care: Residents have the right to receive appropriate medical care that addresses their unique needs, including physical, mental, and psychosocial well-being. [read post]
15 Sep 2023, 2:20 pm by Cynthia Marcotte Stamer
OCR’s investigation determined that UHIC’s failure to provide timely access to the requested medical records was a potential violation of the HIPAA right of access provision. [read post]
15 Sep 2023, 6:24 am by Walton Law Firm
That law clarified “the right to be free from . . . any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms. [read post]
15 Sep 2023, 6:24 am by Walton Law Firm
That law clarified “the right to be free from . . . any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms. [read post]
12 Sep 2023, 2:00 am by Sherica Celine
Provide counsel on licensing and certification of inpatient hospice facilities, limits to provider reimbursements, and qualifications for hospice administrators and medical directors. [read post]
8 Sep 2023, 8:24 am by Geoff Cockrell
During this period, CMS will conduct a medical review before making payments on claims submitted by newly enrolled hospices. [read post]
8 Sep 2023, 5:00 am by Wachler & Associates, P.C.
During this provisional period, CMS plans to conduct medical reviews before making payments on claims submitted by newly enrolling hospices. [read post]
7 Sep 2023, 9:03 pm by Brian Connor
CMS estimated that the rule would raise staffing levels for more than 75 percent of nursing homes, CMS Administrator Chiquita Brooks-LaSure predicted that the rule would “hold nursing homes accountable and make sure that residents get the safe, high-quality care that they deserve. [read post]
5 Sep 2023, 4:30 am by Sherica Celine
This questionnaire asks for key data points regarding recent self-disclosures made to the HHS Office of Inspector General via either the OIG’s Health Care Fraud Self-Disclosure Protocol (SDP) or the CMS Voluntary Self-Referral Disclosure Protocol (SRDP). [read post]