Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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5 Jul 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced the start of a new skilled nursing facility (SNF) 5 Claim Probe & Educate Review Program (SNF P&E Program). [read post]
22 Mar 2020, 9:18 pm
For more information regarding the actions of the Centers for Medicare & Medicaid Services (“CMS”) in this regard, please visit: www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.On Tuesday, March 17, 2020, CMS issued further guidance, which can be accessed at: www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf. [read post]
23 Mar 2020, 8:48 am
For more information regarding the actions of the Centers for Medicare & Medicaid Services (“CMS”) in this regard, please visit: www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.On Tuesday, March 17, 2020, CMS issued further guidance, which can be accessed at: www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf. [read post]
26 Jun 2018, 7:28 am
As we reported last April, the Centers for Medicare and Medicaid Services (CMS) announced in its Final Call Letter for bids from plans that participate in the Medicare Advantage program (MA) for 2019. [read post]
14 Jul 2017, 6:55 am
The Centers for Medicare and Medicaid Services (CMS) part of the Department of Health and Human Services (HHS) issued a final rule on January 17, 2017 titled “Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures,” (Final Rule), that went into effect March 20, 2017. [read post]
16 Aug 2017, 9:13 am
Signals Trump Administration’s About-Face on Obama-Era Mandatory Innovation Models The Centers for Medicare & Medicaid Services (CMS) has just released a proposed rule to cancel a significant — but still-pending — Obama Administration program that would require certain hospitals to participate in Medicare episode payment models (EPMs) for acute myocardial infarction (AMI), coronary artery bypass graft (CABG), and… [read post]
24 Sep 2018, 10:00 am
., Board Certified by The Florida Bar in Health Law On June 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued further guidance for reporting and reviewing final adverse legal actions (ALAs) in provider enrollment applications. [read post]
10 Feb 2022, 9:00 am
., Board Certified by The Florida Bar in Health Law Recently it has come to our attention that there may be a nationwide effort by the Centers for Medicare and Medicaid Services (CMS) Medicare Administrative Contractors (MACs) to squelch physicians who prescribe opioids and other narcotic medications. [read post]
12 Jun 2020, 10:26 am
The Social Security Administration handles enrollment for Medicaid in states where SSI recipients are automatically eligible for Medicaid, while other states require a separate application for Medicaid. [read post]
14 Jul 2017, 6:55 am
The Centers for Medicare and Medicaid Services (CMS) part of the Department of Health and Human Service (HHS) issued a final rule on January 17, 2017 titled “Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures,” (Final Rule), that went into effect March 20, 2017. [read post]
4 Jun 2019, 6:30 am
The Centers for Medicare and Medicaid Services (CMS) asserts it has the right to deny paying for a treatment if a settlement recipient still has funds in a Medicare Set Aside (MSA) or has not properly reported their full exhaustion of those funds. [read post]
2 Apr 2019, 6:36 am
The Centers for Medicare & Medicaid Services (CMS) announced Monday that the US government will increase by 2.53 percent on average 2020 payments to health insurers that manage Medicare Advantage insurance plans for seniors and chronically ill beneficiaries. [read post]
30 Mar 2021, 11:42 am
Indeed, the former Administrator for Centers for Medicare & Medicaid Services (CMS), Seema Verma, under Trump’s administration, issued policy memoranda on how states could submit Section 1115 waivers in search of work requirement approval. [read post]
16 Dec 2014, 5:06 pm
“As part of the Obama Administration’s efforts to make our healthcare system more transparent, affordable, and accountable, the Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File (Physician and Other Supplier PUF), with information on services and procedures provided to Medicare… [read post]
12 Jan 2018, 12:34 pm
The Centers for Medicare & Medicaid Services (CMS) [official website] on Thursday issued guidance [text, PDF; press release] that will allow states to require people to work as a condition to receiving Medicaid. [read post]
23 Apr 2024, 11:05 am
Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and Medicaid Services (CMS) has submitted for public inspection its Contract Year 2025 Final Rule. [read post]
30 Sep 2020, 6:12 am
Moreover, the Centers for Medicare & Medicaid Services (CMS) recently expanded its authority to issue more severe reenrollment bars and revocation is often accompanied by placement of the CMS Preclusion List, which further tarnishes a provider’s reputation by labeling them a “bad actor. [read post]
26 Jul 2019, 9:34 am
According to the Centers for Medicare & Medicaid Services (CMS), a “Medicare Set-Aside Arrangement (WCMSA) is a financial agreement that allocates a portion of a … settlement to pay for future medical services related to the … injury, illness, or disease. [read post]
4 Sep 2020, 6:23 am
On August 31, 2020, the Centers for Medicare and Medicaid Services (“CMS”) released an announcement regarding their newest proposed rule, the Medicare Coverage of Innovative Technology (“MCIT”). [read post]
1 Sep 2023, 10:23 am
A senior official at the Centers for Medicare and Medicaid Services said many states have been conducting automatic or “ex parte” renewals based on state databases to determine whether residents are still eligible for Medicaid coverage, sending out renewal forms and disenrolling anyone who doesn’t return them. ( NEW YORK TIMES ) Biden Administration Announces First Drugs for Medicare Price Negotiation The… [read post]
