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24 Jun 2022, 9:48 am
The post Administrative Law Job Openings: General Attorney Positions at HHS Centers for Medicare & Medicaid Services Division Program Review Group appeared first on Yale Journal on Regulation. [read post]
18 Mar 2021, 3:43 am
Chicago – As the Federal Government through its various agencies, such as Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), and the States primarily through their Medicaid Fraud Control Units (MFCU) and the Office of the Attorneys General, investigations of billing irregularities and fraud are on the increase. [read post]
9 Oct 2017, 1:43 pm
Specifically: The Centers for Medicare & Medicaid Services (CMS) has withdrawn its proposed Part B Drug Payment Model, published March 11, 2016, that would test whether alternative drug payment designs would lead to a reduction in Medicare expenditures while preserving/enhancing access and quality of care to Medicare beneficiaries. [read post]
3 Feb 2020, 5:30 am
The Centers for Medicare & Medicaid Services (CMS) has announced a controversial plan to allow states to apply to participate in a new Medicaid “Healthy Adult Opportunity” (HAO) Demonstration. [read post]
26 Mar 2019, 1:34 pm
Cap Medicaid reimbursement to health care providers operated by a unit of government to the provider’s cost of providing services. [read post]
23 Mar 2020, 1:28 pm
” [3] Prior to calendar year 2019, the Centers for Medicare and Medicaid Services (“CMS”) has considered an item or service to be “primarily health related” only if the primary purpose is to “prevent, cure, or diminish an illness or injury. [read post]
18 Nov 2010, 6:23 am
by Holly Hayes On November 17, 2010, the Centers for Medicare & Medicaid Services (CMS) established the CMS Innovation Center. [read post]
25 May 2011, 11:31 am
On May 9, 2011 in the United States District Court for the District of Arizona, some substantial guidance was obtained on two very important questions affecting the application of the Medicare Secondary Payer Act (“MSP”): 1) Whether or not the Center for Medicare and Medicaid Services (“CMS”) can require prepayment of an MSP reimbursement claim (often times referred… [read post]
25 Feb 2020, 3:00 pm
Separate from the bidding program, the Centers for Medicare & Medicaid Services (CMS) would be authorized to update DME rates based on retail prices through rulemaking, without using the inherent reasonableness process [$1.6 billion Medicare savings, $85 million in Medicaid savings]. [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
29 May 2023, 10:00 am
Medicare Advantage Plans are Aggressively Denying Claims – Administrative Appeals are Growing (May 25, 2023): According to the latest data released by the Centers for Medicare and Medicaid Services (CMS), beneficiaries participating in Medicare Advantage[1] plans now surpass those enrolled in original Medicare plans. [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]
21 Jan 2022, 9:15 pm
The Centers for Medicare & Medicaid Services (CMS) announced a new March 15, 2022 deadline for healthcare workers residing in any of the 24 states involved in the litigation, including Ohio, Indiana, Kentucky and West Virginia. [read post]
3 Feb 2015, 1:47 am
Allow the Centers for Medicare & Medicaid Services (CMS) to assign more Medicare fee-for-service (FFS) beneficiaries to Federally Qualified Health Centers and Rural Health Clinics that participate in an Accountable Care Organization (ACO) under the Medicare Shared Savings Program ($80 million), and expand the basis for beneficiary assignment for ACOs to include nurse practitioners, physician assistants, and clinical nurse… [read post]
5 Mar 2014, 5:04 am
Expand the authority of the Centers for Medicare & Medicaid Services (CMS) to require prior authorization for all Medicare fee-for-service items, and mandate prior authorization of advance imaging services and power mobility devices ($90 million). [read post]
1 May 2014, 10:52 am
The biggest response has come from the Center for Medicare and Medicaid Services (CMS). [read post]
18 Sep 2019, 2:08 pm
(September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
23 Jul 2018, 5:16 am
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
12 Nov 2009, 11:11 am
Under Part D, benefits are administered to beneficiaries through private health insurance companies, known as “sponsors,” which contract with the Centers for Medicare & Medicaid Services (CMS). [read post]
28 Dec 2017, 12:27 pm
Jacksonville Illinois Nursing Home Makes Unfortunately List of Worst Facilities Every nursing facility in the United States must undergo traditional recertification surveys performed by Centers for Medicare and Medicaid Services (CMS) and state agencies. [read post]
