Search for: "Centers for Medicare and Medicaid Services (CMS)"
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10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings… [read post]
9 Oct 2023, 8:15 pm
Three patient advocacy groups sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging the agencies’ 2020 NBPP Rule as plainly unlawful on the grounds that it conflicts with the definition of “cost sharing” in both the ACA and the agencies’ existing regulations, and is arbitrary and capricious. [read post]
9 Oct 2023, 4:15 am
Last week, the White House announced that the manufacturers of all ten of the drugs singled out by the Centers for Medicare and Medicaid Services (CMS) and its drug price negotiation program (DPNP) have “agreed” to participate therein. [read post]
9 Oct 2023, 4:15 am
Last week, the White House announced that the manufacturers of all ten of the drugs singled out by the Centers for Medicare and Medicaid Services (CMS) and its drug price negotiation program (DPNP) have “agreed” to participate therein. [read post]
6 Oct 2023, 1:46 pm
As part of that process, the Centers for Medicare & Medicaid Services (CMS) has announced a series of patient-focused listening sessions as part of the Medicare Drug Price Negotiation Program. [read post]
6 Oct 2023, 7:35 am
After years and years of advocating for a minimum staffing standard in nursing homes, the Centers for Medicare and Medicaid Services (CMS) announced a Notice of Proposed Rule Making (NPRM) which would implement the long-desired minimum staffing requirement. [read post]
5 Oct 2023, 9:35 am
And the initial statement on accountable care organizations (ACO) had been designed to permit, and study, a certain novel form of non-merger integration; ACOs had changed in the interim, and both FTC and Centers for Medicare & Medicaid Services (CMS) staff had been following the changes. [read post]
4 Oct 2023, 7:34 am
The Centers for Medicare and Medicaid Services (CMS) pays MA Plans a fixed (also known as capitated) monthly amount for each enrolled beneficiary. [read post]
3 Oct 2023, 2:59 pm
The Centers for Medicare and Medicaid Services (CMS) pays Medicare Advantage Organizations for each beneficiary who enrolls and the payment is adjusted to account for various “risk” factors that affect expected health expenditures for the beneficiary. [read post]
3 Oct 2023, 6:42 am
The Centers for Medicare and Medicaid Services (CMS) pays the MA Plans a fixed monthly amount for each beneficiary who enrolls. [read post]
2 Oct 2023, 4:50 pm
The Centers for Medicare and Medicaid Services (CMS) pays the MA Plans a fixed monthly amount for each beneficiary who enrolls. [read post]
2 Oct 2023, 12:49 pm
As of the staffing mandate, the Centers for Medicare & Medicaid Services (CMS) are strengthening assessment components, working to include the staff in the assessment process, and potentially encouraging more frequent updates. [read post]
2 Oct 2023, 6:52 am
If the issue strictly implicates the Stark Law, an institution may use the voluntary self-disclosure protocol (SDRP) to inform the Centers for Medicare & Medicaid Services (CMS) of noncompliance. [read post]
2 Oct 2023, 5:00 am
In the first phase, OIG intends to review activities that occur when the Centers for Medicare & Medicaid Services (CMS) or states initially establish or renew managed care contracts. [read post]
29 Sep 2023, 4:26 pm
For example, a contractor that performs services in a federal facility may find that the facility is closed, so the contractor’s employees do not have access to their workplace. [read post]
29 Sep 2023, 3:56 am
The process is authorized by the Medicare Secondary Payer Act (MSP).The Centers for Medicare & Medicaid Services (CMS) Medicare Program will continue during a lapse in appropriations at a significantly reduced staffing level. [read post]
29 Sep 2023, 1:56 am
The Centers for Medicare and Medicaid Services (CMS) requires states to submit plans describing how they’ll prioritize renewals and how they’ll reduce coverage loss during the unwinding process. [read post]
28 Sep 2023, 1:49 pm
See also Onesource PCS, LLC, B-419222, 2021 WL 131280 (Jan. 2021) (protest against Air Force contract award for photorefractive keratectomy personal and non-personal services sustained where agency did not evaluate the relevance of offeror’s past performance as required by the solicitation); Ohio KePRO, Inc., B-417836, 2020 CPD ¶ 47 (Nov. 2019) (protest against Center for Medicare & Medicaid Services (“CMS”) contract… [read post]
27 Sep 2023, 9:27 am
Good news for Medicare-eligible patients: the Centers for Medicare & Medicaid Services (CMS) is making it easier for individuals with limited income to apply and reenroll in Medicare Savings Programs (MSPs). [read post]
25 Sep 2023, 8:03 am
Following the new federal minimum staffing proposal by the Centers for Medicare and Medicaid Services (CMS), less than 20% of nursing home facilities would meet the required number of hours for registered nurses and certified nursing assistants. [read post]
