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CMS Rulings CMS - Centers for Medicare & Medicaid Services

(6 days ago) WebCMS Rulings are decisions of the Administrator that serve as precedent final opinions and orders and statements of policy and interpretation. They provide clarification and interpretation of complex or ambiguous provisions of the law or regulations relating to …

https://www.cms.gov/medicare/regulations-guidance/cms-rulemaking/rulings/cms

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CMS Finalizes Rule to Expand Access to Health Information and …

(8 days ago) WebFinal rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process. As part of the Biden …

https://www.hhs.gov/about/news/2024/01/17/cms-finalizes-rule-to-expand-access-to-health-information-and-improve-the-prior-authorization-process.html

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The Supreme Court’s Rulings on COVID-19 Vaccine - Bill of Health

(Just Now) WebThe Supreme Court’s decision puts those injunctions on hold, allowing CMS’s vaccination requirements for health care workers to take effect while the cases …

https://blog.petrieflom.law.harvard.edu/2022/01/18/supreme-court-vaccine-mandate-osha-cms/

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CMS Releases Rules on 2024 Payment under Hospital Outpatient …

(4 days ago) WebIn the final rule, CMS provided the amounts that each hospital would be paid, with payments totaling $9.0 billion for 2018 through 2022. CMS stated that it is …

https://www.ropesgray.com/en/insights/alerts/2023/11/cms-releases-rules-on-2024-payment-under-hospital-outpatient-and-ambulatory-surgical-center

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CMS Publishes Final Rule [CMS-1784-F] Announcing Finalized …

(Just Now) WebThe Centers for Medicare & Medicaid Services (CMS) released the final regulation on November 2, 2023, that will, among other changes, change (a) the …

https://www.americanbar.org/groups/health_law/section-news/2023/november/cms-publishes-final-rule-announcing-policy-changes-for-medicare-payments-for-telehealth-services/

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Biden-Harris Administration Finalizes Rule Expanding Access to …

(6 days ago) WebFinal Rule Promotes Healthy Competition, Increases Access to Care, and Protects Enrollees from Harmful Marketing and Prior Authorization. Today, the U.S. …

https://www.hhs.gov/about/news/2024/04/04/biden-harris-administration-finalizes-rule-expanding-access-care-increasing-protections-people-medicare-advantage-medicare-part-d.html

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Medicaid and CHIP Managed Care Final Rules Medicaid

(9 days ago) WebTechnical corrections have been made to the final rule published in the May 6, 2016 Federal Register (81 FR 27498 through 27901) entitled, “Medicaid and …

https://www.medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-final-rules/index.html

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Most nursing homes don't have enough staff to meet the federal …

(4 days ago) WebThe new rules from the Centers for Medicare & Medicaid Services are the most substantial changes to federal oversight of the nation's roughly 15,000 nursing …

https://www.npr.org/sections/health-shots/2024/04/24/1246628171/nursing-home-staffing-final-rule-medicare-medicaid

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Federal Guidance on Balance Billing: The No Surprises Act and its

(7 days ago) WebThe Interim Rule does allow out-of-network providers to balance bill Members in limited situations. Before an out-of-network provider may balance bill a Member post …

https://www.healthcarelawinsights.com/2021/07/federal-guidance-on-balance-billing-the-no-surprises-act-and-its-interim-final-rule-part-i/

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Three things to know about CMS's approach to behavioral health …

(6 days ago) WebMay 8, 2024. On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) unveiled its 2024 Physician Fee Schedule final rule. It includes changes …

https://wellsky.com/blog/2024/05/08/three-things-to-know-about-cmss-approach-to-behavioral-health-in-2024/

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New Medicare Rule Aims to Take Back $4.7 Billion From Insurers

(8 days ago) WebThe administration said it expects to collect as much as $4.7 billion over a decade from its heightened oversight. The rule strengthens the ability of the government …

https://www.nytimes.com/2023/01/30/upshot/medicare-overbilling-biden-rule.html

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CMS Publishes Final Rule for Minimum Staffing Standards for Long …

(1 days ago) WebThe Centers for Medicare & Medicaid Services (CMS) published its Final Rule today to implement a minimum staffing “floor” for nursing homes in the United States, as …

https://www.morganlewis.com/blogs/healthlawscan/2024/05/cms-publishes-final-rule-for-minimum-staffing-standards-for-long-term-care-facilities

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CMS Finalizes Physician Payment Rule that Advances Health Equity

(3 days ago) WebCMS is also finalizing increases in payment for visits for many services, such as primary and longitudinal care. Overall, the finalized CY 2024 PFS conversion factor is …

https://www.cms.gov/newsroom/press-releases/cms-finalizes-physician-payment-rule-advances-health-equity

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CMS Issues Final Ruling to Impact FQHCs and RHCs for 2024

(1 days ago) WebFrom January 1, 2023, through December 31, 2023, the FQHC PPS base payment rate is $187.19. On November 2, 2023, the Centers for Medicare and Medicaid …

https://www.withum.com/resources/cms-issues-final-ruling-to-impact-fqhcs-and-rhcs-for-2024/

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CMS Finalizes a New Prior Authorization and Health Information …

(8 days ago) WebTo address this problem, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS interoperability and prior authorization rule (CMS-0057-F) in …

https://www.asha.org/news/2024/cms-finalizes-a-new-prior-authorization-and-health-information-exchange-rule/

