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15 Nov 2023, 8:32 am
DOJ alleged that the MAO received more than $53 million in overpayments from the Centers for Medicare & Medicaid Services (“CMS”) due to false diagnoses submitted on reimbursement claims for beneficiaries enrolled in the MAO’s plans. [read post]
14 Nov 2023, 2:00 pm
Reg. 75744 (Nov. 3, 2023) ; CMS, Fact Sheet . [read post]
13 Nov 2023, 5:40 pm
Evolving Safe Harbor Provisions to the Federal Anti-Kickback Law can form the Basis for a Defense to Health Care Fraud Charges Kickbacks are illegal activities that can happen in all sorts of endeavors, from construction and real estate development to banking or politics. [read post]
13 Nov 2023, 9:00 am
The Centers for Medicare and Medicaid Services (“CMS”) designed the Guiding an Improved Dementia Experience (“GUIDE”) model (the “Model”) for health care providers enrolled in Medicare Part B and that treat ... [read post]
10 Nov 2023, 6:17 am
The surgery uncoverd a massive ball--"approximately 2.5 cm in diameter of rolled up mesh"--adhered to his insides, the removal of which posed a tremendous challenge for doctors.About the Bard Hernia Mesh MDLPlaintiffs in this MDL allege that upon implantation in patients, the Defendants' defective polypropylene hernia mesh devices cause serious medical complications, including bowel obstruction, testicular injury, and other damage to organs.In less than five years, more… [read post]
9 Nov 2023, 9:05 pm
The rule would also add behavioral health facilities to the list of facility types that CMS will consider when assessing the adequacy of Medicare Advantage plans. [read post]
7 Nov 2023, 12:23 pm
He is encouraging providers to submit comments to CMS on its proposal to stop CMS from enforcing the mandate. [read post]
6 Nov 2023, 9:00 pm
. __ ( unpublished version ); CMS, Fact Sheet . [read post]
6 Nov 2023, 7:32 am
CMS Cutting Payments to Doctors, Hospitals Doctors will see a 1.25% reduction in Medicare reimbursements next year due to a final rule issued by the Centers for Medicare and Medicaid Services. [read post]
5 Nov 2023, 3:10 pm
The CMS waiver programs required DADS to collect and report to CMS applicant and enrollee community and institutional service choice, Level of Care, Plan of Care, waiver provider choice and other waiver program performance data for CLASS and DBMD as part of a required evidentiary report on all §1915(c) waiver programs. [read post]
3 Nov 2023, 3:04 pm
Instead, and despite prior communications to FDA that no “major changes” had been made to Nitro OS, Nostrum wrote CMS arguing that, because this version of Nitro OS is actually a “new” drug, Nostrum should not have to pay rebates based upon the prior version’s applicable price. [read post]
3 Nov 2023, 7:28 am
On Thursday, November 9, the Center for Migration Studies of New York (CMS) will host a webinar and discussion of its latest report, An Analysis of Trends in the US Undocumented Population Since 2011 and Estimates of the Undocumented Population... [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 10:00 pm
The US Centers for Medicare & Medicaid Services (CMS) has implemented a final rule, effective November 13, 2023, designed to enhance the oversight of hospice providers throughout the United States and increase regulatory scrutiny of poor-performing hospices through the Hospice Special Focus Program (SFP). [read post]
2 Nov 2023, 9:00 am
Earlier this month, the Centers for Medicare & Medicaid Services (CMS) quietly added “Outreach Site/ Street” as an allowable place of service (POS) code for Medicare and Medicaid providers to use in claims submission for “street medicine” services provided. [read post]
30 Oct 2023, 11:15 am
"'Welcoming Spaces': Migration and New Communities in Marginalised Regions," Journal of International Migration and Integration, Latest Articles, 12 Oct. 2023 [open access]- Introduction to forthcoming special issue.Multimedia:Refugees and the Right to Research Panel, 16 Oct. 2023 [access]Resource:Book Reviews in the International Migration Review (Center for Migration Studies) [access]- CMS provides a database of book reviews that have been published in IMR, the… [read post]
