Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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29 Mar 2023, 9:58 am
Berdzik, chair of the Employment and Labor and Healthcare practice Groups at Goldberg Segella, payroll-based data collected by the Centers for Medicare and Medicaid Services shows that 75% of New York’s nursing homes cannot meet its 3.5 hour staffing requirement. [read post]
24 Mar 2023, 12:24 pm
The two executive orders join the Occupational Safety and Health Administration’s emergency temporary standard and the Centers for Medicare and Medicaid Services’ healthcare rule as unsuccessful attempts to mitigate the effects of COVID-19 with vaccine mandates. [read post]
23 Mar 2023, 1:02 pm
In the final year of the Trump administration, just before the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) sought to push the outer bounds of this question by announcing the Healthy Adult Opportunity (HAO) initiative. [read post]
23 Mar 2023, 4:30 am
The job description is ambiguous: some language indicates a Classical Ombuds role ("advocate on behalf of residents and staff of the Veterans’ Home and to receive, investigate and resolve through administrative action, in a timely manner, complaints filed by residents and staff"); yet other language is more in line with an Organizational Ombuds role ("provides neutral and confidential assistance to resolve conflict and serves as an advocate for fairness, source of… [read post]
17 Mar 2023, 2:51 pm
On February 28, 2023, six of the seven Medicare Administrative Contractors (MACs), who administer Medicare reimbursement on behalf of the Centers for Medicare and Medicaid Services (CMS), came together for a multijurisdictional contractor advisory committee (CAC) meeting. [read post]
16 Mar 2023, 8:13 am
In this episode of the Diagnosing Health Care Podcast: In conjunction with the national COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services and other federal agencies have issued waivers and other declarations with the goal of giving providers flexibility in order to render services during the PHE. [read post]
15 Mar 2023, 8:50 am
The budget proposal focuses on several key areas, including: ensuring Medicare solvency, closing the Medicaid coverage gap, making permanent ACA enhanced subsidies, building upon drug price negotiation reforms, and boosting funding for Medicaid home and mental healthcare services. [read post]
15 Mar 2023, 5:00 am
Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule to implement requirements of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). [read post]
8 Mar 2023, 2:02 pm
Medicare and Medicaid Two government programs that can help cover some types of healthcare costs are Medicare and Medicaid. [read post]
8 Mar 2023, 12:59 pm
Marselas writes that according to the Centers for Medicare and Medicaid Services, the new metrics will include the turnover rates for RNs, and administrators as well as the number of nursing home staff present at facilities on weekends. [read post]
8 Mar 2023, 4:17 am
Hospice benefits are available through Medicare, Medicaid, the Veterans Administration and private insurers. [read post]
7 Mar 2023, 7:56 am
On February 9, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued a fact sheet and its initial guidance documents addressing the Medicare Prescription Drug Inflation Rebate Program for Medicare Parts B and D (the “Inflation Rebates”)—a critical component of the sweeping prescription drug pricing changes enacted through the Inflation Reduction Act of 2022 (the “IRA”). [read post]
3 Mar 2023, 10:17 am
§1349. billing various healthcare benefit programs through claims administrators Humana, CIGNA and United Healthcare for $4.7 million for services never provided. [read post]
3 Mar 2023, 6:58 am
Recovery Connection Centers of America has been charged with fraud resulting in millions of dollars paid for addiction treatment services. [read post]
1 Mar 2023, 9:29 am
On January 30, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). [read post]
28 Feb 2023, 4:00 am
Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) issuing an interim final rule on November 5, 2021, shortcutting the full-blown notice and comment rulemaking process. [read post]
23 Feb 2023, 6:38 pm
Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule on February 15, 2023 that would require Medicare-enrolled skilled nursing facilities (“SNFs”) and Medicaid-enrolled nursing facilities (“NFs”) to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
23 Feb 2023, 5:00 am
Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing policies for the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
22 Feb 2023, 7:17 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare-related final rule invoking the agency’s statutory authority to promulgate retroactive rules after finding that failure to apply the final rule retroactively would be “contrary to the public interest. [read post]
21 Feb 2023, 4:02 pm
Bryant Legal Group case verdict: Our medical practice team recovered $500,000 for a physician group when an insurer failed to properly reimburse them for their services. [read post]
