Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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17 Jun 2016, 1:37 pm
The OIG reviewed oversight by the Centers for Medicare & Medicaid Services (CMS) of compliance by hospitals with the Medicare provider-based status regulations (42 CFR 413.65) to ensure that outpatient departments that were billing and receiving Medicare facility fees met the requirements. [read post]
15 Jun 2016, 8:08 am
” The SEC further alleges that Valvani in turn tipped fellow hedge fund manager Christopher Plaford, who is charged in a separate complaint with insider trading on this nonpublic information as well as other material he received confidentially from a former Centers for Medicare and Medicaid Services official about an impending cut to Medicare reimbursement rates for certain home health services. [read post]
14 Jun 2016, 6:30 am
The series explores the issue of long-term opioid use for noncancerous pain in workers’ compensation MSAs and how the Centers for Medicare and Medicaid Services are addressing it. [read post]
9 Jun 2016, 11:42 am
In accordance with the Improper Payments Elimination and Recovery Improvement Act of 2012 (IPERIA), the Centers for Medicare & Medicaid Services (CMS) conducted a Payment Error Rate Measurement (PERM) review for FY 2014 claims from NFs and ICFs/IID. [read post]
8 Jun 2016, 8:58 am
On June 1, 2016, the US Food and Drug Administration (FDA) published in the Federal Register (81 Federal Register 35032) a draft guidance for sponsors, clinical investigators, industry, IRBs, and FDA staff regarding categorization of Investigational Device Exemption (IDE) devices as either a Category A or Category B device to assist the Centers for Medicare and Medicaid Services (CMS) with making Medicare coverage decisions for such devices.… [read post]
3 Jun 2016, 4:44 pm
The Centers for Medicare & Medicaid Services (CMS) estimates that it issues literally thousands of new or revised guidance documents (not pages) every single year, guidance providers must follow exactingly if they wish to provide health care services to the elderly and disabled under Medicare’s umbrella. . . . [read post]
3 Jun 2016, 2:00 am
” According to the Court, the Centers for Medicare and Medicaid Services (CMS) estimates that it issues literally thousands of new or revised guidance documents every single year which constitutes the guidance that health care providers must follow with exacting precision to be reimbursed by the government for their services. [read post]
26 May 2016, 12:05 pm
What is reasonable for purposes of an hourly rate will vary depending on the level of skill needed to create and transmit the copy in the manner requested or agreed to by the individual (e.g., administrative level labor to make and mail a paper copy versus more technical skill needed to convert and transmit the PHI in a particular electronic format); Under the “Average Cost” Method, in lieu of calculating labor costs individually for each request, a Covered Entity can develop a… [read post]
24 May 2016, 9:46 am
In reviewing this Federal appeal, the Eleventh Circuit Court of Appeals considered, among other authority, Center for Medicare and Medicaid Services’ Medicare Benefit Policy Manual, which provides guidance on reimbursement applicable to Medicare Part B coverage. [read post]
24 May 2016, 9:46 am
In reviewing this Federal appeal, the Eleventh Circuit Court of Appeals considered, among other authority, Center for Medicare and Medicaid Services’ Medicare Benefit Policy Manual, which provides guidance on reimbursement applicable to Medicare Part B coverage. [read post]
16 May 2016, 3:18 pm
In December 2015, the FTC (together with the Pennsylvania Attorney General) brought an administrative challenge to block the merger of Penn State Hershey Medical Center and PinnacleHealth System. [read post]
6 May 2016, 8:39 pm
Department of Health & Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) issued an interim final rule that will tighten the eligibility requirements for those seeking to enroll in the Affordable Care Act’s health insurance exchanges during the Act’s designated special enrollment periods (which provide enrollment opportunities for those that move outside of one of the Act’s regular open… [read post]
25 Apr 2016, 9:22 am
Source: Centers for Medicare & Medicaid Services [read post]
25 Apr 2016, 9:22 am
Source: Centers for Medicare & Medicaid Services [read post]
20 Apr 2016, 5:27 pm
Laffer also states as fact that IRS administration costs are higher when the tax code itself is more complex. [read post]
18 Apr 2016, 12:32 pm
In the next few weeks, the Centers for Medicare and Medicaid Services is expected to release new payment rules for so-called “uncompensated care. [read post]
18 Apr 2016, 12:32 pm
In the next few weeks, the Centers for Medicare and Medicaid Services is expected to release new payment rules for so-called “uncompensated care. [read post]
5 Apr 2016, 6:00 pm
The Centers for Medicare & Medicaid Services (CMS) is opting to phase in the cuts to the employer-based Medicare Advantage plans... [read post]
22 Mar 2016, 6:57 am
Department of Health and Human Services (HHS) Office for Civil Rights (OCR). [read post]
15 Mar 2016, 2:14 pm
By choosing not to present such pertinent information to the Hearing Officer, the Office of Medicaid violated its duties of administrative consistency and candor to the tribunal. [read post]
