Search for: "Center for Medicare/Medicaid Services"
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23 Jan 2024, 5:00 am
The Affordable Care Act (ACA) requires that healthcare organizations participating in Medicare, Medicaid, and other federal healthcare programs implement compliance programs. [read post]
16 Jan 2024, 4:51 pm
New Hampshire Embraces CMS Proposed Changes to Notice of Benefit and Payment Parameters Regulation While Seeking State EmpowermentOn January 8, 2024, New Hampshire Insurance Commissioner Bettencourt sent a letter offering the New Hampshire Insurance Department’s (NHID) comments on the proposed Centers for Medicare & Medicaid Services (CMS) Notice of Benefit and Payment Parameters for 2025regulation (Proposed Regulation), which was published in the… [read post]
16 Jan 2024, 12:30 pm
The federal law at the center of the fishing companies’ challenge, the Magnuson-Stevens Act, gives the Secretary of Commerce and the National Marine Fisheries Service the power to “implement a comprehensive fishery management program. [read post]
16 Jan 2024, 11:33 am
Amidst a new and wide-ranging antimonopoly movement, concerns regarding concentrated financial power and the structure of the American banking system have taken center stage. [read post]
15 Jan 2024, 6:00 am
But similar to the PHI administrative simplification rules, the HHS also delegated transaction rule enforcement to the Centers for Medicare and Medicaid Services (CMS). [read post]
12 Jan 2024, 9:40 am
” * * * This False Claims Act litigation and the settlement reflect the DOJ’s continued focus on bringing FCA cases concerning the provision of healthcare services where the defendants allegedly submitted Medicare or Medicaid claims tainted by kickbacks or claims for unnecessary services. [read post]
12 Jan 2024, 9:00 am
On January 9, 2024, the Center for Medicare and Medicaid Services (CMS) sent a letter to New York’s Medicaid director approving New York’s Section 1115 Waiver amendment, which the state submitted for approval on September 2, 2022. [read post]
12 Jan 2024, 5:48 am
* * *The Anti-Kickback Statute prohibits offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid and other federally funded healthcare programs. [read post]
10 Jan 2024, 11:11 am
Notably, the Centers for Medicare & Medicaid Services (CMS) and some U.S. states (notably, Oregon) want to limit payment for some accelerated-approval medications, or remove such medications from key formularies until they pass regular FDA approval. [read post]
10 Jan 2024, 9:23 am
Illinois nursing homes must also follow federal regulations imposed by the Centers for Medicare and Medicaid Services.Every nursing home is subject to mandatory inspections, also known as licensure surveys, at least every 15 months. [read post]
10 Jan 2024, 9:23 am
Illinois nursing homes must also follow federal regulations imposed by the Centers for Medicare and Medicaid Services.Every nursing home is subject to mandatory inspections, also known as licensure surveys, at least every 15 months. [read post]
10 Jan 2024, 5:18 am
Elder law attorneys can help with a wide range of issues, such as estate planning, long-term care planning, and Medicaid planning. [read post]
8 Jan 2024, 11:59 am
If it gets bad enough, the staff may not – or sometimes cannot – maintain the standards and perform all the work that payors like Medicare and Medicaid require when providing healthcare services to patients. [read post]
8 Jan 2024, 9:39 am
Back in September of 2023, the Centers for Medicare and Medicaid Services proposed a staffing mandate that would enforce staffing requirements within nursing home facilities. [read post]
8 Jan 2024, 9:00 am
., Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that decreased overall payment rates for services provided under the Physician Fee Schedule (PFS). [read post]
7 Jan 2024, 1:57 pm
In connection with the settlement, the United States acknowledged that Moffitt took a number of significant steps entitling it to credit for cooperating with the government.This settlement resolves Moffitt’s civil liability for claims that it submitted to Medicare and other federal healthcare programs during the period from 2014 to 2020 for services that were not reimbursable under Centers for Medicare and Medicaid Services rules… [read post]
3 Jan 2024, 3:13 pm
EXECUTIVE SUMMARY The Centers for Medicare & Medicaid Services Quality Assessment and Performance Improvement (QAPI) program requires educating the board on quality and safety. [read post]
2 Jan 2024, 12:19 pm
If you are a senior who participates in a Medicare Advantage plan, you have the option to leave your health care network if your doctor does and if the network change is “considered significant based on the [effect] or potential to affect current plan enrollees” according to the Centers for Medicare and Medicaid Services guidebook. [read post]
1 Jan 2024, 5:13 am
Explore Government Programs: Check eligibility for government programs that offer financial assistance, healthcare coverage, or social services for seniors, such as Social Security, Medicare, and Medicaid. [read post]
29 Dec 2023, 9:16 am
The Centers for Medicare & Medicaid Services (CMS) proposed a staffing rule back in September of this year. [read post]
