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11 Oct 2023, 10:59 am
Surprisingly, these harrowing violations will not result in fines from the Centers for Medicare & Medicaid Services (CMS) due to their classification as “minimal” or “non-harmful” to the residents. [read post]
11 Oct 2023, 10:56 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would establish for the first time, national minimum staffing standards for Long-term Care (LTC) facilities that participate in Medicare and Medicaid. [read post]
11 Oct 2023, 6:18 am
Turning CMS into a Health Technology Assessment Organization. [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings submitted to private payors. [read post]
9 Oct 2023, 8:15 pm
” As applied to manufacturer assistance, CMS did not adopt a single interpretation of the statutory or regulatory definition of “cost sharing. [read post]
9 Oct 2023, 6:00 pm
CMS (D.D.C.) -- in a 71-page opinion, concluding that: (1) plaintiff was not required to administratively appeal agency’s response that was issued after he had filed suit; (2) agency failed to explain how it processed approximately 3200 responsive pages, and its search terms and search locations were incomplete; (3) agency failed to establish that all of its Exemption 4 withholdings met the “commercial or financial threshold,” let alone the “confidential”… [read post]
9 Oct 2023, 1:30 pm
Compatibility with your chosen content management system (CMS) and other technical considerations should be addressed. [read post]
9 Oct 2023, 1:17 pm
CM & Associates Construction Management LLC, however, a New York Appellate Division Court held that § 191 permits employees to seek liquidated damages for the untimely payment of wages, even if the wages are paid in full. [read post]
9 Oct 2023, 4:15 am
Those provisions empower CMS to essentially dictate whatever price it pleases for a set of prescription drugs, the first ten of which were announced at the end of August. [read post]
9 Oct 2023, 4:15 am
Those provisions empower CMS to essentially dictate whatever price it pleases for a set of prescription drugs, the first ten of which were announced at the end of August. [read post]
6 Oct 2023, 1:46 pm
As part of that process, the Centers for Medicare & Medicaid Services (CMS) has announced a series of patient-focused listening sessions as part of the Medicare Drug Price Negotiation Program. [read post]
6 Oct 2023, 7:35 am
If you agree with Consumer Voice, visit their website to submit a comment to CMS about strengthening this rule. [read post]
6 Oct 2023, 4:21 am
He was amazed by the diversity of intricate topics published in Condovoice and CM magazines. [read post]
5 Oct 2023, 9:35 am
And the initial statement on accountable care organizations (ACO) had been designed to permit, and study, a certain novel form of non-merger integration; ACOs had changed in the interim, and both FTC and Centers for Medicare & Medicaid Services (CMS) staff had been following the changes. [read post]
4 Oct 2023, 10:00 pm
The Plaintiffs “expected” their member, AbbVie, to be forced to enter negotiations with the Secretary, disclose competitively sensitive proprietary information about its drug, Imbruvica, and agree to CMS’s prices for it. [read post]
4 Oct 2023, 7:34 am
The Centers for Medicare and Medicaid Services (CMS) pays MA Plans a fixed (also known as capitated) monthly amount for each enrolled beneficiary. [read post]
3 Oct 2023, 2:59 pm
According to the DOJ, “Cigna submitted inaccurate and untruthful patient diagnosis data to CMS in order to inflate the payments it received from CMS, failed to withdraw the inaccurate and untruthful diagnosis data and repay CMS, and falsely certified in writing to CMS that the data was accurate and truthful. [read post]
3 Oct 2023, 6:42 am
Cigna relied on the results of those chart reviews to submit additional diagnosis codes to CMS that the healthcare providers had not reported for the beneficiaries to obtain additional payments from CMS. [read post]
2 Oct 2023, 4:50 pm
The United States alleged that Cigna submitted inaccurate and untruthful patient diagnosis data to CMS in order to inflate the payments it received from CMS, failed to withdraw the inaccurate and untruthful diagnosis data and repay CMS, and falsely certified in writing to CMS that the data was accurate and truthful. [read post]
2 Oct 2023, 12:49 pm
The post First Compliance Challenge of Proposed CMS Staffing Rule appeared first on Dougherty Leventhal & Price, LLP. [read post]
