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9 Oct 2023, 8:15 pm
” 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
These ten medications treat various conditions including heart disease, certain cancers, diabetes, and autoimmune diseases. [read post]
4 Oct 2023, 7:34 am
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
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
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, 4:26 pm
I. [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]
29 Sep 2023, 1:56 am
By late February, CMS had approved 188 waivers for 47 states . [read post]
28 Sep 2023, 1:49 pm
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
Differentiate between types of medical expenses—like deductibles and out-of-pocket medical expenses—that can and cannot be paid from HSAs. [read post]
26 Sep 2023, 9:49 am
As reported by AP News: “Federal authorities launch an investigation into the misuse of antipsychotic medications in nursing homes. [read post]
22 Sep 2023, 4:10 pm
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
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
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
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
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
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
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
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
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]