Search for: "Center for Medicare and Medicaid Services"
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9 Jan 2021, 3:40 pm
Owners of incorporated health care providers can only be found personally liable for their companies’ debts to the Centers for Medicare & Medicaid Services (CMS) in certain very narrow circumstances, one of which is piercing the corporate veil. [read post]
9 Jan 2021, 2:00 pm
Eight Elements of a Payable Claim are an Essential Tool When Preparing for a UPIC Audit (Updated January 9, 2021): Each year, our attorneys and paralegals review and assess literally thousands of Medicare claims which have been audited (and denied) by Unified Program Integrity Contractors (UPICs) and other contractors working for the Centers for Medicare and Medicaid Services (CMS). [read post]
8 Jan 2021, 11:01 am
While Medicare does not typically cover dental care, Medicaid does cover medically necessary dental services, and fraud by dental providers has led to prior significant recoveries, including a 2018 $23.9 million settlement with the corporate owner of Kool Smiles dental clinics. [read post]
6 Jan 2021, 11:44 am
This led to the Centers for Medicare and Medicaid Services to halt on-site visits and surveys to state-run nursing homes, and, in general, investigators and those tasked with monitoring the facilities have not been able to enter nursing homes to respond to complaints. [read post]
5 Jan 2021, 12:28 pm
The same day, a UHS subsidiary, Turning Point, agreed to pay $5 million to resolve allegations it provided free or discounted transportation services to induce Medicare and Medicaid beneficiaries to seek its treatment. [read post]
5 Jan 2021, 10:25 am
On December 22, 2020, Centers for Medicare & Medicaid Services (CMS) released the 2020 list of Measures Under Consideration (MUC). [read post]
4 Jan 2021, 4:00 am
A Fort Myers nursing home abuse lawyer at Spivey Law Firm, Personal Injury Attorneys, P.A. said October 2020 was the first anniversary of the Center for Medicare and Medicaid Service’s (CMS’s) enactment of its new warning system for nursing homes. [read post]
31 Dec 2020, 9:03 pm
” The Centers for Medicare and Medicaid Services (CMS) issued temporary waivers that allow health systems to deliver care and services to uninfected patients at locations other than main hospital facilities, such as hotels and dormitories—an effort the federal agency calls “Hospitals Without Walls. [read post]
30 Dec 2020, 9:05 pm
The agency based its assistance on a guidance document from the Centers for Medicare and Medicaid Services (CMS). [read post]
29 Dec 2020, 2:53 pm
Circuit upheld the Centers for Medicare & Medicaid Services (“CMS”) price transparency final rule. [read post]
28 Dec 2020, 10:19 am
With respect to administrative reviews, private sector program integrity contractors working for the Center for Medicare and Medicaid Services (CMS) have moved forward with audits of hospice claims around the country. [read post]
28 Dec 2020, 2:00 am
Centers for Medicare & Medicaid Services (CMS) guidance for hospital visitations during the pandemic stated, “Facilities must ensure that patients have adequate and lawful access to chaplains or clergy. [read post]
22 Dec 2020, 3:14 am
There are more than 230 PACE centers in 31 states. [read post]
21 Dec 2020, 11:34 am
On Friday, December 18, 2020, the Centers for Medicare & Medicaid Services (“CMS”) issued a special alert to remind hospitals that the Hospital Price Transparency final rule (“final rule”) requirements are effective starting January 1, 2021 and that CMS will monitor a “sample of hospitals” when the final rule goes into effect to determine compliance with its requirements. [read post]
19 Dec 2020, 1:30 pm
Since they are familiar with your loved one’s health conditions and medical history, they may be able to suggest centers that offer services and amenities that meet the needs of your loved one. [read post]
18 Dec 2020, 12:42 pm
In October, the Centers for Medicare and Medicaid Services released interim final regulations requiring Medicare to cover the full cost to patients of any Covid-19 vaccine. [read post]
18 Dec 2020, 5:21 am
The Centers for Medicaid & Medicare Services (CMS) recently released the 2021 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule, which may be accessed here. [read post]
18 Dec 2020, 5:13 am
The Centers for Medicaid & Medicare Services (CMS) recently released the 2021 Physician Fee Schedule (PFS) Final Rule. [read post]
17 Dec 2020, 12:26 pm
You can visit this page on the Centers for Medicare and Medicaid Services site to see the premiums for all the different ascending brackets. [read post]
16 Dec 2020, 8:32 am
On Tuesday, December 1, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released the 2021 Physician Fee Schedule (PFS) final rule, confirming an expansion to telehealth coverage and the scope of non-physician providers. [read post]