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21 Jul 2020, 5:42 am
The Centers for Medicare & Medicaid Services (CMS) has released a new tool to make this process easier! [read post]
21 Jul 2020, 3:04 am
Medicare and Medicaid programs are the primary payers of health care for those Americans aged 65 or more. [read post]
20 Jul 2020, 11:53 am
More specifically, the Court held that the Centers for Medicare & Medicaid Services (“CMS”) FY 2019 Outpatient Prospective Payment System final rule (“OPPS”) policy to pay formerly grandfathered off-campus PBDs clinic visit services at the same rate as physician practices (see Health Law Pulse article here) was legal because it “rests on a reasonable interpretation of HHS’s statutory authority to adopt… [read post]
17 Jul 2020, 11:07 am
This can also fall under Medicare or Medicaid fraud if the homebound patient receives home care as part of either benefit program. [read post]
17 Jul 2020, 10:39 am
On Wednesday, July 15, 2020, Administrator of the Centers for Medicare & Medicaid Services (CMS), Seema Verma, published a blog post on the Health Affairs Blog discussing CMS’ efforts to expand telehealth for Medicare beneficiaries during the COVID-19 pandemic and reviewing the potential of adopting some flexibilities as permanent measures. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
16 Jul 2020, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently announced that it intends to resume both prepayment and postpayment medical reviews conducted by the Medicare Administrative Contractors, Supplemental Medical Review Contractors, and Recovery Audit Contractors, including those under the Targeted Probe and Educate program, on August 3, 2020. [read post]
14 Jul 2020, 4:11 pm
Even when the rest of its staff are taken into account, the CDC has just a fraction of the connected political staffers that can help other health-focused agencies like the Food and Drug Administration and Centers for Medicare and Medicaid Services in their Washington liaisons. [read post]
12 Jul 2020, 6:40 pm
* * *With respect to Turning Point, the government alleged that, from January 2007 until May 1, 2019, the facility provided free or discounted transportation services to Medicare and Medicaid beneficiaries to induce them to seek detoxification and rehabilitation treatment at Turning Point’s inpatient or intensive outpatient programs [read post]
10 Jul 2020, 1:20 pm
In fact, in early April, the Centers for Medicare & Medicaid Services issued guidance to nursing homes and other long-term care facilities about the types of infection-control methods that would be necessary “to keep patients and residents safe. [read post]
10 Jul 2020, 1:20 pm
In fact, in early April, the Centers for Medicare & Medicaid Services issued guidance to nursing homes and other long-term care facilities about the types of infection-control methods that would be necessary “to keep patients and residents safe. [read post]
9 Jul 2020, 10:56 am
“This is always an option CMS [Centers for Medicare and Medicaid Services] has in its arsenal but, in my experience, it’s rarely used. [read post]
9 Jul 2020, 10:56 am
“This is always an option CMS [Centers for Medicare and Medicaid Services] has in its arsenal but, in my experience, it’s rarely used. [read post]
8 Jul 2020, 8:48 am
The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid, and other federally funded programs. [read post]
7 Jul 2020, 10:55 am
The SEC alleged Mylan violated Section 17(a) of the Securities Act because Mylan disclosed in its SEC filings that there was risk that the Centers for Medicare and Medicaid Services (“CMS”) “may” take the position that its submissions to Medicaid were incorrect when, in fact, CMS had already told Mylan that it was misclassifying one of its drugs resulting in incorrect submissions. [read post]
7 Jul 2020, 6:30 am
A major task of professional administrators is to help injured workers comply with the myriad of requirements the Centers for Medicare and Medicaid Services have in handling the MSA. [read post]
