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18 Sep 2023, 6:59 am
An accidental online posting on the Center for Medicare and Medicaid Services (CMS) mentioned the proposal which will provide both consumer advocates and the nursing home sector with potential insights into CMS strategies moving forward. [read post]
15 Sep 2023, 12:36 pm
COVERED FACILITIES: This bill affects the following “Covered Health Care Facilities,” including but not limited to: Facilities or work sites that are part of an integrated health care delivery system Acute care hospitals Acute psychiatric hospitals Special hospitals Licensed skilled nursing facilities if owned, operated or controlled by a hospital or integrated health care delivery system or health care system Licensed home health agencies Licensed specialty… [read post]
11 Sep 2023, 9:05 pm
Department of Defense—and one of a project by the General Services Administration (GSA) in collaboration with the Centers for Medicare and Medicaid Services (CMS). [read post]
8 Sep 2023, 8:24 am
In its continued effort to curb fraud and abuse in the hospice industry, on Aug. 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced it was making unannounced site visits to every Medicare-enrolled hospice nationwide. [read post]
8 Sep 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced that it intends to increase scrutiny on hospice providers as a result of increased reports and CMS findings suggesting potential hospice services fraud. [read post]
7 Sep 2023, 9:03 pm
Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), proposed a rule that would establish new comprehensive nursing home staffing requirements. [read post]
4 Sep 2023, 7:27 am
HHS is announcing important new steps to crack down on nursing homes that endanger resident safety: The Centers for Medicare & Medicaid Services (CMS) is proposing a rule to set a federal floor for staffing levels, so that nursing home owners could not slash staffing to unsafe levels. [read post]
1 Sep 2023, 10:23 am
A senior official at the Centers for Medicare and Medicaid Services said many states have been conducting automatic or “ex parte” renewals based on state databases to determine whether residents are still eligible for Medicaid coverage, sending out renewal forms and disenrolling anyone who doesn’t return them. ( NEW YORK TIMES ) Biden Administration Announces First Drugs for Medicare Price Negotiation The… [read post]
31 Aug 2023, 1:02 pm
On August 28, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final payment rule for inpatient and long-term care hospitals (“LTCH”) that builds on the Biden-Harris Administration’s priorities to provide support to historically underserved and under-resourced communities and to promote the highest quality outcomes and safest care for all individuals. [read post]
30 Aug 2023, 12:24 pm
The comment period is open until October 2, 2023, and if finalized, the regulations would be effective for the first plan year beginning on or after January 1, 2025. 2The Technical Release (developed in collaboration with the Departments of Health and Human Services and Treasury) is available online here. 3The Fact Sheet (issued jointly with Health and Human Services’ Centers for Medicare and Medicaid Services) is available online… [read post]
30 Aug 2023, 7:35 am
The Centers for Medicare & Medicaid Services (“CMS”) responded to the ruling by temporarily suspending all Federal (i.e., IDR) process operations until the Departments can provide additional instructions, but has encouraged parties to continue to engage in open negotiations. [read post]
22 Aug 2023, 9:05 pm
To replace the current system, Simon proposes that FDA should partner with the Centers for Medicare and Medicaid Services (CMS) to use drug compendia, which are summaries of drug information. [read post]
22 Aug 2023, 9:00 pm
However, the current barren regulatory landscape has cast a unique shadow over AI’s potential, which is particularly significant in light of an aging population, high Medicaid and Children’s Health Insurance Program enrollment—growing 29.8% from February 2020 to December 2022—and multiple ongoing epidemics in mental health and substance abuse. [read post]
17 Aug 2023, 9:05 pm
HHS’s declaration allows flexibility for health care professionals to meet the needs of Medicare and Medicaid recipients. [read post]
15 Aug 2023, 9:01 am
With their 2023 Mental Health Parity and Addiction Equity Act’s Comparative Analysis Report to Congress (“Report”) and an accompanying Enforcement Fact Sheet (“Fact Sheet”) confirming their continued prioritization of MHPAEA, the Department of Labor Employee Benefit Security Administration (“EBSA”), the Department of Health and Human Services Centers for Medicare & Medicaid Services… [read post]
10 Aug 2023, 7:13 am
Introduction Hardly a day goes by when we don’t see some media report of health care providers experimenting with machine learning, and more recently with generative AI, in the context of patient care. [read post]
8 Aug 2023, 11:14 am
An ICD-10 Code (U9.0) Post-Acute Sequelae of COVID-19 (PASC) has been adopted by the Centers for Medicare and Medicaid Services (CMS).THE PAST WILL GUIDE THE FUTUREThe COVID-19 pandemic emerged in early 2020 and forced widespread business closings. [read post]
4 Aug 2023, 5:55 pm
Effective August 3, 2023, the Departments of Health and Human Services Centers for Medicare and Medicaid Services, Department of Labor Employee Benefit Security Administration and Department of Treasury (“Departments”) temporarily suspended the Federal Independent Dispute Resolution (IDR) medical claims review process including the ability to initiate new disputes and directed certified IDR entities to pause all IDR-related activities… [read post]
3 Aug 2023, 9:05 pm
” The Centers for Medicare and Medicaid Services issued a final rule that dictates how much money Medicare will pay to hospice providers. [read post]
27 Jul 2023, 12:58 pm
At the same time, the Departments of Health and Human Services and Homeland Security began the process to end vaccination requirements for Head Start educators, and Centers for Medicare and Medicaid Services (CMS)-certified healthcare facilities, and certain non-citizens at the land border. [read post]
