Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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19 Dec 2014, 3:24 am
But the Centers for Medicare & Medicaid Services found in 2013 that 20 percent of nursing home residents, mainly those with dementia, were being given antipsychotics, according to an AARP article. [read post]
17 Dec 2014, 7:38 am
On December 1, 2014, the Centers for Medicare and Medicaid Services ("CMS") launched a three-year pilot program ("the program") in an effort to curb improper Medicare payments to ambulances providers. [read post]
16 Dec 2014, 5:06 pm
“As part of the Obama Administration’s efforts to make our healthcare system more transparent, affordable, and accountable, the Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File (Physician and Other Supplier PUF), with information on services and procedures provided to Medicare… [read post]
16 Dec 2014, 8:00 am
CDHS submitted false statements pertaining to the reviews to the Center for Medicaid and Medicare Services (“CMS”) through a computer system (the PERM Eligibility Tracking Tool) designed to track and measure Medicaid payment error rates. [read post]
15 Dec 2014, 7:56 am
Additional areas of focus include: quality and access in Medicare and Medicaid, public health and human services programs, and the appropriateness of Medicare and Medicaid payments. [read post]
8 Dec 2014, 11:32 am
On December 5, 2014, the Centers for Medicare & Medicaid Services (CMS) published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds, effective February 3, 2015. [read post]
4 Dec 2014, 8:30 am
Department of Health: Medicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services (2013-S-51)With approval from the federal Centers for Medicare and Medicaid Services, DOH amended the Medicaid State Plan in 2008 to allow Federally Qualified Health Centers (FQHCs) to provide group therapy services, including group therapy provided by… [read post]
29 Nov 2014, 4:30 pm
Filed Under: Nursing Home / Medicare Fraud The FBI apprehended a man and his wife in Atlanta this month for Medicare and Medicaid fraud. [read post]
20 Nov 2014, 4:45 pm
Individuals who receive benefits from Medicaid and Medicare are also referred to as beneficiaries. [read post]
20 Nov 2014, 4:15 am
On November 10, 2014, CMS published its final rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2015. [read post]
18 Nov 2014, 7:52 am
The Centers for Medicare and Medicaid Services (CMS), the federal agency responsible for overseeing nursing homes, has since 2001 discussed the problem of the inaccuracy of self-reported data. [read post]
18 Nov 2014, 6:48 am
Court of Appeals for the Federal Circuit to overturn a ruling which would allow Centers for Medicare and Medicaid ("CMS") to modify payment terms for Recovery Auditor ("RAC") contracts. [read post]
17 Nov 2014, 10:05 am
The Centers for Medicare and Medicaid Services (CMS) plans to run the first risk adjustment and reinsurance calculation estimates in mid-December, 2014 using data to be collected from insurers and TPAs on the EDGE system. [read post]
15 Nov 2014, 8:22 am
Health and Human Services is recommending the CMS (Centers for Medicare and Medicaid Services) take steps to ensure nursing homes continuously maintain abuse allegation policies and implement them according to federal regulations. [read post]
29 Oct 2014, 12:47 pm
" Data submitted by nursing homes to the Centers of Medicare and Medicaid Services (CMS) between 2006 and 2010 was analyzed by the author and her team. [read post]
28 Oct 2014, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) recently proposed a rule that would significantly revise the criteria under which home health agencies (HHAs) qualify for federal funds. [read post]
27 Oct 2014, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) encourage states to suspend inmates’ enrollment because, once enrollment has been terminated, inmates who wish to receive Medicaid benefits during or post incarceration must re-apply. [read post]
21 Oct 2014, 5:16 am
With the November 5, 2014 deadline for “controlling health plans” CHPs (except small health plans) to obtain the Health Plan Identifier (HPID) required by the Department of Health and Human Services (HHS) Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier Final Rule (Final Rule) the Centers for Medicare & Medicaid Services (CMS) is working to streamline the process CHPs use to get… [read post]
13 Oct 2014, 9:00 am
Using the AMP and Best Price information, the Centers for Medicaid and Medicare Service will tell the manufacturer what rebate the state is owed. [read post]
13 Oct 2014, 8:51 am
The administrator of the Centers for Medicare and Medicaid services, Marilyn Tavenner, hopes that this new rating system will improve the quality of care for nursing home residents. [read post]
