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2 Dec 2021, 8:18 am
Department of Health and Human Services Xavier Becerra, CMS, Administrator for the CMS Chiquita Brooks-LaSure, Deputy Administrator of CMS Meena Seshamani, Deputy Administrator and Director of Center for Medicaid and CHIP Services Daniel Tsai, and the U.S. [read post]
1 Dec 2021, 7:38 pm
(The so-called CMS rule, because it was promulgated by the Center for Medicare and Medicaid Services (CMS).) [read post]
1 Dec 2021, 7:25 am
Challenges to Vaccine Mandate This preliminary injunction order comes just hours before the Centers for Medicare and Medicaid Services (CMS) vaccine mandate for healthcare workers was stayed nationwide by a federal judge in the Western District of Louisiana. [read post]
1 Dec 2021, 5:46 am
The Centers for Medicare and Medicaid Services’ (CMS) vaccine mandate is, for the time being, not enforceable in New Hampshire and nine other states. [read post]
18 Nov 2021, 11:55 am
As we previously reported, effective November 5, 2021, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (the Rule) requiring full COVID-19 vaccination for staff and others at Medicare- and Medicaid-certified providers and suppliers as a Condition of Participation by January 4, 2022. [read post]
17 Nov 2021, 2:44 pm
As a part of this work, she has continuously and extensively worked with domestic and international health plans, their sponsors, fiduciaries, administrators, and insurers; managed care and insurance organizations; hospitals, health care systems, clinics, skilled nursing, long term care, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing, utilization management, management… [read post]
12 Nov 2021, 3:00 am
Those states became the focus of the effort inside the hotel command center to find evidence of fraud that might compel state legislators to challenge Biden’s victory. [read post]
19 Oct 2021, 2:06 am
The Centers for Medicare and Medicaid Services (CMS) is requiring COVID-19 vaccinations at all Medicare- and Medicaid-certified facilities. [read post]
11 Oct 2021, 7:59 pm
In addition to allowing the United States to pursue perpetrators of fraud on its own, the FCA allows private citizens to file suits on behalf of the government (called “qui tam” suits) against those who have defrauded the government. [read post]
1 Oct 2021, 9:19 am
As PHI Vendors also could face exposure from service providers, this review should include assessment of those compliance risks and exposures. [read post]
30 Sep 2021, 4:50 pm
The 1st Rule published on July 1, 2021 states that, beginning in 2022, patients will only be required to pay cost sharing based on in-network rates for certain out-of-network emergency services, out-of-network non-emergency services at in-network facilities and out-of-network air ambulance services. [read post]
28 Sep 2021, 2:43 pm
As we previously reported, President Biden announced that The Centers for Medicare & Medicaid Services (CMS) will require COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies. [read post]
21 Sep 2021, 5:14 am
This funding from C.D.C., in partnership with the Centers for Medicare & Medicaid Services (C.M.S.), will allow state and other jurisdictional health departments to staff, train, and deploy strike teams to assist skilled nursing facilities, nursing homes, and other long-term care facilities with known or suspected COVID-19 outbreaks. [read post]
13 Sep 2021, 1:33 pm
Vaccine Mandates for Health Care Workers at Medicare and Medicaid Participating Hospitals and Other Health Care Settings Finally, President Biden announced The Centers for Medicare & Medicaid Services (CMS) will require COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, and… [read post]
12 Sep 2021, 9:16 am
In addition to the new OSHA emergency standard requiring large employers to test or vaccinate their employees, the Biden Administration also announced that it would require Medicare and Medicaid service providers to mandate vaccination of their workers. [read post]
10 Sep 2021, 1:25 pm
Centers for Medicare and Medicaid Services (“CMS”) announced the nationwide mandate on September 9, 2021, applicable but not limited to, hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies. [read post]
9 Sep 2021, 6:40 pm
According to today’s announcement, the Centers for Medicare & Medicaid Service (“CMS”) in collaboration with the Centers for Disease Control (“CDC”) will issue an Interim Final Rule with Comment Period for health care providers in October that will apply vaccine mandates hospitals, dialysis facilities, ambulatory surgical settings, nursing homes and home health agencies, among others, as a condition for participating in… [read post]
3 Sep 2021, 9:03 pm
During the Trump Administration, however, the Centers for Medicare & Medicaid Services (CMS) approved waivers for more contentious purposes. [read post]
29 Jul 2021, 9:03 pm
Reynolds, Wenderoff, and Baaklini also recommended that lawmakers relax restrictions on how medication for opioid use is distributed and require Medicare and Medicaid to reimburse the cost of treatment. [read post]
16 Jul 2021, 9:03 pm
In response to some of these concerns, the Centers for Medicare and Medicaid issued a rule in 2017 that lowered Medicare Part B reimbursement for 340B drugs paid to hospitals. [read post]
