Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 86

ISBN-13: 9781721533817

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Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions from the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) (Pub. L. 111-3) with regard to the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs. This final rule also codifies several procedural aspects of the process for estimating improper payments in Medicaid and the Children's Health Insurance Program (CHIP). This book contains: - The complete text of the Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicaid - Chip Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid - Chip Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 72

ISBN-13: 9781721523290

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Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs based on the changes to Medicaid and the Children's Health Insurance Program (CHIP) eligibility under the Patient Protection and Affordable Care Act. This rule also implements various other improvements to the PERM program. This book contains: - The complete text of the Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicaid Program and State Childrens Health Insurance Program (Schip) Payment Error Rate Measurement (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid Program and State Childrens Health Insurance Program (Schip) Payment Error Rate Measurement (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 42

ISBN-13: 9781721534012

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Medicaid Program and State Childrens Health Insurance Program (SCHIP) Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program and State Childrens Health Insurance Program (SCHIP) Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This interim final rule sets forth the State requirements to provide information to us for purposes of estimating improper payments in Medicaid and the State Children's Health Insurance Program (SCHIP), as required under the Improper Payments Information Act (IPIA) of 2002. The IPIA requires heads of Federal agencies to annually estimate and report to the Congress these estimates of improper payments for the programs they oversee and, submit a report on actions the agency is taking to reduce erroneous payments. We published a proposed rule on August 27, 2004 to propose that States measure improper payments in Medicaid and SCHIP and report the State-specific error rates to us for purposes of computing the improper payment estimates for these programs. This book contains: - The complete text of the Medicaid Program and State Childrens Health Insurance Program (SCHIP) Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Health Care Fraud and Abuse
Health Care Fraud and Abuse

Author: Aspen Health Law Center

Publisher:

Published: 1998

Total Pages: 156

ISBN-13:

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Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.

Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 192

ISBN-13: 9781721535422

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Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions of the Affordable Care Act that expand access to health coverage through improvements in Medicaid and coordination between Medicaid, CHIP, and Exchanges. This rule finalizes most of the remaining provisions from the "Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing; Proposed Rule" that we published in the January 22, 2013, Federal Register. This final rule continues our efforts to assist states in implementing Medicaid and CHIP eligibility, appeals, and enrollment changes required by the Affordable Care Act. This book contains: - The complete text of the Medicaid and Children's Health Insurance Programs - Fair Hearing and Appeal Processes for Medicaid (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, Cy 2015 - Home Health Quality Reporting Requirements (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, Cy 2015 - Home Health Quality Reporting Requirements (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-07-05

Total Pages: 148

ISBN-13: 9781722463359

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Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, CY 2015 - Home Health Quality Reporting Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, CY 2015 - Home Health Quality Reporting Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective for episodes ending on or after January 1, 2015. As required by the Affordable Care Act, this rule implements the second year of the four-year phase-in of the rebasing adjustments to the HH PPS payment rates. This rule provides information on our efforts to monitor the potential impacts of the rebasing adjustments and the Affordable Care Act mandated face-to-face encounter requirement. This rule also implements: Changes to simplify the face-to-face encounter regulatory requirements; changes to the HH PPS case-mix weights; changes to the home health quality reporting program requirements; changes to simplify the therapy reassessment timeframes; a revision to the Speech-Language Pathology (SLP) personnel qualifications; minor technical regulations text changes; and limitations on the reviewability of the civil monetary penalty provisions. Finally, this rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and a HH value-based purchasing (HH VBP) model. This book contains: - The complete text of the Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, CY 2015 - Home Health Quality Reporting Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

The CMS Hospital Conditions of Participation and Interpretive Guidelines
The CMS Hospital Conditions of Participation and Interpretive Guidelines

Author:

Publisher:

Published: 2017-11-27

Total Pages: 546

ISBN-13: 9781683086857

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In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.