Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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18 Jan 2017, 10:25 am
CMS has finalized extensive changes to the conditions of participation (CoPs) that home health agencies (HHAs) must meet to participate in the Medicare and Medicaid programs. [read post]
17 Jan 2017, 1:26 pm
On January 17, 2017, the Centers for Medicare & Medicaid Services (“CMS”) finalized certain changes to the Medicare appeals process, with the intent to provide increased transparency and efficiency to cure the current backlog in pending appeals. [read post]
6 Jan 2017, 7:44 am
” Last October, the Centers for Medicare & Medicaid Services (CMS) announced a plan to rewrite the rule for increased transparency. [read post]
28 Dec 2016, 10:38 am
Ask for inspection reports.Before they can accept money from Medicare or Medicaid, a nursing home must receive certification from the Centers for Medicare and Medicaid Services (CMS). [read post]
28 Dec 2016, 10:38 am
Ask for inspection reports.Before they can accept money from Medicare or Medicaid, a nursing home must receive certification from the Centers for Medicare and Medicaid Services (CMS). [read post]
21 Dec 2016, 12:23 pm
In the waning days of the Obama Administration, the Centers for Medicare & Medicaid Services (CMS) has unveiled a lengthy and complex final rule to establish mandatory Medicare bundled payment programs for acute myocardial infarction (AMI), coronary artery bypass graft (CABG), and surgical hip/femur fracture treatment (SHFFT) procedures furnished in designated geographic areas. [read post]
21 Dec 2016, 2:08 am
Across the country, corrupt physicians accept cash payments from patients without providing them proper examinations, and some file erroneous or fraudulent claims with private insurance companies and Medicare/Medicaid. [read post]
20 Dec 2016, 6:42 am
The CMS Center for Medicare & Medicaid Innovation (CMMI) continues to launch initiatives to test ways to improve the quality of health care while controlling cost, despite an uncertain fate under the future Trump Administration and Republican-controlled Congress. [read post]
20 Dec 2016, 6:10 am
The decision was solidified after the facility received a letter from the Centers for Medicare & Medicaid Services detailing how another nursing home resident died when her cigarette set her clothes on fire. [read post]
17 Dec 2016, 7:00 am
The current Federal Court decisional activity involving NJ operating pharmaceutical distributors is reviewed.The new Centers for Medicare and Medicaid Centers (CMS) Secondary Payer Act Secondary Payer Act (MSP) offset procedures and adopted regulations, implementing The SMART Act are presented in this supplement. [read post]
12 Dec 2016, 4:08 am
The Act also requires the Administrator of the Centers for Medicare & Medicaid Services to issue an annual report for five years that summarizes the results of all closed federal investigations completed during the preceding year with findings of any serious violation regarding compliance with existing behavioral health parity requirements. [read post]
9 Dec 2016, 6:00 am
Nonetheless, if an issuer that receives federal financial assistance also provides third-party administrator services, the final rule would apply to those third-party administrator services. [read post]
30 Nov 2016, 8:29 am
Riachi submitted thousands of claims for Pelvic Floor Therapy (PFT) to Medicare and Medicaid for services that were either never provided or were otherwise false or fraudulent. [read post]
23 Nov 2016, 7:54 am
Background LDTs were historically regulated not by the FDA, but rather by the Centers for Medicare & Medicaid Services (“CMS”) under the Clinical Laboratory Improvement Amendments. [read post]
23 Nov 2016, 6:00 am
A Mississippi federal judge has blocked a Department of Health and Human Services’ Centers for Medicare and Medicaid Services (“CMS”) regulation that bars federally funded nursing homes from utilizing pre-dispute binding arbitration agreements. [read post]
18 Nov 2016, 11:21 am
On November 16, 2016, the Centers for Medicare & Medicaid Services (“CMS”) hosted a 2016 MLN Connects National Provider Call (“Provider Call”) for purposes of outlining the parameters of the 2016 Hospital Appeals Settlement Process, which CMS initially launched in August 2014 for certain eligible inpatient provider types. [read post]
15 Nov 2016, 4:22 am
The lawsuit, which names the Secretary of Health and Human Services and the acting administrator of the Centers for Medicare and Medicaid Services (CMS), labels the arbitration clause ban as capricious and arbitrary. [read post]
15 Nov 2016, 4:22 am
The lawsuit, which names the Secretary of Health and Human Services and the acting administrator of the Centers for Medicare and Medicaid Services (CMS), labels the arbitration clause ban as capricious and arbitrary. [read post]
14 Nov 2016, 3:04 pm
His administration is not likely immediately to reverse the move towards value-based payments by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
10 Nov 2016, 2:10 pm
House Republicans have called for repeal of the Center for Medicare and Medicaid Innovation (CMMI) reform authority; even without repeal, however, the new administration is likely to scale back the scope and pace of innovative “mandatory” Medicare payment reforms. [read post]
