Hall Render

FEBRUARY 1, 2024

Regulations implementing the Federal Conscience Statutes date back to 2008 and were narrowed substantially by a 2011 revision (the “2011 Conscience Rule”). Hall Render blog posts and articles are intended for informational purposes only.

Compliance 74

Compliance Medicaid Medicaid 74

Medisys Compliance

JULY 27, 2022

These provisions are effective for services furnished on or after January 1, 2011. In the CY 2017 PFS Final Rule, the Centers for Medicare & Medicaid Services (CMS) modified coding and reporting of procedural services that include moderate sedation as an inherent part of the service, including for screening colonoscopies.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

New Jersey Healthcare Blog

JANUARY 12, 2022

Exhibits can be reviewed by contacting the New Jersey Individual Health Coverage Program. Exhibits can be reviewed by contacting the New Jersey Small Employer Health Benefits Program. This includes agency name updates, contact information, and addresses. See adopted N.J.A.C. On October 4, 2021, at 53 N.J.R. See adopted N.J.A.C.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Hall Render

FEBRUARY 14, 2023

billion in overpayments from MAOs for payment years 2011 through 2017. On January 31, 2023, CMS will begin releasing the results of RADV audits and overpayment demands for payment years 2011 through 2017. Experts estimate that the final rule will result in CMS collecting $4.7

Overpayments 40

Overpayments Overpayment Medicare Medicare 40

Healthcare IT Today

OCTOBER 18, 2023

Data can be spotty, according to Eye, who says for instance that data from Centers for Medicare & Medicaid Services (CMS) often lacks racial identifications. Because of the time required to process SDoH, Eye says, institutions need to prioritize which patients to contact. The percentage is much higher in some areas.

Doctors 117

Doctors Public Health Medicare Medicare 117

Healthcare Law Blog

SEPTEMBER 28, 2023

The Centers for Medicare & Medicaid Services (“CMS”) released the final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”) on January 30, 2023. In the meantime, please contact a member of the Sheppard Mullin Healthcare Team if you have any questions.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

CMS.gov

APRIL 15, 2019

Administrator, Centers for Medicare & Medicaid Services. The SSAs visit and survey every Medicare and Medicaid participating nursing home in the nation at least annually to ensure they are meeting CMS’ health and safety requirements as well as state licensure requirements. Ensuring Safety and Quality in America’s Nursing Homes.

Nursing Homes 51

Nursing Homes Nurses Compliance Medicare 51