A Trusted Partner for All Your Managed Care, Medicare Secondary Payer (MSP) compliance services and Medicare Set-Asides (MSAs) solutions.
Former CMS manager enabled Medicare managed care provider to dodge regulations.John Olsen
“The lack of transparency in Medicare Advantage managed care plans deprives patients of important information that helps them make informed decisions," said HHS Secretary Xavier Becerra in a statemnet. "It deprives researchers and doctors of critical data to evaluate problems and trends in patient...
and correct noncompliance with CMS' program requirements. (Chap- ter 9 of CMS' Prescription Drug Benefit Manual outlines the elements.)2 In short, an effective compliance pro- gram was viewed by Congress as a critical part of ensur- ing PDPs protect the integrity of Medicare funds by pre-...
CMS strongly encourages Medicaid and CHIP managed care plans to adopt the same strategies If Medicare providers are having trouble filing claims or other necessary notices or other submissions, they should contact their MAC for details on exceptions, waivers, or extensions, or contact CMS regarding ...
" CMS Payments Necessary to Support HMO Participation in Medicare Managed Care ," Forum for Health Economics & Policy , De Gruyter, vol. 5(1), pages 1-28, January.Cawley J., M. Chernew, C. McLaughlin. 2002. "CMS Payments Necessary to Support HMO Participation in Medicare Managed Care,...
Massive CMS Rule Seeks to Align Medicaid Managed Care with Medicare Advantage and Marketplace PlansLuband, Charles
MedicareMedicaid ServicesBeginning on October 1, 2007, the Centers for Medicare and Medicaid Services (CMS) began posting Corrective Action Plans (CAP) on the public area of its Web site. The goal was to post all re...Dorothy DeAngelis...
and correct noncompliance with CMS' program requirements. (Chap- ter 9 of CMS' Prescription Drug Benefit Manual outlines the elements.)2 In short, an effective compliance pro- gram was viewed by Congress as a critical part of ensur- ing PDPs protect the integrity of Medicare funds by pre-...