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15 Jun 2015, 1:57 pm
Separately, the OIG’s mid-year update to its FY 2015 work plan adds a new financial review project directed at the Center for Medicare & Medicaid Services’ (CMS) Open Payments Program (sometimes called the “Sunshine Act” provisions). [read post]
15 Jun 2015, 1:01 pm
The United States further contended that CNMC filed cost reports misstating their overhead costs, resulting in overpayment from Medicare and the Virginia and District of Columbia Medicaid programs. [read post]
15 Jun 2015, 5:46 am
On June 12, 2015, the Internal Revenue Service, Employee Benefits Security Administration, and Centers for Medicare & Medicaid Services released final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary requirements for group health plans and health insurance coverage in the group and individual markets under the Affordable Care Act. [read post]
11 Jun 2015, 12:45 pm
These problems began in December according data from the Centers for Medicare and Medicaid Services. [read post]
10 Jun 2015, 1:02 pm
" We see this with HI-TECH and EHR regs, and the lowball reimbursements from Medicare and Medicaid, which also drive non-governmental providers' revenues (via insurance).About 2½ years ago, we interviewed Dr Rob Lamberts, who at the time had just set up his own version. [read post]
2 Jun 2015, 8:07 am
In many cases, the regulator has a question about the services offered to the individuals affected, such as credit monitoring, identity theft resolution, or call center services. [read post]
28 May 2015, 9:30 pm
The Centers for Medicare & Medicaid Services (CMS) proposed a rule to modernize the Medicaid managed care regulations and enhance the quality of Medicaid services. [read post]
28 May 2015, 5:59 pm
CMS announced today:"As part of the Strengthening Medicare and Repaying Taxpayers (SMART) Act, the Centers for Medicare & Medicaid Services (CMS) will be implementing optional MFA services on the MSPRP. [read post]
28 May 2015, 1:47 pm
According to the Centers for Medicare and Medicaid Services (CMS), “Delivery of high-quality, patient-centered care requires us to carefully consider the patient’s experience in the hospital inpatient setting. [read post]
24 May 2015, 9:30 pm
The GAO says the Centers for Medicare and Medicaid Services (CMS), which administers Medicare, could “use records of the [electronic] cards being swiped to verify that [beneficiaries and providers] were present at the point of care” instead of relying on providers for authentication. [read post]
5 May 2015, 11:40 pm
Synergy essentially buys up existing nursing homes that are struggling financially due to low reimbursements from the federal and state governments (Medicare & Medicaid.) [read post]
5 May 2015, 3:26 pm
The duty of candor to the tribunal applies to lawyers representing administrative agencies. [read post]
5 May 2015, 3:26 pm
The duty of candor to the tribunal applies to lawyers representing administrative agencies. [read post]
5 May 2015, 4:00 am
As part of the Administration’s goals of better, care, smarter spending, and healthier people, the Centers for Medicare & Medicaid Services announced the availability of new, privacy-protected data on Medicare Part D prescription drugs prescribed by physicians and other health care professionals in 2013. [read post]
30 Apr 2015, 6:02 am
The requirement likely would be similar to reporting rules implemented by the Centers for Medicare and Medicaid Services in 2009, said Brad Peterson, a shareholder at law firm Heyl, Royster, Voelker & Allen P.C. in Urbana, Illinois. [read post]
28 Apr 2015, 2:19 pm
On Friday March 20, 2015, the Centers for Medicare & Medicaid Services ("CMS") announced the release of the new Stage 3 meaningful use proposed rules. [read post]
9 Apr 2015, 7:14 pm
It promotes the Centers for Disease Control and Prevention (CDC) as the primary agency to monitor how hospitals and other medical facilities administer antibiotics, and it enumerates steps for hospitals that treat Medicaid and Medicare patients (and therefore receive public funding) to reduce inappropriate use. [read post]
7 Apr 2015, 11:00 am
It was allegedly designed to defraud Medicare, Medicaid, and HIV/AIDS grant programs sponsored by the Health Resources and Services Administration and the Centers for Disease Control and Prevention—two agencies located within the U.S. [read post]
31 Mar 2015, 11:45 am
. care and services. [read post]
30 Mar 2015, 3:07 pm
Program and Financial Management: Reduce significant variation in states’ personal care services laws and regulations; and standardize administrative law judge level case files and make them electronic. [read post]
