Search for: "US Department of Health and Human Services Center for Medicare & Medicaid Services" Results 101 - 120 of 896
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7 Feb 2023, 12:00 pm by Bernard Bell
  The Department of Health and Human Services (“HSS”) arguably did just that in promulgating its rule specifying the administrative dispute resolution (“ADR”) process[1] for conflicts between drug makers and certain health care providers. [read post]
2 Feb 2023, 1:45 pm by Jason E. Christ
On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). [read post]
12 Jan 2023, 9:05 pm by William McDonald
” The Centers for Medicare and Medicaid Services (CMS) announced its plan to implement a Medicare drug pricing negotiation program, which will set maximum fair price ceilings, as authorized by the Inflation Reduction Act. [read post]
15 Dec 2022, 5:56 pm by Cynthia Marcotte Stamer
The prosecution of the suit against a health care organization subject to the tightest vaccination and other COVID safety mandates under Centers for Disease Control, the Centers for Medicare & Medicaid Services and Occuoatiinal Safety & Health Administration regulations demonstrates the high burden the EEOC expects employers refusing accommodation to meet. [read post]
13 Dec 2022, 5:00 am by Wachler & Associates, P.C.
CMS, its contractors, and other federal agencies, such as the Department of Health and Human Services (HHS) Office of Inspector General (OIG), have used statistical extrapolation against Medicare providers for decades, while strong opposition from the insurance industry has kept it from being applied to audits of MA plans. [read post]
11 Nov 2022, 9:22 am by Howard M. Wasserman
Robbins responded that private litigation is antithetical to the substantial enforcement power and discretion FNHRA accords states and the secretary of health and human services. [read post]
4 Nov 2022, 10:51 am by jeffreynewmanadmin
Department of Health and Human Services that will require regular monitoring of its billing practices for a period of three years.Dr. [read post]
3 Nov 2022, 9:05 pm by Nabil Shaikh
Centers for Medicare & Medicaid Services finalized a rule that adjusts payment rates for physicians providing behavioral health services. [read post]
2 Nov 2022, 5:00 am by Wachler & Associates, P.C.
On October 3, 2022, the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report detailing OIG’s findings related to the efficacy of the Unified Program Integrity Contractor (UPIC) program. [read post]
27 Oct 2022, 9:05 pm by Bryn Hines
The Centers for Medicare & Medicaid Services (CMS) imposed stricter accountability standards on nursing homes with a history of poor performance. [read post]
26 Oct 2022, 5:00 am by Katie Gu
Department of Health & Human Services’ (HHS) Office for Civil Rights (OCR) issued two guidances reaffirming privacy protections guaranteed by HIPAA. [read post]
20 Oct 2022, 9:47 pm by Tori Hawekotte
Department of Health and Human Services, through the Center for Medicare & Medicaid Services, approved Arizona’s proposed Medicaid demonstration which plans to target health-related social needs such as housing support services. [read post]
Department Health and Human Services Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) on October 7, 2022, seeking input on creation of a national provider directory for use by patients, regulators, and insurers. [read post]
18 Oct 2022, 1:58 pm by Peyton
The Centers for Medicare and Medicaid Services (CMS) is responsible for enforcing EMTALA. [read post]
14 Oct 2022, 1:07 pm by Arianna Morseau
This position works with other attorneys in the Tribe’s in-house Legal Department to provide legal representation, advice, and support to Tribal Council, Tribal officials, and Tribal Departments on a broad range of subjects. [read post]
10 Oct 2022, 5:01 am by Robert Liles
Civil Investigative Demands are often at the center of the government’s investigative efforts prior to deciding whether to intervene in a qui tam. [read post]
5 Oct 2022, 10:25 am by Brent Wieand
United States Department of Health and Human Services case arose from a 2019 Centers for Medicare & Medicaid Services (CMS) rule prohibiting nursing homes from requiring residents to sign binding arbitration agreements. [read post]
5 Oct 2022, 4:11 am by Robert Liles
The Centers for Medicare and Medicaid Services (CMS) initially suspended most audit activity as a result of the Public Health Emergency (PHE). [read post]