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14 Mar 2020, 5:18 am
House Speaker Nancy Pelosi on Friday announced the deal with the Trump administration for an aid package from Congress that would provide free tests even for the uninsured, enhanced unemployment benefits by boosting food stamps, and federal funds for Medicaid. [read post]
13 Mar 2020, 6:16 pm by Law Offices of Thomas L. Gallivan, PLLC
According to the Long Term Care Community Coalition, The Knolls is considered a “Special Focus Facility Candidate,” meaning that it has been identified by the Centers for Medicare & Medicaid Services as having a record of poor care that may merit inclusion in CMS’s limited list of facilities that receive enhanced oversight. [read post]
13 Mar 2020, 12:10 pm by Stefanie Ferrari and Sara Goldstein
Issued by two different agencies within HHS – the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare and Medicaid Services (CMS) – the rules implement the interoperability and patient access provisions of the bipartisan 21st Century Cures Act. [read post]
12 Mar 2020, 8:05 am
But the F.D.A. could not offer the approval because the lab was not certified as a clinical laboratory under regulations established by the Centers for Medicare & Medicaid Services, a process that could take months. [read post]
11 Mar 2020, 2:07 pm by Cynthia Marcotte Stamer
The agreement only technically binds Medicare, Medicaid and other government programs  and private insurers participating in the meeting. [read post]
  The Centers for Medicare & Medicaid Services released guidance for Medicare Advantage Organizations, Part D Sponsors, and Medicare-Medicaid Plans; Guidance for use of Certain Industrial Respirators by Health Care Personnel; Guidance for Home Health Agencies; and Guidance for Dialysis Facilities. [read post]
11 Mar 2020, 11:42 am by Joe Consumer
Data from the Centers for Medicare & Medicaid Services, board certification and self-reported information from over 18,000 full-time, board-certified oncologists show that “an imminent wave of retiring oncologists,” coupled with a growing demand for cancer treatment, will cause a shortage of practitioners across the country. [read post]
11 Mar 2020, 4:20 am by Nancy Halstead and Vicki Tankle
 The two rules, issued by the HHS Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS), implement interoperability and patient access provisions of the 21st Century Cures Act (Cures Act) and support the MyHealthEData initiative, designed to allow patients to access their health claims information electronically through the application of their choosing. [read post]
10 Mar 2020, 10:37 am by The Lawrence Law Group
One of the measures used to rank nursing homes by the Centers for Medicare and Medicaid Services relate to infection control measures in place at each nursing home. [read post]
9 Mar 2020, 10:26 am by Robert Liles
(March 6, 2020):   Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
9 Mar 2020, 10:26 am by Robert Liles
(March 9, 2020):   Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
9 Mar 2020, 7:17 am
In addition, CMS released new fact sheets that explain Medicare, Medicaid, Children’s Health Insurance Program, and Individual and Small Group Market Private Insurance coverage for services to help patients prepare as well. [read post]
On March 6, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released a frequently asked questions that contains important insights for stakeholders about Medicare coverage relating to COVID-19. [read post]
5 Mar 2020, 10:43 am by Lebowitz & Mzhen
For example, one nursing home was recently cited by the Centers for Medicare and Medicaid Services for making staffing decisions that led to several dangerous incidents. [read post]
On Wednesday March 4, 2020, the Centers for Medicare & Medicaid Services (CMS) released three guidance documents for health care providers relating to the coronavirus. [read post]
5 Mar 2020, 5:32 am by Gail L. Daubert and Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would extend and modify the Comprehensive Care for Joint Replacement (CJR) Model, under which CMS makes a “bundled” payment to participant hospitals for an “episode of care” for lower extremity joint replacement (LEJR) surgery, covering all services provided during the inpatient admission through 90 days post-discharge (with certain exceptions). [read post]
4 Mar 2020, 11:31 am by Robert Liles
The Centers for Medicare and Medicaid Services (CMS) has engaged a number of third-party, UPIC contractors (such as Qlarent, AdvanceMed, the CoventBridge Group, and SafeGuard Services LLC) to perform program integrity audits of Medicaid dental claims around the country. [read post]
3 Mar 2020, 8:07 am by Matthew Moriarty
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 by Cynthia Marcotte Stamer
  In addition to the changes proposed in the 2/06/20 Proposed Rule,  in response to President Trump’s  July 24, 2020 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, HHS on November 14, 2019 also undertook two other regulatory actions intended to increase price transparency to empower patients and increase competition among all hospitals, group health plans and health insurance issuers in the individual and group markets:… [read post]
2 Mar 2020, 7:29 am by Cynthia Marcotte Stamer
Stamer’s work throughout her 30 plus year career has focused heavily on working with health care and managed care, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public policy and other legal and… [read post]