Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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24 Mar 2020, 8:58 am
Access to Medicines: Medicare Advantage plans would be required to eliminate barriers to accessing COVID-19 treatment services like prior authorization requirements, which the Senate bill does not provide. [read post]
30 Sep 2021, 4:50 pm
Accordingly health plan sponsors, administrators, fiduciaries, insurers, and advisors should move quickly to begin preparations. [read post]
19 Jun 2020, 6:45 am
“Additional regulatory requirements imposed by the Centers for Medicare and Medicaid Services (CMS) may have limited the number of labs even eligible to obtain authorization to provide their own tests. [read post]
10 Mar 2020, 10:37 am
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]
28 Jan 2020, 9:05 pm
Each year, the federal Centers for Medicare and Medicaid Services (CMS) adjusts this limit on out-of-pocket expenses for all households to reflect changes in the price of private health insurance. [read post]
30 Jul 2012, 9:29 am
Presumably, this will involve the extension of the use of state-of-the-art technology and data mining practices like those the Centers for Medicare & Medicaid Services (CMS) already uses to review claims, to track suspected fraud trends and flag suspected fraudulent activity. [read post]
3 Oct 2019, 4:20 am
More data is being gathered than ever before by Centers for Medicaid and Medicare Services (CMS) on hospital readmission rates, the prevalence of falls, and other related health information and consumers will demand to know what these statistics are before entering into a contract with a senior living community. [read post]
5 Jan 2023, 9:05 pm
The Centers for Medicare and Medicaid Services issued guidance to states that would reduce hunger and diet-related diseases among low-income patients who receive Medicaid benefits. [read post]
26 Nov 2020, 9:05 pm
Secretary of Health and Human Services Alex Azar and the Centers for Medicare and Medicaid Services Administrator Seema Verma, announced the finalization of regulations intended to reduce prescription drug prices “dramatically. [read post]
3 Apr 2009, 7:55 am
The Centers for Medicare and Medicaid Services (CMS) recently began a pilot program in January 2009 in certain Colorado, New Mexico, Oklahoma, and Texas acute-care hospitals where bundled payments are directed to the hospital and then split between the hospital and physicians based on a negotiated contract. [read post]
30 Nov 2022, 11:46 am
This indictment included 15 counts against the defendants including staffing falsifications and Medicare and Medicaid reimbursement fraud. [read post]
7 Jan 2022, 2:17 pm
Supreme Court on January 7 heard arguments both pro and con on whether the federal Occupational Safety and Health Administration (OSHA) has the authority to impose a vaccination rule affecting private employers with at least 100 employees and another rule from the Centers for Medicare and Medicaid Services affecting healthcare workers. [read post]
14 Mar 2020, 4:45 pm
Trump’s proclamation is relatively narrow, outlining three directives: First, the proclamation empowers the Secretary of Health and Human Services (HHS) to exercise authority under Section 1135 of the Social Security Act (SSA) to waive or modify certain requirements of Medicare, Medicaid, and State Children’s Health Insurance programs and of the Health Insurance Portability and Accountability Act Privacy Rule throughout the duration of the emergency. [read post]
6 May 2019, 5:44 pm
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private… [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]
24 May 2022, 11:28 pm
This article examines a number of the recent balloon sinuplasty / balloon dilation cases pursued by program integrity contractors working for the Centers for Medicare and Medicaid Services (CMS) or prosecuted by the Department of Justice (DOJ) and discusses ways that you and your ENT practice can reduce your level of risk. [read post]
1 Sep 2022, 9:02 pm
HHS Secretary Xavier Becerra and Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure noted their “obligation to ensure that individuals have access to the medical care to which they are entitled, regardless of directly conflicting state law. [read post]
27 Mar 2019, 8:13 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
23 Oct 2012, 3:52 am
Where Medicare and Medicaid patients or billings may be involved, the risks of criminal prosecution and very large monetary penalties are much greater. [read post]
19 Aug 2016, 8:51 am
Recently Announced Policies to Combat Social Media Abuse According to the advocacy group’s report, the federal agency that oversees nursing homes, known as The Centers for Medicare and Medicaid Services, recently released a memorandum to all state health departments, requesting that all nursing homes accepting Medicare funds implement policies specifically prohibiting staff from taking demeaning pictures or videos of residents. [read post]
