Hall Render

JULY 1, 2022

Before 2004, CMS only counted Medicare “covered” days. But in 2004, CMS reversed course, eliminated the word “covered” from its regulation, and shared its intent to include all Medicare patients in the Medicare Fraction—even if Part A did not cover their hospital stay.

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

AIHC

NOVEMBER 29, 2023

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Hall Render

JANUARY 27, 2023

The Kaiser Family Foundation released a summary of all of the Medicaid Waivers (section 1115) that are pending or that have been approved by each state. Each waiver provides states with an avenue to test new approaches in Medicaid funding that differ from what is required by federal statute.

Medicaid 40

Medicaid Medicaid Hospitals Governance 40

Verisys

DECEMBER 29, 2024

The Centers for Medicare & Medicaid Services (CMS) oversees the issuance and regulation of NPI numbers, ensuring providers meet accountability standards. This requirement improves the efficiency and quality of Medicare, Medicaid, and other state and federally funded healthcare programs. When Did NPI Numbers Begin?

HIPAA 52

HIPAA Fraud Health Insurance Medicare 52

AIHC

NOVEMBER 29, 2023

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Verisys

FEBRUARY 1, 2022

In July 1993, the Centers for Medicare and Medicaid Services ( CMS ) undertook a project to develop a healthcare provider identification system to meet the needs of the Medicare and Medicaid programs and the needs of a national identification system for all providers. 23, 2004, established the NPI as this standard.

Fraud 52

Fraud Medicare Medicare HIPAA 52

Hall Render

JUNE 14, 2024

Becerra , challenging the manner in which the Centers for Medicare and Medicaid Services (“CMS”) calculates a hospital’s Disproportionate Share Hospital (“DSH”) payments. Hall Render sought review before the Supreme Court following an adverse decision from the Federal Court of Appeals in Washington, D.C.

Medicare 40

Medicare Medicare Hospitals Medicaid 40

Healthcare Law Blog

AUGUST 3, 2022

billion —$1 billion of which was an FCA settlement—for off-label marketing of Bextra, and Warner-Lambert pled guilty in 2004 and paid a $430 million settlement in connection with promoting its drug Neurontin for off-label uses. . But all hope is not lost for medical device manufacturers.

Governance 52

Governance FDA Medicare Medicare 52

AIHC

SEPTEMBER 30, 2024

This was originally mandated by the Centers for Medicare & Medicaid Services (CMS) back in 1997 and implemented in 2004. Risk adjustment and Hierarchical Condition Category (HCC) coding is a risk adjustment model that groups chronic medical conditions into categories based on cost patterns and clinical complexity.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Bill of Health

JANUARY 3, 2023

Back in 2004, Justice Thomas was one of three dissenters in Raich. Indeed, the Court now features more Commerce Clause conservatives than when Marino et al.

Licensing 130

Licensing Telemedicine Governance Federal Policy 130

Hall Render

FEBRUARY 2, 2024

Mary’s welcome new board members Northeast Georgia Health System named one of nation’s top workplaces for diversity HAWAII How Adventist Health Castle achieved becoming a verified Level III Trauma Center Queen’s debuts $4.5M The fight over the deal is heating up. Groups aim to improve La.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Health Populi

SEPTEMBER 4, 2024

adults in May 2004. Surprisingly, there are many health policies on which Democrats and Republicans concur, as found in a series of YouGov polls conducted in May 2024. YouGov fielded the health policies poll in five waves online, each among roughly 1,100 U.S.

Medicare 62

Medicare Medicare Prescription Drug Pricing Public Health 62

Jane Sarashon

JANUARY 31, 2025

The metric illustrated here in the fourth chart from the report shows us that childhood vaccination rates continued to decline in the 2023-24 school year, discussed in a Kaiser Family Foundation report published in November 2004.

Public Health 59

Public Health US Department of Health and Human Services Governance Health Insurance 59

Kaiser Health News

AUGUST 24, 2023

For the first time since 2004, it appears health insurance coverage will not be a central issue in the presidential campaign, at least judging from the first GOP candidate debate in Milwaukee Wednesday night. It seems to be the first such legal case to emerge since the Medicaid “unwinding” began in April.

COVID-19 59

COVID-19 Medicaid Medicaid Health Insurance 59