Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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6 Apr 2020, 4:14 pm
Insurance services are considered Critical Infrastructure and exempt. [read post]
6 Apr 2020, 1:36 pm
The new Executive Director will be a caring manager who excels at supporting, mentoring, and motivating staff; developing structures and processes that ensure services are customer and community centered; and supporting teams that work closely with individuals experiencing trauma. [read post]
3 Apr 2020, 7:50 am
This announcement also does not address other federal or state laws (including breach of contract claims) that might apply to the uses and disclosures of this information. [read post]
23 Mar 2020, 1:28 pm
”[11] Currently, CMS will consider any individual with a condition identified as chronic in the list at section 20.1.2 of Chapter 16b of the Medicare Managed Care Manual to meet this criteria. [read post]
19 Mar 2020, 3:24 pm
At this time, the Center for Medicare and Medicaid Services (CMS) has announced two Healthcare Common Procedure Coding System (HCPCS) codes to be used when billing Medicare and Medicaid for COVID-19 diagnostic tests.[10] As with all Medicare and Medicaid billing, there is a risk that providers may “upcode” treatments, meaning that they will fraudulently bill for treatments different than those actually provided to claim higher reimbursements. [read post]
15 Mar 2020, 3:21 pm
The Centers for Medicare and Medicaid Services (CMS) has announced a new voluntary Part D Senior Savings Model (the Model) intended to reduce Medicare beneficiary cost sharing for insulin. [read post]
12 Mar 2020, 6:01 pm
Only add when all sources show a different name other than that in CM[.]D. [read post]
4 Mar 2020, 11:31 am
In the case of non-government administered plan, the unsupported waiver of these amounts may constitute a breach of contract. [read post]
3 Mar 2020, 8:07 am
The Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) had requested proposals for task order work to oversee beneficiary and claim reviews for Medicare beneficiaries nationwide. [read post]
2 Mar 2020, 11:04 am
Since self-insured health plans generally are not subject to the ACA MLR rule, however, those plans generally need to pursue contracting or other strategies to address this concern. [read post]
25 Feb 2020, 3:00 pm
Creation of a risk-adjusted monthly Medicare Priority Care payment for providers eligible to bill for evaluation and management (E/M) services who provide ongoing primary care to beneficiaries. [read post]
18 Feb 2020, 9:20 am
Foster had been sharing office space and both had been receiving contract work from an entity called Upright Law.2 However, Mr. [read post]
17 Feb 2020, 10:48 am
CMS has put on display a proposed rule that would update Medicare Advantage (MA) and Medicare Part D prescription drug benefit policies for contract year 2021 and 2022. [read post]
17 Feb 2020, 9:01 am
As the Special Fraud Alert expressly notes: “. . . a DME supplier is responsible for verifying that marketing activities performed by third parties with whom the supplier contracts or otherwise does business do not involve prohibited activity and that information purchased from such third parties was neither obtained, nor derived, from prohibited activity. [read post]
10 Feb 2020, 8:27 am
At the direction of the Lawfare management team, the deputy managing editor may take primary responsibility for some of the duties above, such as website management and managing book reviews, while the managing editor retains the lead role on others. [read post]
3 Feb 2020, 12:42 pm
Please address your cover letter to Hiring Manager. [read post]
1 Jan 2020, 10:35 am
Scribe for the ABA JCEB Annual Agency Meeting with the Department of Health & Human Services Office of Civil Rights, Vice Chair of the ABA International Section Life Sciences Committee, past Chair of the ABA Health Law Section Managed Care & Insurance Interest Group and the ABA RPTE Employee Benefits & Other Compensation Group, Ms. [read post]
18 Dec 2019, 2:13 am
”Timeline of Contract Manufacturers’ Subscriber Unit Licensing AgreementsUnlike Apple with gross profit margins of around 60 percent on its iPhones, corresponding figures for CMs are one tenth of that and CMs typically have operating margin percentages in the low single digits. [read post]
16 Dec 2019, 3:13 pm
The CMS waiver programs required DADS to collect and report to CMS applicant and enrollee community and institutional service choice, Level of Care, Plan of Care, waiver provider choice and other waiver program performance data for CLASS and DBMD as part of a required evidentiary report on all §1915(c) waiver programs. [read post]
10 Dec 2019, 4:02 pm
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
