Search for: "Centers for Medicare and Medicaid Services"
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29 Feb 2024, 11:00 pm
Quill argue that six months is not a meaningful marker for people with dementia, concluding that “we, as a society, need to imagine how resources, including resources financed by the Centers for Medicare and Medicaid Services, can be better deployed on behalf of people living with dementia and on behalf of their families, who are often unjustly burdened with unreimbursed costs and with the direct management and provision of care. [read post]
29 Feb 2024, 2:13 pm
In Skyward IT Solutions, LLC – Costs, the GAO denied a protester’s request for reimbursement of the costs of filing and defending its protests.[4] In this case, five unsuccessful vendors, including Skyward, filed protests challenging the Center for Medicare and Medicaid Services’ award of multiple blanket purchase agreements. [read post]
29 Feb 2024, 12:35 pm
The state agency proposed $35,750 in fines but is holding those fines in suspension while the Centers for Medicare and Medicaid Services determine whether to impose federal penalties for the violations. [read post]
27 Feb 2024, 5:00 am
RACs are Medicare contractors charged by the Centers for Medicare & Medicaid Services (CMS) to identify overpayments and underpayments made to providers and to facilitate return of overpayments to the Medicare Trust Fund. [read post]
26 Feb 2024, 12:17 pm
And this spending shows little sign of slowing down: by 2031, the Center for Medicare and Medicaid Services (CMS) projects that Medicaid and the closely- related Children’s Health Insurance Program will cost over $1.2 trillion annually. [read post]
23 Feb 2024, 3:02 pm
The Centers for Medicare & Medicaid Services, in collaboration with HHS-OIG, are also taking measures to address the involvement of providers in health care fraud schemes. [read post]
23 Feb 2024, 5:00 am
In the Medicare Advantage (MA) program, overseen by the Centers for Medicare & Medicaid Services (CMS), Medicare Advantage Organizations (MAOs) – typically private insurers – receive monthly payments from CMS. [read post]
20 Feb 2024, 12:59 pm
” Coburn and Baker allegedly led LabTox to bill Medicare and Kentucky Medicaid for these tests. [read post]
20 Feb 2024, 10:02 am
What counts as encouraging the reduction or limitation of services to people in the Medicare or Medicaid programs. [read post]
20 Feb 2024, 5:00 am
Among the plethora of different contractors used by the Centers for Medicare & Medicaid Services (CMS) to administer the Medicare program is the Supplemental Medical Review Contractor, or SMRC. [read post]
19 Feb 2024, 5:25 pm
She also worked closely with Congress, the Department of Health and Human Services, the National Institutes of Health (NIH), and the Centers for Medicare & Medicaid Services (CMS) on the development of numerous guidances, rulemakings, and policy and legislative initiatives. [read post]
16 Feb 2024, 2:08 pm
As a result, Thoroughbred improperly received substantial payments from Medicare and Kentucky Medicaid. [read post]
16 Feb 2024, 9:04 am
The GAO’s decision in Kauffman & Associates, Inc., B-421917.2, B-421917.3 (2024) involved a request for quotations issued by the Centers for Medicare and Medicaid Services seeking in-person and virtual training services. [read post]
16 Feb 2024, 2:00 am
Hodge (Arizona State University), Joel Michaels (Arizona State University), Medicare Drug Pricing Negotiations: Assessing Constitutional Structural Limits (2023): A series of structural constitutional arguments lodged in multiple cases against Centers for Medicare and Medicaid Services’ (CMS) authorities to... [read post]
13 Feb 2024, 11:17 am
Filial responsibility laws apply only when a parent qualifies for neither Medicare nor Medicaid and lacks the ability to pay a bill for healthcare services, which is rare. [read post]
9 Feb 2024, 12:32 pm
The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that expands and enhances their authority to (A) deny enrollment, or (B) revoke Medicare billing privileges for healthcare providers and suppliers. [read post]
9 Feb 2024, 11:08 am
This conundrum extends beyond FDA’s regulation of new drugs—it applies to medical devices, vaccines, tobacco and food regulation, and has significance for all other regulatory agencies that have authority over medicine and public health related functions, such as the Centers for Disease Control and Prevention, the Environmental Protection Agency, and Centers for Medicare & Medicaid Services. [read post]
9 Feb 2024, 7:30 am
Medicare and Medicaid only pay for medically necessary laboratory testing. [read post]
8 Feb 2024, 8:23 pm
Ars Technica: “Health insurance companies cannot use algorithms or artificial intelligence to determine care or deny coverage to members on Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) clarified in a memo sent to all Medicare Advantage insurers. [read post]
6 Feb 2024, 12:14 pm
The Centers for Medicare & Medicaid Services (CMS) is making efforts to reduce drugs intended to treat schizophrenia and other behavioral health conditions. [read post]
