Search for: "Center for Medicare and Medicaid Services"
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27 Dec 2018, 2:00 pm
All federal agencies, including those of the Department of Health and Human Services (such as the Centers for Medicare and Medicaid Services(CMS)) are required to identify and repeal existing guidance documents that are outdated, unnecessary, inconsistent with existing law, or other improper. [read post]
27 Dec 2018, 10:21 am
On October 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs. [read post]
21 Dec 2018, 10:43 am
Medicaid Telehealth Services: As with the case of Medicare, state Medicaid telehealth guidelines require that all qualified practitioners providing telehealth services meet the requirements of their State Practice Act. [read post]
21 Dec 2018, 12:00 am
Along with the Centers for Medicare and Medicaid Services (CMS), states created guidelines for hygiene, patient care, and the use of restraints – chemical included. [read post]
19 Dec 2018, 3:51 pm
The Centers for Medicare & Medicaid Services (CMS) is requesting public comments on actual or perceived conflicts of interest that could arise when Medicare-approved accrediting organizations (AOs) also offer fee-based consulting services for Medicare-participating providers and suppliers. [read post]
18 Dec 2018, 3:57 am
This includes amounts that: An employer pays a third party in 2018 for qualified moving services provided to an employee prior to 2018. [read post]
17 Dec 2018, 11:58 am
Even those who had Medicaid before the A.C.A would lose the advantages of the simplifications brought by the ACA (those simplifications have increased Medicaid enrollments even in states that have not expanded coverage). [read post]
17 Dec 2018, 11:54 am
The Court also held that states could not be penalized for failing to implement the ACA’s requirement to expand Medicaid to non-elderly adults with household income up to 138 percent of the federal poverty level. [read post]
15 Dec 2018, 7:41 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; managed care organizations, insurers, self-insured health plans and other payers and their management; public and private, domestic and international hospitals, health care systems, clinics, skilled nursing,… [read post]
14 Dec 2018, 12:15 pm
After approval from the federal Centers for Medicare & Medicaid Services, which oversees the safety net program, the 30-day policy will go into effect Feb. 1 and remain in place until June 30 unless state lawmakers vote to extend the change. [read post]
14 Dec 2018, 9:18 am
According to a recent industry news report, a few weeks ago the Center for Medicare and Medicaid Services (CMS) issued a new rule that will increase the agency’s oversight of nursing homes in an attempt to lower the number of homes that operate with reduced staffing levels. [read post]
13 Dec 2018, 12:15 pm
Stamer also has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group and other health benefit programs and coverages including but not limited to advising public and private… [read post]
13 Dec 2018, 9:56 am
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]
12 Dec 2018, 10:00 am
So as Open Enrollment v6.0 winds down (with Saturday being the deadline for most of us), those of us certified to sell on the Federal Marketplace (aka "Exchange" or "HIX") received this email from the Centers for Medicare & Medicaid Services (CMS) this morning:"As with previous years, some consumers who call the Marketplace Call Center during high-volume periods may be asked to leave their contact information to complete their… [read post]
11 Dec 2018, 1:42 pm
The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the health status of each plan beneficiary. [read post]
10 Dec 2018, 9:35 pm
For example, a former administrator of the Centers for Medicare & Medicaid Services has suggested that HHS penalize and publicize health care organizations that fail to disclose timely information to clinicians and families. [read post]
7 Dec 2018, 8:44 am
Responding to longstanding industry criticisms, the Centers for Medicare & Medicaid Services (CMS) has announced a number of changes to the Healthcare Common Procedure Coding System (HCPCS) coding process for 2019. [read post]
7 Dec 2018, 7:39 am
By donating to Caring Voice Coalition (CVC), the government alleges that Actelion induced patients to purchase company drugs and defrauded the Centers for Medicare & Medicaid Services program. [read post]
7 Dec 2018, 4:55 am
File a complaint with the FBI’s Internet Crime Complaint Center. [read post]
6 Dec 2018, 11:48 am
In a transmittal issued last week, the Centers for Medicare & Medicaid Services (CMS) extended newly-revised supervision rules for certain diagnostic tests paid via the Medicare Physician Fee Schedule (MPFS) to services paid under the Outpatient Prospective Payment System (OPPS) for hospital outpatient departments. [read post]
