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Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications

Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications
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District of columbiaUnited statesPuerto ricoRepublic ofMontgomery countyRhode islandNew mexicoNew yorkNew hampshireNew jerseyGlenn floresNaseem tarmohamedJoe strazzireE john oravJosef figueroaSara klotz

CMS proposal offers long-awaited fix for Medicare Advantage appeals

Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.

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Democrats press CMS on AI-based claims denials in Medicare Advantage

Democrats press CMS on AI-based claims denials in Medicare Advantage
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United statesCenters for medicareAmerican medical associationHuman service office of inspectorHealth affairsMedicaid servicesDepartment of healthBlue cross shield associationAmerican hospital associationMedicare advantageMedicare administrative contractorsHuman service officeInspector generalQuality improvement organizationsIndependent review entities

How medtech could be affected by a U S government shutdown

The FDA is expected to continue much of its operations if there's a U.S. government shutdown, while CMS and the NIH face some uncertainties.

United statesScott whitakerNational institutes of healthAbuse control programChildren health insurance programRadiological healthClinical centerMedicaid servicesCapital fundHealth care fraudCenters for medicareHouse republicansNamed presidentMedical device user feeWorking capital fundHealth insurance program

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United statesRemdesivir vekluryXavier becerraRhcs fqhcsFacilitiesend partstartMedicare programOffice of informationE statutory authorityRural health clinics rhcsBureau of labor statisticsDepartment of laborSurgical centers ascsEmergency medical servicesCancer hospital quality reporting programProgram for federal fiscal yearSurgical center quality reporting program