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23 Nov 2020, 10:00 pm
Powerfully illustrating the efforts of the US Department of Health and Human Services (HHS) to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) have finalized rules that will alter critical healthcare fraud and abuse regulations to remove or diminish obstacles to value-based enterprises that meaningfully embrace patient care coordination. [read post]
23 Nov 2020, 10:00 pm
Powerfully illustrating the efforts of the US Department of Health and Human Services (HHS) to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) have finalized rules that will alter critical healthcare fraud and abuse regulations to remove or diminish obstacles to value-based enterprises that meaningfully embrace patient care coordination. [read post]
23 Nov 2020, 10:00 pm
Powerfully illustrating the efforts of the US Department of Health and Human Services (HHS) to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) have finalized rules that will alter critical healthcare fraud and abuse regulations to remove or diminish obstacles to value-based enterprises that meaningfully embrace patient care coordination. [read post]
23 Nov 2020, 10:00 pm
Powerfully illustrating the efforts of the US Department of Health and Human Services (HHS) to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) have finalized rules that will alter critical healthcare fraud and abuse regulations to remove or diminish obstacles to value-based enterprises that meaningfully embrace patient care coordination. [read post]
23 Nov 2020, 3:51 pm
Department of Health and Human Services Office of Inspector General (“OIG”) and Centers for Medicare & Medicaid Services (“CMS”) published on November 20, 2020 long-awaited final rules changing the regulations addressing the Anti-Kickback Statute (“AKS”) and Civil Monetary Penalties for Beneficiary Inducements (“CMP”), and the Physician Self-Referral Law (the “Stark Law”), respectively. [read post]
20 Nov 2020, 10:38 am
On November 16, 2020, the Centers for Medicare & Medicaid Services (CMS) released its 2020 Estimated Improper Payment Rates. [read post]
19 Nov 2020, 8:08 pm
Though Medicare requires direct supervision over these cardiology services, the company billed the government for services under the owner, Dr. [read post]
18 Nov 2020, 6:50 am
Last year, in response to a spate of cases involving upcoding, the Centers for Medicare and Medicaid Services changed the Medicare payment model, shifting to a payment model that considers individual needs health characteristics. [read post]
18 Nov 2020, 6:50 am
Last year, in response to a spate of cases involving upcoding, the Centers for Medicare and Medicaid Services changed the Medicare payment model, shifting to a payment model that considers individual needs health characteristics. [read post]
18 Nov 2020, 2:00 am
“Hidden healthcare prices have produced a dysfunctional system that serves special interests but leaves patients out in the cold,” says Seema Verma, administrator of HHS’s Centers for Medicare and Medicaid Services, in a statement announcing the final rule. [read post]
16 Nov 2020, 8:50 am
On November 9, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released the 2020 Medicaid and Children’s Health Insurance Program (“CHIP”) managed care final rule. [read post]
8 Nov 2020, 1:22 am
"The Centers for Medicare and Medicaid Services (CMS), reported as of September 6, 2020, almost 300,000 confirmed or suspected COVID-19 infections among nursing home staff, of whom 868 have been killed by the disease. [read post]
6 Nov 2020, 12:08 pm
On October 28, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFR) in an effort to ensure that participants in CMS programs have no-cost access to any forthcoming Food and Drug Administration (FDA or Agency) authorized or approved COVID-19 vaccine. [read post]
5 Nov 2020, 9:23 am
Disturbing new data shows that a much-promoted plan by federal watchdogs to protect vulnerable residents of nursing homes and other long-term care facilities from Covid-19 resulted in dismal outcomes, with inspectors dispatched by the Centers for Medicare and Medicaid services largely dismissing infection-control concerns as the deadly pandemic raged. [read post]
4 Nov 2020, 5:10 am
On Wednesday, October 28, 2020, the Centers for Medicare & Medicaid Services (“CMS”), with the Departments of Treasury and Labor, issued a fourth interim final rule (“IFR”) with comment period addressing the public health emergency (“PHE”). [read post]
4 Nov 2020, 5:07 am
These restrictions led to speculation about how the payments could be used with regard to a potential COVID-19 vaccine, especially in light of both the required cold-storage and other logistical challenges of the vaccines currently under development as well as the Center for Medicare & Medicaid Services’ (“CMS”) promises to cover the cost of the vaccine. [read post]
1 Nov 2020, 6:10 am
We asked the Centers for Medicare & Medicaid Services whether it could point to any specific cases of fraudulent reporting or billing for COVID-19 cases and it didn’t answer our question. [read post]
30 Oct 2020, 11:55 am
Since federal funding (Medicare, Medicaid) may be attached to the institution, federal cases can also be filed based upon federal law. [read post]
30 Oct 2020, 11:25 am
According to the Centers for Medicare & Medicaid Services (CMS), it is Congress’s intent that Medicare beneficiaries have access to the vaccine once it is approved, free of cost sharing, to protect the most at-risk populations during the COVID-19 pandemic. [read post]
29 Oct 2020, 9:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced new terms for loans issued […] The post New Terms for the Repayment of Accelerated and Advance Payment Program (AAP) Loans Announced by CMS first appeared on OA Law. [read post]
