Search for: "Centers for Medicare and Medicaid Services (CMS)"
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15 Nov 2023, 8:32 am
DOJ alleged that the MAO received more than $53 million in overpayments from the Centers for Medicare & Medicaid Services (“CMS”) due to false diagnoses submitted on reimbursement claims for beneficiaries enrolled in the MAO’s plans. [read post]
13 Nov 2023, 5:40 pm
It creates crimes that are considered to protect the patient’s best interests by outlawing even the offer to exchange any kind of remuneration (even if it never happens) to get referrals for services or to get items that are eligible for monetary reimbursement under federal healthcare programs (e.g., Medicare, Medicaid, Tricare). [read post]
13 Nov 2023, 9:00 am
The Centers for Medicare and Medicaid Services (“CMS”) designed the Guiding an Improved Dementia Experience (“GUIDE”) model (the “Model”) for health care providers enrolled in Medicare Part B and that treat ... [read post]
9 Nov 2023, 9:05 pm
The Centers for Medicare and Medicaid Services (CMS) proposed a new rule that would revise the Medicare Advantage Program and the Medicare Prescription Drug Benefit Program. [read post]
7 Nov 2023, 12:23 pm
As of October 2nd, 2023, the American Health Care Association (AHCA) announced that they would continue to fight against the proposed federal staffing mandate by the Centers for Medicare and Medicaid Services (CMS). [read post]
6 Nov 2023, 7:32 am
CMS Cutting Payments to Doctors, Hospitals Doctors will see a 1.25% reduction in Medicare reimbursements next year due to a final rule issued by the Centers for Medicare and Medicaid Services. [read post]
5 Nov 2023, 3:10 pm
OCR’s investigation determined that, in addition to that impermissible disclosure, DADS violated the HIPAA Security Rule by failing to conduct an enterprise-wide risk analysis and implement access and audit controls on Community Living Assistance and Support Services and Deaf Blind with Multiple Disabilities (“CLASS/DBMD”) program information systems and applications intended to collect and report information about “Utilization Management and Review” activities… [read post]
3 Nov 2023, 3:04 pm
Beginning with the fourth quarter of 2018 through the first quarter of 2020 (when Nostrum withdrew from the Medicaid Drug Rebate Program), Nostrum and Mulye did not pay these entire invoiced amounts, despite learning that the larger rebate invoices were tied to the price increase and inflation based rebate and being notified by Centers for Medicare & Medicaid Services (CMS) that it should pay the higher calculated amounts. [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 9:00 am
Earlier this month, the Centers for Medicare & Medicaid Services (CMS) quietly added “Outreach Site/ Street” as an allowable place of service (POS) code for Medicare and Medicaid providers to use in claims submission for “street medicine” services provided. [read post]
30 Oct 2023, 5:00 am
In November 2021, the Centers for Medicare & Medicaid Services (CMS) published a final rule expanding their ability to revoke Medicare billing privileges of providers and suppliers. [read post]
19 Oct 2023, 5:00 am
There is an urgent need for Congress to ensure this funding through the Center for Medicare Services. [read post]
17 Oct 2023, 9:33 pm
” With this proposed rule, FDA explains that it does not seek to duplicate the oversight provided by the Centers for Medicare and Medicaid Services (CMS) under the Clinical Laboratory Improvement Amendments (CLIA) but rather finds the established regulatory scheme under CLIA to be complementary to the agency’s proposed regulatory oversight. [read post]
11 Oct 2023, 10:59 am
Surprisingly, these harrowing violations will not result in fines from the Centers for Medicare & Medicaid Services (CMS) due to their classification as “minimal” or “non-harmful” to the residents. [read post]
11 Oct 2023, 10:56 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would establish for the first time, national minimum staffing standards for Long-term Care (LTC) facilities that participate in Medicare and Medicaid. [read post]
