Cms Regulatory Requirements In Healthcare

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Statutes and Regulations CMS

(Just Now) WebJan 1, 2013 – Eligibility and Claims Status Operating Rules. Jan 1, 2012 – Version 5010, D.0 and 3.0. Statutes. The primary statutes that introduced Administrative Simplification provisions are the: Health Insurance Portability and Accountability Act of 1996 (HIPAA) …

https://www.cms.gov/priorities/key-initiatives/burden-reduction/administrative-simplification/hipaa/statutes-regulations

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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-Harris Administration’s …

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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Shaping Medicare’s Health Care Regulations Health Policy JAMA

(Just Now) WebEvery year the Centers for Medicare & Medicaid Services (CMS) publishes numerous regulations that influence health care delivery and are important to clinicians, health …

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2785398

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Explaining the New COVID-19 Vaccination Requirement for Health …

(6 days ago) WebOn November 5, 2021, the Centers for Medicare and Medicaid Services (CMS) published regulations that established the first ever federal vaccination requirements for health …

https://www.kff.org/coronavirus-covid-19/issue-brief/explaining-the-new-covid-19-vaccination-requirement-for-health-care-provider-staff/

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Standards and Evaluation of Healthcare Quality, Safety, and Person

(5 days ago) WebThe bulk of healthcare practice standards are not established through the regulatory processes described above but are instead determined by guidelines from national …

https://www.ncbi.nlm.nih.gov/books/NBK576432/

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CMS Guide to Federal Laws, Regulations, and Policies

(8 days ago) WebDescription: Assures that individuals' health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care …

https://security.cms.gov/policy-guidance/cms-guide-federal-laws-regulations-and-policies

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CMS Requirements NHSN CDC

(9 days ago) WebHealthcare Facility HAI Reporting Requirements to CMS via NHSN Current and Proposed Requirements January 2019 [PDF – 300 KB] Reporting Requirements and Deadlines in …

https://www.cdc.gov/nhsn/cms/index.html

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CMS proposes changes to requirements for accrediting …

(4 days ago) WebThe Centers for Medicare & Medicaid Services Feb. 8 released a proposed rule intended to strengthen oversight of organizations that accredit health care providers certified by the …

https://www.aha.org/news/headline/2024-02-09-cms-proposes-changes-requirements-accrediting-organizations

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CMS Quality Reporting and Value-Based Programs & Initiatives

(8 days ago) WebAs the largest payer of health care services in the United States, CMS continuously seeks ways to improve the quality of health care. CMS manages quality programs that address …

https://mmshub.cms.gov/about-quality/quality-at-CMS/quality-programs

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COVID-19: CDC, FDA and CMS Guidance AHA

(Just Now) WebThe Senate Health, Education, Labor and Pensions Committee voted 17-3 to pass as amended the Pandemic and All-Hazards Preparedness and Response Act (S. 2333), …

https://www.aha.org/topics/covid-19-cdc-fda-and-cms-guidance

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Federal Policy Guidance Medicaid.gov

(9 days ago) WebFederal Policy Guidance. The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the …

https://www.medicaid.gov/federal-policy-guidance/index.html

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Determinants of regulatory compliance in health and social care

(3 days ago) WebRevised. Amendments from Version 2. Some minor edits have been made to the text to reflect the reviewer's comments. An additional quotation has been added to provide …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8258703/

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Regulatory Changes to Medicare in Response to COVID-19

(3 days ago) WebHHS’S AND CMS’S REGULATORY AUTHORITY. Section 1135 of the Social Security Act (SSA) is the foundation of the Department of Health and Human Services’ (HHS’s) legal …

https://www.commonwealthfund.org/publications/issue-briefs/2020/aug/regulatory-changes-medicare-response-covid-19

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CMS Issues Rule Requiring Mandatory COVID-19 Vaccinations for …

(9 days ago) WebThe Centers for Medicare & Medicaid Services (CMS) today issued an interim final rule requiring COVID-19 vaccinations for workers in most health care settings, including …

https://www.aha.org/special-bulletin/2021-11-04-cms-issues-interim-final-rule-requiring-mandatory-covid-19-vaccinations

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Regulators - Leadership Commitments to Improve Value in …

(4 days ago) WebThis chapter presents perspectives on two ways that the regulators sector—in particular, state and federal healthcare regulators, the Food and Drug Administration (FDA) and …

https://www.ncbi.nlm.nih.gov/books/NBK52854/

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HHS Finalizes Rule to Strengthen Medicare, Improve Access to …

(3 days ago) WebThe rule streamlines prior authorization requirements and reduces disruption for enrollees by requiring that a granted prior authorization approval remains valid for as long as …

https://www.hhs.gov/about/news/2023/04/05/hhs-finalizes-rule-strengthen-medicare-improve-access-affordable-prescription-drug-coverage-hold-private-insurance-companies-accountable.html

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CMS Finalizes Rule Establishing Minimum Staffing Standards for …

(2 days ago) WebCiting data from the U.S. Department of Health and Human Services, the Administration noted that more than 1.4 million people lived in over 15,500 Medicare- and Medicaid …

https://www.jdsupra.com/legalnews/cms-finalizes-rule-establishing-minimum-4576777/

