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8 Oct 2014, 6:18 am
The Emergency Rules, and the proposed Rule, were issued by DHH to avoid federal sanctions by the Centers for Medicare and Medicaid, by ensuring the integrity of Medicaid recipients’ freedom of choice in choosing a health care provider and ensuring compliance with federal regulations applicable to contract requirements. [read post]
3 Oct 2014, 6:30 am
Utilizing data supplied by Gould & Lamb, the research looked at a sample of proposed workers’ compensation settlements that had been reviewed by the Centers for Medicare & Medicaid Services (CMS). [read post]
1 Oct 2014, 4:12 pm
The open-data play by the Centers for Medicare and Medicaid Services was mandated under provisions of the 2010 health care overhaul. [read post]
30 Sep 2014, 6:30 am
” The Centers for Medicare & Medicaid Services (CMS) has taken the lead in establishing a program of this type: “On January 31, 2013, the Centers for Medicare & Medicaid Services (CMS) announced the health care organizations selected to participate in the Bundled Payments for Care Improvement initiative, an innovative new payment model. [read post]
30 Sep 2014, 12:54 am
A Medicare recipient brought an action against Medicare challenging a determination that she was required to reimburse The Centers for Medicare and Medicaid Services $10,121.51 for conditional medical payments alleging that such recovery was barred by a state court's apportionment order. [read post]
29 Sep 2014, 8:08 pm
To acquire HPIDs for their health plans, plan sponsors will have to register with the Centers for Medicare and Medicaid Services’ (“CMS”) Health Plan and Other Entity Enumeration System (“HPOES”) available through the CMS Enterprise Portal. [read post]
27 Sep 2014, 2:00 am
This week, 34 Members of the House of Representatives, sent a letter to Centers for Medicare & Medicaid Services (CMS) Administrator, Marilyn Tavenner, to adopt recommendations that would adequately reimburse Medicare providers for having voluntary discussions about end-of-life care and planning with patients. [read post]
24 Sep 2014, 8:53 am
The Centers for Medicare and Medicaid Services, the agency charged with implementing the health-care law, spent a boatload of money on building and advertising Obamacare exchanges, but it doesn’t have data to show what money it spent on what efforts — or what parts of it were effective. [read post]
Influenza Vaccination Coverage Among Health Care Personnel — United States, 2013–14 Influenza Season
19 Sep 2014, 11:19 pm
., administrators, clerical support workers, janitors, and food service workers) (68.6%). [read post]
19 Sep 2014, 11:14 am
Specifically, the report outlined that despite the Centers for Medicare & Medicaid Services’ (CMS) efforts to increase the security and privacy of data that it processes, maintains, and shares with both federal and commercial partners in an effort to support Healthcare.gov, “weaknesses remain both in the processes used for managing information security and privacy as well as the technical implementation of IT security controls. [read post]
15 Sep 2014, 10:44 am
On Tuesday, September 9, the Medicare Learning Network (MLN) hosted a Conference Call regarding the newly revealed 68% settlement offer from the Centers for Medicare & Medicaid Services (CMS) for short-stay inpatient status claims. [read post]
8 Sep 2014, 8:28 am
In an effort to reduce the amount of cases currently pending appeal, specifically the backlog at the Administrative Law Judge (ALJ) level of appeal, the Centers for Medicare & Medicaid Services (CMS) announced an offer to hospital appellants to settle their patient status claim denials currently pending appeal. [read post]
2 Sep 2014, 6:30 am
Broadspire is a leading global third-party administrator of workers compensation claims, liability claims and medical management services. [read post]
25 Aug 2014, 3:43 pm
The Centers for Medicare and Medicaid Services (CMS) has been investigating physician claims that payments were being attributed erroneously. [read post]
20 Aug 2014, 7:04 am
Kendall admitted Rodney to the regular hospital under the care of Medicine Services. [read post]
8 Aug 2014, 5:40 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]
6 Aug 2014, 9:37 am
The Centers for Medicare and Medicaid Services returned the state’s proposal last month, two weeks after the state submitted the plan. [read post]
6 Aug 2014, 5:28 am
A study analyzing the data provided by the Health Care Finance Administration (now the Centers for Medicare and Medicaid Services) from 1999 to 2001 found that almost one in three nursing homes were cited for abuse violations, with 3,800 of the 9,000 citations issued for failure to properly investigate and report allegations of resident abuse, neglect or mistreatment, or to ensure nursing home staffers don’t have a documented history of abuse prior… [read post]
31 Jul 2014, 1:26 pm
(Those agencies are the Commodity Futures Trading Commission, the Centers for Medicare and Medicaid Services, and the Securities and Exchange Commission.) [read post]
28 Jul 2014, 1:24 pm
It does not affect work-based insurance, Medicare or Medicaid, regardless of where you live. [read post]
