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15 Mar 2013, 12:42 pm
On March 13, 2013, the Centers for Medicare & Medicaid Services ("CMS") released a Proposed Rule and Administrator's Ruling that provide for significant revisions to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
15 Mar 2013, 9:27 am
On March 13, 2013, the Centers for Medicare and Medicaid Services ("CMS") concurrently issued Ruling CMS-1455-NR (the "Ruling") and a proposed rule for revising Medicare Part B billing policies in the event of Part A payment denials (the "Proposed Rule"). [read post]
15 Mar 2013, 8:27 am
On a national level, the Centers for Medicare and Medicaid Services reports that more than seventeen percent of all nursing home residents are administered antipsychotic medications that exceed the recommended daily dosage levels. [read post]
5 Mar 2013, 9:36 am
A number of nursing homes in Lancaster County have something to brag about after a recent report by the Centers for Medicare & Medicaid Services showed that they offer a level of care that's just above average. [read post]
28 Feb 2013, 10:33 am
The Inspector General of the Centers for Medicare and Medicaid Services (CMS) recognized this deficiency decades ago in a report concerning deficient in enforcement of the Medicare Secondary Payer Act (MSP). [read post]
26 Feb 2013, 5:00 am
Similar MLR requirements are already benefitting consumers in the private health insurance market, says the Centers for Medicare and Medicaid Services (CMS), which has sent the proposed rule to the White House Office of Information and Regulatory Affairs (OIRA). [read post]
25 Feb 2013, 11:49 am
For instance, along with this guidance, HHS along with the Internal Revenue Service and Employee Benefit Security Administration also last week issued FAQ XII, which discusses the co-pay, deductible and certain other aspects of the cost sharing limits of the Affordable Care Act. [read post]
24 Feb 2013, 3:40 pm
Clinical laboratories that perform diagnostic medicine such as genetic analysis (typically called “Laboratory Developed Tests or “LDTs”) are under the jurisdiction of the Centers for Medicare and Medicaid Services (“CMS”) pursuant to the Clinical Laboratory Improvement Amendments (“CLIA”). [read post]
21 Feb 2013, 6:31 am
We represent facilities, individuals, groups and institutions in contracts, sales, mergers and acquisitions.The services we provide include reviewing and negotiating contracts, business transactions, professional license defense, representation in investigations, credential defense, representation in peer review and clinical privileges hearings, Medicare and Medicaid audits, commercial litigation, and administrative hearings. [read post]
12 Feb 2013, 1:23 pm
The federal Center for Medicare and Medicaid Services (CMS) had classified Liberty as a Special Focus Facility (SFF), defined as nursing homes with an unacceptable number of deficiencies found by CMS inspectors. [read post]
12 Feb 2013, 6:41 am
We represent facilities, individuals, groups and institutions in contracts, sales, mergers and acquisitions.The services we provide include reviewing and negotiating contracts, business transactions, professional license defense, representation in investigations, credential defense, representation in peer review and clinical privileges hearings, Medicare and Medicaid audits, commercial litigation, and administrative hearings. [read post]
11 Feb 2013, 3:00 pm
Everyone—drug companies, lawmakers and consumer advocates—has been frustrated with how long it has taken the Centers for Medicare and Medicaid Services (CMS) to release the final rules for collecting and publishing the data. [read post]
6 Feb 2013, 6:00 am
Read more… 2013 Annual Responsible Reporting Entity (RRE) Re-certification Process Has Commenced Effective today, the Centers for Medicare/Medicaid Services (CMS) has commenced the annual Responsible Reporting Entity (RRE) re-certification process for 2013. [read post]
5 Feb 2013, 9:58 pm
Stamer’s services, experience, presentations, publications, and other credentials or to inquire about arranging counseling, training or presentations or other services by Ms. [read post]
5 Feb 2013, 4:22 am
Comments on the proposed rules must be received by April 8, and may be submitted electronically through http://www.regulations.gov; or mailed to Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services, Attention: CMS-9968-P, P.O. [read post]
1 Feb 2013, 10:48 am
The Centers for Medicare & Medicaid Services today issued a Notice of Proposed Rulemaking building on last March's Advance Notice, designed to accommodate objections of religious non-profit organizations to the Affordable Care Act contraceptive coverage mandate. [read post]
30 Jan 2013, 8:19 am
On January 22, 2013, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule designed to provide states with additional flexibility in administering their Medicaid, Children’s Health Insurance Program (CHIP), and Affordable Care Act (ACA) Exchange programs. [read post]
24 Jan 2013, 6:52 am
We represent facilities, individuals, groups and institutions in contracts, sales, mergers and acquisitions.The services we provide include reviewing and negotiating contracts, business transactions, professional license defense, representation in investigations, credential defense, representation in peer review and clinical privileges hearings, Medicare and Medicaid audits, commercial litigation, and administrative hearings. [read post]
23 Jan 2013, 9:30 pm
Ruger predicts that the Center for Medicare and Medicaid Services will soon surpass FDA as the most important pharmaceutical policy maker. [read post]
23 Jan 2013, 8:13 am
Stamer has advised and represented private and public employers, employer and union plan sponsors, employee benefit plans, associations, their fiduciaries, administrators, and vendors, group health, Medicare and Medicaid Advantage, and other insurers, governments and others on health and other employee benefit, employment, insurance and health care compliance, risk management, public policy, administration and defense. [read post]
