Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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1 May 2023, 12:27 pm
For example, EBSA assisted HHS’ Centers for Medicare and Medicaid Services in investigating an improper appeals process following the denial of coverage for autism treatment by a plan for a large school district. [read post]
28 Apr 2023, 6:12 pm
The Centers for Medicare and Medicaid Services (CMS) released a pair of proposed rules on April 27, 2023 that make substantial changes to the structure of Medicaid and the Children’s Health Insurance Program (CHIP), both in the traditional fee-for-service setting and for services provided through managed care organizations (MCOs), and incorporate feedback from stakeholders in a request for information process. [read post]
27 Apr 2023, 11:35 am
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal challenges to overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
21 Apr 2023, 11:48 am
Implications for Coverage, Costs, and Access (Kaiser Family Foundation)10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision (Kaiser Family Foundation)Health and Human Services COVID-19 Public Health Emergency pageHealth and Human Services COVID-19 Public Health Emergency Transition Roadmap Fact SheetCenters for Medicare & Medicaid Services CMS Waivers, Flexibilities, and the Transition Forward from the… [read post]
20 Apr 2023, 12:40 pm
For the first time, anyone can now review detailed information on the ownership of more than 6,000 hospices and 11,000 home health agencies certified to participate in the Medicare program on the Centers for Medicare & Medicaid Services (CMS) website. [read post]
20 Apr 2023, 7:59 am
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal challenges to overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
19 Apr 2023, 7:53 am
April 21 is the deadline to comment on the Centers for Medicare & Medicaid Services (CMS) National Standards Group (NSG) proposed rule that, if finalized, would adopt standards for “health care attachments” transactions, a standard for electronic signatures to be used in conjunction with health care attachments transactions, and a modification to the standard for […] [read post]
18 Apr 2023, 12:20 pm
The Centers for Medicare and Medicaid Services (CMS) now published turnover numbers for nursing staff and Administrators on Care Compare. [read post]
14 Apr 2023, 9:05 pm
Furthermore, they recommend that the Centers for Medicare and Medicaid Services leverages underused community resources by establishing a demonstration program for funding community-initiated care. [read post]
14 Apr 2023, 5:05 am
The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule aimed at “ownership transparency,” or as the article describes it, “a rule requiring more ownership disclosures and floating definitions of private equity and real estate investment trusts. [read post]
14 Apr 2023, 5:05 am
The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule aimed at “ownership transparency,” or as the article describes it, “a rule requiring more ownership disclosures and floating definitions of private equity and real estate investment trusts. [read post]
13 Apr 2023, 10:29 am
Shockingly, neither the Centers for Medicare and Medicaid Services (CMS) nor the New Jersey Department of Health tracks cumulative numbers of nursing home abuse complaints specific to resident-to-resident assaults. [read post]
13 Apr 2023, 8:41 am
The Medicare Act does not expressly provide for judicial review of overpayment determinations made by the Centers for Medicare & Medicaid Services (CMS) under the agency’s controversial Risk Adjustment Data Validation (RADV) program for Medicare Advantage (MA) organizations. [read post]
13 Apr 2023, 8:33 am
Note that OIG cautions that Centers for Medicare & Medicaid Services (CMS) may have their own take on these terms. [read post]
11 Apr 2023, 11:05 am
Under traditional Medicare, health care providers are paid on a fee-for-service basis. [read post]
10 Apr 2023, 8:01 am
Preventive Services Task Force (“USPSTF”) as a recommended preventive care service in the current USPSTF’s Guide to Clinical Preventive Services; (ii) the Visa or MasterCard gift card valued at up to $75 was not disproportionately large in relationship to the value of the preventive care service; and (iii) the Test would not be tied, directly or indirectly, to the provision of additional services (such as a colonoscopy) reimbursable by… [read post]
5 Apr 2023, 11:37 am
A 2001 study by the Centers for Medicare and Medicaid Services (CMS) promoted a 4.1 minimum hours per patient day (PPD) in order to meet federal quality standards. [read post]
4 Apr 2023, 12:58 pm
On March 15, the Centers for Medicare and Medicaid Services (CMS) released guidance on the drug price negotiations provisions of the Inflation Reduction Act (IRA). [read post]
3 Apr 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would require disclosure of private equity (PE) or real estate investment trusts (REITs) ownership, managerial, and other disclosable information for Medicare skilled nursing facilities (SNFs). [read post]
30 Mar 2023, 7:30 pm
Audits’ Purpose Under the Medicare Advantage (MA) program, the Centers for Medicare & Medicaid Services (CMS) makes […] [read post]
