Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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25 Oct 2015, 3:46 am
The Centers for Medicare and Medicaid Services, under the Obama Administration’s direction, is considering cutting off nursing homes from federal funding if they use arbitration clauses in their contracts. [read post]
21 Oct 2015, 12:36 pm
In the last few weeks, we have seen a flurry of activity in Zone Program Integrity Contractor ("ZPIC") audits for the Centers of Medicare and Medicaid Services ("CMS"). [read post]
15 Oct 2015, 6:36 pm
The federal Centers for Medicare & Medicaid Services (CMS) estimates that $17 million in Medicare funds is spent each year on unnecessary hospital readmissions. [read post]
4 Oct 2015, 9:44 am
On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) published its long-awaited proposed rule to base Medicare clinical laboratory fee schedule (CLFS) reimbursement on private insurance payment amounts beginning January 1, 2017. [read post]
2 Oct 2015, 9:50 am
Slavitt, the acting administrator of the Centers for Medicare and Medicaid Services did not disagree with the findings. [read post]
2 Oct 2015, 9:01 am
His experience includes litigation of administrative proceedings before the Commissioner of Insurance, the Puerto Rico Health Insurance Administration, and the Centers for Medicare and Medicaid Services. [read post]
1 Oct 2015, 9:22 am
Under the SCF pilot program, Medicare providers had the opportunity to enter into open settlement discussions with the Centers for Medicare & Medicaid Service (CMS) with the goal of coming to a mutually agreed upon resolution for the pending ALJ claims. [read post]
1 Oct 2015, 4:22 am
Under the SCF pilot program, Medicare providers had the opportunity to enter into open settlement discussions with the Centers for Medicare & Medicaid Service (CMS) with the goal of coming to a mutually agreed upon resolution for the pending ALJ claims. [read post]
23 Sep 2015, 9:30 pm
In addition to health insurance coverage, health programs and activities covered by the proposed rule include health education and delivery of health services, so providers, hospitals, and other health care facilities that receive Medicare and Medicaid funding would be covered. [read post]
18 Sep 2015, 4:09 pm
Recently, the Centers for Medicare & Medicaid Services (CMS) released its 2014 quality and financial performance results for Medicare Accountable Care Organizations (ACO). [read post]
16 Sep 2015, 9:30 pm
States must apply to the Centers for Medicare & Medicaid Services (CMS) for approval of these waiver programs, and they must reapply every three years to renew the waivers. [read post]
15 Sep 2015, 5:37 am
Self-insured group health plan sponsors and fiduciaries, health insurance issuers, third party administrators (TPAs) and administrative services-only (ASO) contractors who may participate in helping contributing entities submit reinsurance contributions required by the Patient Protection & Affordable Care Act (ACA) should consider participating one of the “Module 3: 2015 Reinsurance Contributions: Form Completion, Submission, and Payment” training model… [read post]
15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of… [read post]
8 Sep 2015, 9:30 pm
In 2013, we lamented the lame launch of Obamacare health exchanges, which involved scores of contractors and was overseen by the Centers for Medicare and Medicaid Services, an agency with fewer than 5,000 employees. [read post]
26 Aug 2015, 5:28 am
Covenant Hospice Inc. to Pay $10.1 Million for Overcharging Medicare, Tricare and Medicaid for Hospice Services On June 18, Covenant Hospice Inc. agreed to pay $10,149,374 to reimburse the government for alleged overbilling of Medicare, Tricare and Medicaid for hospice services, the Department of Justice announced. [read post]
25 Aug 2015, 1:18 pm
On July 29, 2015 the Centers for Medicare & Medicaid Services ("CMS") announced that it is extending the temporary moratoria on the enrollment of new home health agencies, subunits, and branch locations ("HHA") and part B ambulance suppliers for an additional six months. [read post]
25 Aug 2015, 11:22 am
Medicare is a national health insurance program administered by the Centers for Medicare and Medicaid Services (CMS), an agency of the federal government. [read post]
14 Aug 2015, 9:53 am
Statistics comparing hospital performance as to the readmission reduction program are available on a website maintained by the Centers for Medicare and Medicaid Services (CMS), called “Hospital Compare. [read post]
14 Aug 2015, 9:31 am
The August 7, 2013, issue of the Federal Register published the Centers for Medicare and Medicaid Services (CMS) final rule titled: Medicare Program: FY2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Updates on Payment Reform. [read post]
11 Aug 2015, 8:00 am
Likewise, Manorcare’s refusal to readmit plaintiff following his hospitalization did not trigger any right to a hearing under FNHRA or the CMS [Centers for Medicare and Medicaid Services] regulations. [read post]
