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21 Oct 2014, 5:16 am by Cynthia Marcotte Stamer
A health plan is an individual or group plan that provides or pays the cost of medical care (as defined in 45 CFR 160.103). [read post]
22 Aug 2017, 7:26 am by Jerri Lynn Ward, J.D.
 The website which focuses on palliative and end of life care was designed to improve transparency, the consumer experience and empower patients. giving families, patients and the physicians who care for them a reliable resource and  “snapshot” of the quality of care a hospice facility provides, as well as information related to health care decisions. [read post]
10 Jul 2018, 3:07 pm by Debra A. McCurdy
  This authority, which was adopted in a 2014 rule, was originally intended to “enhance state options to provide practitioners with benefits that improve their ability to function as health care professionals. [read post]
17 Feb 2013, 11:43 pm by Debra A. McCurdy
 The model envisions that nephrologist-led interdisciplinary care teams comprised of dialysis facilities, health care professionals, paraprofessionals, and non-traditional health providers will coordinate a full-range of clinical and non-clinical services across providers, suppliers, and settings. [read post]
6 Nov 2017, 10:13 am by Jerri Lynn Ward, J.D.
  According to news reports, The agency also finalized a planned 0.4% decrease, or $80 million cut, for home health providers in 2018 and a majority of the cuts were called for in the Affordable Care Act, which mandated the reduction to address Medicare overpayments for home health services dating back to 2000. [read post]
5 May 2016, 4:22 pm by Debra A. McCurdy
On May 6, 2016, CMS will publish a final rule to update Medicaid and Children’s Health Insurance Program (CHIP) managed care regulations to more closely align with Medicare Advantage (MA) and private health plan standards, promote quality, and strengthen the actuarial soundness of payment provisions. [read post]
28 Mar 2018, 6:24 am by Debra A. McCurdy
CMS is inviting stakeholders to provide feedback on its Innovation Center Oncology Care Model (OCM) at a May 3, 2018 public meeting. [read post]
23 Feb 2017, 7:32 am by Debra A. McCurdy
CMS notes that some issuers cite difficulties in “attracting and retaining healthy consumers necessary to provide for a stable risk pool that will support stable rates. [read post]
25 Feb 2016, 3:45 pm by Debra A. McCurdy
CMS and America’s Health Insurance Plans (AHIP) recently released seven sets of physician clinical quality measures as part of a “Core Quality Measures Collaborative” intended to align quality measures among payers and reduce the reporting burden on providers. [read post]
3 Aug 2010, 8:44 pm by Jason Greis
The Centers for Medicare & Medicaid Services (“CMS”) has recently released various notices and final rules updating 2011 Medicare payment rates for post-acute care providers, including long-term acute care hospitals (“LTACHs”), inpatient rehabilitation facilities (“IRFs”), skilled nursing facilities (“SNFs”), home health agencies (“HHAs”) and hospices. [read post]
1 Oct 2015, 2:32 pm by Debra A. McCurdy
On October 21, 2015, CMS is hosting a provider call to discuss the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. [read post]
2 May 2023, 7:30 am by Marjorie Scher
Such increased knowledge and access to data will better enable CMS to implement various incentive programs structured to fund and reward providers and facilities for delivering care in a way that prioritizes health equity [read post]
3 May 2016, 7:36 am by Thomas Dowdell (US)
    The post CMS announces final rule on fire safety requirements for certain health care facilities appeared first on Health Law Pulse. [read post]
30 Jun 2015, 1:25 pm
Subscribe to our health law blog to stay updated on the latest CMS news. [read post]
12 Sep 2016, 5:09 am by Debra A. McCurdy
For all provider and supplier types, CMS will allow a separately certified health care facility within a health care system to elect to be a part of the healthcare systems unified emergency preparedness program. [read post]
26 Nov 2012, 7:35 am
If your claims have been denied due to illegible, missing or unsigned medical documentation, or you need assistance in successfully defending an audit for such claims, please contact an experienced health care attorney at Wachler & Associates at (248) 544-0888. [read post]
12 Sep 2016, 5:05 am by Debra A. McCurdy
In a related development, an October 13, 2016 CMS national provider call will cover how data elements are used in IMPACT Act measure development. [read post]
Health Care Providers Must Comply with CMS Vaccine Mandate Across the United States Following decisions by district courts in Missouri and Louisiana, since November 30, 2021, enforcement of the CMS Rule has been blocked in about half of the states. [read post]
22 Feb 2016, 5:01 am by Debra A. McCurdy
On March 1, 2016, CMS is hosting a call to discuss Affordable Care Act (ACA) enrollment revalidation requirements for Medicare fee-for-service providers and suppliers, including details regarding the second round of revalidations. [read post]