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Final Medicaid Managed Care Rule Explained

(1 days ago) WebCMS recently finalized two key regulations: “ Ensuring Access to Medicaid Services ” (Access Rule) and “ Medicaid, CHIP Managed Care Access, Finance, and Quality ” …

https://ccf.georgetown.edu/2024/05/03/final-medicaid-managed-care-rule-explained/

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Biden-Harris Administration Acts to Improve Access to Kidney

(Just Now) WebThis proposed model would build on the Biden-Harris Administration’s priority of improving the kidney transplant system and the collaborative efforts between CMS and the Health …

https://www.cms.gov/newsroom/press-releases/biden-harris-administration-acts-improve-access-kidney-transplants

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Health Plan Regulations in 2024: 4 Steps to Compliance Success

(7 days ago) WebHealthEdge’s Regulatory Compliance Manager Maggie Brown and VP of Sales Solutions Diane Pascot recently addressed a large audience of AHIP members on an AHIP …

https://healthedge.com/resources/blog/four-concrete-steps--2024-to-navigate-regulations

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Nondiscrimination in Health Programs and Activities

(5 days ago) WebOn January 5, 2022, the Department proposed to amend CMS regulations such that Exchanges, Many commenters also discussed various State laws recently enacted to …

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

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CMS issues proposed rule for mandatory organ transplant …

(3 days ago) WebThe Centers for Medicare & Medicaid Services May 8 released a proposed rule for the Increasing Organ Transplant Access Model, a new payment model that would test …

https://www.aha.org/news/headline/2024-05-08-cms-proposed-rule-increasing-organ-transplant-access-model

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Medicare and Medicaid Programs and the Children's Health …

(6 days ago) WebMedicare and Medicaid Programs; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System …

https://www.federalregister.gov/documents/2024/05/02/2024-07567/medicare-and-medicaid-programs-and-the-childrens-health-insurance-program-hospital-inpatient

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Final Rule to Establish First-Ever Regulations for Adult Protective

(6 days ago) WebRule will improve quality and consistency of APS services across states. Today, the U.S. Department of Health and Human Services (HHS), through the Administration for …

https://www.hhs.gov/about/news/2024/05/07/final-rule-establish-first-ever-regulations-adult-protective-services.html

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HHS finalizes changes to Section 1557 regulations strengthening …

(Just Now) WebOn April 26, 2024, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) finalized …

https://www.jdsupra.com/legalnews/hhs-finalizes-changes-to-section-1557-8002180/

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Analysis Biden’s nursing home staffing rule reveals the horrors of

(Just Now) WebStill, CMS rebuffed calls from resident advocates to require all nursing homes to meet the new requirements. The industry as well as rank-and-file nurses raised concerns about …

https://www.washingtonpost.com/politics/2024/05/08/bidens-nursing-home-staffing-rule-reveals-horrors-some-nursing-homes/

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HHS Finalizes Rule Strengthening Protections Against Disability

(5 days ago) WebOCR disability discrimination protections. Final Rule advances equity and bolsters protections for people with disabilities under Section 504 of the Rehabilitation Act. Today, …

https://www.hhs.gov/about/news/2024/05/01/hhs-finalizes-rule-strengthening-protections-against-disability-discrimination.html

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AHA Statement to Senate Budget Committee on Alleviating …

(4 days ago) WebIn the recent contract year 2024 Medicare Advantage Rule, CMS noted that a number of the established regulations were already requirements under the health plan terms of …

https://www.aha.org/testimony/2024-05-08-aha-statement-senate-budget-committee-alleviating-administrative-burden-health-care

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39392 Federal Register /Vol. 89, No. 90/Wednesday, May 8

(8 days ago) Web39392 Federal Register/Vol. 89, No. 90/Wednesday, May 8, 2024/Rules and Regulations 1 The Patient Protection and Affordable Care Act (Pub. L. 111–148) was enacted on …

https://www.govinfo.gov/content/pkg/FR-2024-05-08/pdf/2024-09661.pdf

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Request for Information; National Directory of Healthcare …

(3 days ago) WebFederal executive branch departments and agencies have also taken considerable steps to implement regulatory requirements aimed at addressing these challenges. Section 4001 …

https://www.federalregister.gov/documents/2022/10/07/2022-21904/request-for-information-national-directory-of-healthcare-providers-and-services

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Medicaid Managed Care Excess Profits and Maternal and Early …

(7 days ago) WebCCF is a health policy and research center dedicated to expanding and improving health coverage for America's children and families That is because the state by law accepts …

https://ccf.georgetown.edu/2024/05/09/medicaid-managed-care-excess-profits-and-maternal-and-early-childhood-health-in-nebraska/

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California Generally Completed Medicaid Eligibility Actions During …

(2 days ago) WebIn March 2020, Congress enacted the Families First Coronavirus Response Act in response to the COVID-19 public health emergency, which required States to ensure that most …

https://oig.hhs.gov/reports-and-publications/all-reports-and-publications/california-generally-completed-medicaid-eligibility-actions-during-the-unwinding-period-in-accordance-with-federal-and-state-requirements/

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