Search for: "Centers for Medicare and Medicaid Services (CMS)"
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16 Dec 2019, 3:13 pm
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review”… [read post]
12 Dec 2019, 11:44 am
The Centers for Medicare & Medicaid Services (CMS) has released the 2020 Medicare fee schedule for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
10 Dec 2019, 9:05 pm
The Centers for Medicare and Medicaid Services (CMS), the federal agency that administers the ACA marketplace subsidies, could attempt to restrict silver loading by requiring insurance companies to spread the cost of CSRs among all plan types. [read post]
10 Dec 2019, 4:02 pm
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
9 Dec 2019, 10:01 am
The Centers for Medicare and Medicaid Services (CMS) ranks every nursing home that accepts Medicare or Medicaid payment on a scale of one to five, with one being the worst. [read post]
4 Dec 2019, 8:46 am
Senators Cory Booker (D-N.J.) and Ron Wyden (D-Ore.) on Tuesday issued letters to the Federal Trade Commission, the Centers for Medicare and Medicaid Services (CMS), and the five largest US health insurers asking about bias in the algorithms used to make healthcare decisions. [read post]
1 Dec 2019, 5:00 pm
The “Improvement Standard” had become so ingrained in the system that part of the settlement included a rewrite of Medicare manuals by the Center for Medicare and Medicaid Services (CMS). [read post]
1 Dec 2019, 5:00 pm
The “Improvement Standard” had become so ingrained in the system that part of the settlement included a rewrite of Medicare manuals by the Center for Medicare and Medicaid Services (CMS). [read post]
26 Nov 2019, 1:32 pm
On November 21, an internal HHS memorandum addressed to Centers for Medicare & Medicaid Services (CMS) Principal Deputy Administrator Demetrios Kouzoukas entitled “Impact of Allina on Medicare Payment Rules” became publicly available. [read post]
26 Nov 2019, 1:32 pm
On November 21, an internal HHS memorandum addressed to Centers for Medicare & Medicaid Services (CMS) Principal Deputy Administrator Demetrios Kouzoukas entitled “Impact of Allina on Medicare Payment Rules” became publicly available. [read post]
24 Nov 2019, 3:38 pm
Our presenters include: Lisa Wilson, Senior Technical Advisor to the Centers for Medicare and Medicaid Services; David Gregory, Principal, Healthcare Practice, Baker Tilly Virchow Krause; Nancy Bonifant Halstead, Partner, Reed Smith; and moderator Nicole Aiken-Shaban, Senior Associate, Reed Smith. [read post]
22 Nov 2019, 12:38 pm
Introduced by the Centers for Medicare and Medicaid Services (CMS), the rule has a laudable goal of fighting fraud by preventing individuals or business entities involved in fraudulent or abusive schemes from operating under different providers names or identifications. [read post]
22 Nov 2019, 5:43 am
The Centers for Medicare & Medicaid Services (CMS) finalized a “price transparency” rule that requires hospitals to make detailed charge data – including payer-specific negotiated charges – available for all inpatient and outpatient services. [read post]
21 Nov 2019, 1:28 pm
Our presenters include: Lisa Wilson, Senior Technical Advisor to the Centers for Medicare and Medicaid Services David Gregory, Principal, Healthcare Practice, Baker Tilly Virchow Krause Nancy Bonifant Halstead, Partner, Reed Smith Nicole Aiken-Shaban, Senior Associate, Reed Smith (moderator) A discussion with representatives from major associations on how the industry is preparing for the next major shift in the health delivery continuum. [read post]
21 Nov 2019, 12:00 pm
The Centers for Medicare & Medicaid Services (CMS) has finalized Medicare hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system rates and policies for 2020. [read post]
21 Nov 2019, 9:17 am
Both the Office of Inspector General (OIG) as well as the Centers for Medicare and Medicaid Services (CMS) have proposed changes. [read post]
20 Nov 2019, 3:16 pm
Comments may be submitted electronically to www.regulations.gov, or by mail to: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-9915-P, P.O. [read post]
20 Nov 2019, 12:26 pm
On November 12, 2019, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for public inspection entitled Medicaid Fiscal Accountability Regulation. [read post]
19 Nov 2019, 11:51 am
The Centers for Medicare & Medicaid Services (CMS) has published its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2020. [read post]
14 Nov 2019, 11:00 am
The Centers for Medicare & Medicaid Services (CMS) is seeking public input on surveys that are intended to “further strengthen the monitoring, outreach, and enforcement functions” of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program – even though the agency has asserted that the program “has maintained beneficiary access to quality products from… [read post]
