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1 Apr 2015, 10:19 am by Lisa Baird
” The document includes the following Q&A: Question: How will a health care professional that administers this product get reimbursed under Medicare Part B? [read post]
25 Sep 2018, 1:49 pm by Debra A. McCurdy
CMS has issued a proposed rule intended streamline the Medicare and Medicaid regulatory burden on numerous types of providers and suppliers. [read post]
5 Jul 2018, 2:41 am by Debra A. McCurdy
 CMS states that it wants “to ensure claims are paid appropriately and preserve the Medicare Trust Fund for future generations,” while making it easier for providers “to submit claims accurately and manage the audit process if you’re audited. [read post]
16 Feb 2016, 12:15 pm by Frank C. Morris, Jr.
  The suit notes that CMS is the largest single payor for health care in the country providing coverage to nearly 90 million persons through Medicare, Medicaid and the State Children’s Health Insurance Program. [read post]
12 Feb 2017, 9:00 am by Julie LaVille Hamlet
According to CMS, the Rules are intended to improve the quality of health care services for Medicare and Medicaid patients and strengthen patients’ rights. [read post]
25 Nov 2013, 2:02 pm by Debra A. McCurdy
CMS has posted a November 22, 2013 letter to state health officials on “Quality Considerations for Medicaid and CHIP Programs,” the fourth in a series of guidance documents intended to assist states with designing and implementing integrated care models, such as medical/health homes, accountable care organizations, and managed care. [read post]
7 Oct 2014, 11:36 am by Debra A. McCurdy
By way of background, facilities can be designated as RHCs and qualify for enhanced Medicare and Medicaid reimbursement if they are: (1) located in rural areas and (2) located in areas that have a shortage of health care providers. [read post]
7 Dec 2011, 3:37 pm
The MLR provision (Section 2718 of the ACA) requires health insurers to spend 80% or 85% of all premium dollars on medical care or activities that improve health care quality. [read post]
7 Dec 2011, 3:37 pm
The MLR provision (Section 2718 of the ACA) requires health insurers to spend 80% or 85% of all premium dollars on medical care or activities that improve health care quality. [read post]
25 Nov 2013, 6:43 am
If you or your health care entity have any questions regarding CMS's reprocessing efforts, please contact an experienced health care attorney at Wachler & Associates at 248-544-0888 or wapc@wachler.com. [read post]
6 Dec 2011, 4:19 pm by Cynthia Marcotte Stamer
Final Rules Make Direct Access To Data By All But Most Sophisticated Impossible The Centers For Medicare & Medicaid Services (“CMS”) says disclosures of certain Medicare provider and supplier claims performance data scheduled to begin in January will empower employers, health plans and consumers to better evaluate the quality of these health care providers and suppliers. [read post]
The post Nursing home providers file suit against CMS in response to pre-dispute arbitration ban appeared first on Health Law Pulse. [read post]
2 Oct 2014, 2:39 pm by Debra A. McCurdy
CMS also may explore innovations in MA and MA-PD health plan design for Medicare beneficiaries, including: Value-based insurance design to incentivize beneficiaries with specific health conditions to use high-value health care services and/or providers; Inclusion of remote access technologies beyond what is covered by original Medicare; and  Integration of hospice care benefits concurrently with curative care… [read post]
15 Mar 2016, 6:44 am by Debra A. McCurdy
The CMS call will provide an overview of the Data Element Library, discuss the type of information that could be publicly available, and provide updates on upcoming stakeholder engagement activities. [read post]
7 Jan 2014, 10:12 am by Debra A. McCurdy
Patient care must be well-coordinated within the facility, across health care providers, and with state and local public health departments and emergency systems to protect health and safety. [read post]
15 Feb 2016, 9:00 am
., Board Certified by The Florida Bar in Health On February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule which eased requirements for health care providers to return overpayments within 60 days to avoid False Claims Act (FCA) liability. [read post]
15 Feb 2016, 9:00 am
., Board Certified by The Florida Bar in Health On February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule which eased requirements for health care providers to return overpayments within 60 days to avoid False Claims Act (FCA) liability. [read post]
15 Feb 2016, 9:00 am
., Board Certified by The Florida Bar in Health On February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule which eased requirements for health care providers to return overpayments within 60 days to avoid False Claims Act (FCA) liability. [read post]
7 Dec 2009, 1:00 pm
In response to comments from RACs, providers/suppliers and various health care associations, CMS has modified its limit for document requests from the RAC program for FY 2010. [read post]