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The letter is addressed to the head of the Office of Inspector General (OIG) and the Administrator of the Centers for Medicare & Medicaid Services (CMS). [read post]
22 Mar 2019, 10:00 am by Debra A. McCurdy
MedPAC recommendations are not binding on Congress or the Centers for Medicare & Medicaid Services, but offer a roadmap of options for policymakers. [1] The Hospital Inpatient Quality Reporting Program, Hospital Readmissions Reduction Program, Hospital-Acquired Condition Reduction Program, and Hospital Value-Based Purchasing Program. [read post]
22 Mar 2019, 9:00 am by Staff
Medicare and Medicaid are the two prime examples of Federal health care programs that pays for services, goods, and facilities. [read post]
22 Mar 2019, 4:11 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have finalized changes to State Medicaid Fraud Control Unit (MFCU) regulations to reflect statutory changes and policies adopted since the MFCU rules were first issued in 1978. [read post]
20 Mar 2019, 7:24 am by Cynthia Marcotte Stamer
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 services… [read post]
19 Mar 2019, 4:28 pm by Cynthia Marcotte Stamer
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 services… [read post]
19 Mar 2019, 1:19 pm by Daily Record Staff
CNSI will modernize, streamline and advance the state’s existing Medicaid provider management platform in accordance with the Centers for Medicare & ... [read post]
19 Mar 2019, 11:30 am by Doyle, Barlow & Mazard PLLC
  First, the Centers for Medicare & Medicaid Services (“CMS”) proposes to change how insurance plans and PBMs conduct drug utilization management and structure drug formularies. [read post]
15 Mar 2019, 8:19 am by Cynthia Marcotte Stamer
The Internal Revenue Service (IRS) exempt organization determination procedures are changing. [read post]
14 Mar 2019, 5:08 pm by Cynthia Marcotte Stamer
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 services… [read post]
14 Mar 2019, 7:29 am by Cynthia Marcotte Stamer
Stamer also shares her thought leadership, experience and advocacy on these and other related concerns by her service in the leadership of the Solutions Law Press, Inc. [read post]
13 Mar 2019, 2:41 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has requested public comments on ways to remove barriers to the sale of health insurance coverage across state lines in order to expand consumer choice. [read post]
13 Mar 2019, 6:02 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) recently revised its guidance to states on standards for citing “immediate jeopardy” during surveys of all provider and supplier types and laboratories, including health, emergency preparedness, and life safety code surveys. [read post]
The Centers for Medicare & Medicaid Services (CMS) has announced its plans for Round 2021 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP), featuring new “lead item” bidding rules and new product categories. [read post]
12 Mar 2019, 3:22 pm by John Stigi
Beginning in 2014, the Centers for Medicare and Medicaid Services (“CMS”), the federal agency which administers Medicare, began sending the Company notices of regulatory violations. [read post]
12 Mar 2019, 9:03 am by Arfaa Law Group
The Study According to a new study released by the Centers for Medicare & Medicaid Services (CMS), three-quarters of US hospitals fail to provide appropriate care for sepsis. [read post]
11 Mar 2019, 6:44 am by Ben Vernia
The settlement resolves the governments’ claims that Vanguard, Orand, and Miller caused the Boulevard, Crestview, Glen Oaks, Imperial, and Poplar Point facilities to improperly bill Medicare and Medicaid for worthless nursing home services during the period from 2010 to 2015. [read post]
9 Mar 2019, 2:30 pm by Robert N. Katz, Esq.
The Centers for Medicare and Medicaid Services has developed a ranking based on three care parameters. [read post]
7 Mar 2019, 8:04 am by Jonathan B. Miller
Last fall, the Trump administration proposed new rules for the Centers for Medicare and Medicaid Services in an effort to “reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. [read post]
5 Mar 2019, 1:44 pm by Dan Flynn
He also worked on the implementation of the Medicare drug benefit as a senior advisor to the Administrator of the Centers for Medicare and Medicaid Services, where he supported policy work on quality improvement and the agency’s coverage process, particularly as it related to new medical technologies. [read post]