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CMS Loosens Telehealth Rules, Provider Supervision Requirements …

(7 days ago) WebThe Centers for Medicare & Medicaid Services (CMS) finalized new rules aimed at expanding access to behavioral health for Medicare beneficiaries. On …

https://bhbusiness.com/2022/11/01/new-cms-final-rules-loosens-telehealth-provider-supervision-requirements/

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Nondiscrimination in Health Programs and Activities

(5 days ago) WebExamples of health insurance coverage or other health-related coverage subject to the 2020 Rule (and thus the benefit design provisions under § 92.207(b)(1) …

https://www.federalregister.gov/documents/2024/05/06/2024-08711/nondiscrimination-in-health-programs-and-activities

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Biden-Harris Administration Takes Historic Action to Increase …

(5 days ago) WebThe U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), today issued three final rules to fulfill …

https://www.hhs.gov/about/news/2024/04/22/biden-harris-administration-takes-historic-action-increase-access-quality-care-support-families-care-workers.html

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House committee advances bill to block nursing home staffing …

(9 days ago) WebLast week, the pair of senators introduced legislation that would require the U.S. Department of Veterans Affairs to conduct a study on the risks of the proposed rule …

https://www.healthcaredive.com/news/nursing-home-staffing-standards-house-committee-controversy-biden/709588/

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House committee passes Medicare telehealth extension bill

(Just Now) WebHealth systems urge Congress to lay down a permanent road map for telehealth services as clock ticks on December deadline. In July, the Senate Finance …

https://www.fiercehealthcare.com/regulatory/house-ways-means-committee-reveals-two-year-telehealth-extension-legislation

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Remote Patient Monitoring and Remote Therapeutic Monitoring

(4 days ago) WebExpress Overnight Mail: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1784-P, Mail Stop C4-26 …

https://www.natlawreview.com/article/remote-patient-monitoring-rpm-and-remote-therapeutic-monitoring-rtm-deep-dive

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New Medicaid rule could lower wait times for home-based care

(1 days ago) WebCMS will now require home-based care providers to use 80% of the Medicaid reimbursements they receive toward caregiver compensation. The rule changes were …

https://www.statnews.com/2024/05/03/new-medicaid-rule-home-based-care-80-20-rule/

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CMS Finalizes Rule to Expand Access to Health Information and …

(5 days ago) WebFinal rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process . As part of the Biden …

https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process

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CMS opens comment period for Medicare Drug Price Negotiation …

(9 days ago) WebMay 06, 2024 - 04:03 PM. The Centers for Medicare & Medicaid Services May 3 announced the opening of the comment period for the Inflation Reduction Act’s …

https://www.aha.org/news/headline/2024-05-06-cms-opens-comment-period-medicare-drug-price-negotiation-program

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OPM tweaks its final rule for the postal health benefits plan

(2 days ago) WebThe federal HR agency posted its final rule for establishing the Postal Service Health Benefits program on Monday, clarifying language on Medicare Part B enrollment …

https://www.govexec.com/pay-benefits/2024/05/opm-tweaks-final-rule-postal-health-benefits-plan/396374/

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If Social Security not fixed, retirees face automatic cut in 2033 : NPR

(6 days ago) WebMedicare's finances have also improved somewhat in the last year, thanks to a strong economy and lower-than-expected spending. the program, which provides …

https://www.npr.org/2024/05/06/1249406440/social-security-medicare-congress-fix-boomers-benefits

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House Republicans Bash New Nursing Home and Home Care …

(2 days ago) WebRepublicans have already introduced measures to counter the new regulations, which were announced last week. H.R. 7513 would stop the nursing home staffing rules from going …

https://www.msn.com/en-us/news/politics/house-republicans-bash-new-nursing-home-and-home-care-rules-at-hearing/ar-AA1nZzRi

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Home Health Services Fact Sheet - HHS.gov

(9 days ago) WebMedicare coverage of home health services requires physician certification of the beneficiary’s eligibility for the home health benefit (42 CFR §424.22). This fact sheet …

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/MLN909413_2021_02_Home_Health_Services_Fact_Sheet_508.pdf

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How to bill home health and hospice claims to help avoid rejections

(Just Now) WebHere are some of the most common Medicare rejections seen in home health and hospice agencies, along with tips to avoid them. Common hospice Medicare …

https://www.matrixcare.com/blog/how-to-bill-home-health-and-hospice-claims-to-help-avoid-rejections/

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CMS Rulings Department of Health and Human Services …

(9 days ago) WebCMS Rulings are binding on all CMS components, on all Department of Health and Human Services CMS Ruling 2020-1-R established $100 as the new …

https://www.cms.gov/files/document/cms-ruling-2020-1-r2.pdf

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Missouri's GOP Gov. Parson signs bill to kick Planned Parenthood …

(3 days ago) Web“This bill not only defies the ruling of Missouri’s highest court but also flouts federal Medicaid law,” the region’s Planned Parenthood center said in a statement. “By …

https://apnews.com/article/missouri-planned-parenthood-medicaid-defund-5049f0356a7c4ba09d8aea035d55ef6d

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Gov. Reynolds signs bill extending postpartum health care and …

(5 days ago) WebToday, Governor Kim Reynolds signed Senate File 2251, a bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and …

https://governor.iowa.gov/press-release/2024-05-08/gov-reynolds-signs-bill-extending-postpartum-health-care-and-several-other-bills-law

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