Search for: "Claims Services Center"
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2 Mar 2021, 6:30 am
Roles of Services Providers for Claim Management Teams Countless services claim management teams rely on in their day-to-day operations. [read post]
18 Jul 2014, 9:00 am
The reason for the federal lawsuit, filed in Missouri: the Postal Service’s alleged poor treatment, firing, and alleged harassment of an employee who claims he blew the whistle on safety hazards in a mail facility. [read post]
10 Jun 2009, 7:43 am
Regency Nursing and Rehabilitation Centers Inc. nursing home chain will pay the United States $4 million for submitting false claims to Medicare and the Texas Medicaid program, the Justice Department and the U.S. [read post]
31 Oct 2016, 10:49 am
On October 24, the Department of Justice announced that nursing home company Life Care Centers of America and its owner have agreed to pay $145 million to settle civil allegations, initially brought by two whistleblowers, that the company submitted false claims for rehabilitation services that were medically unnecessary. [read post]
21 May 2015, 10:58 am
Code § 3729 Medically Necessary Services A recent publication of the Centers for Medicare and Medicaid Services explains that Medicare-covered services generally are those considered medically reasonable and necessary to the overall diagnosis or treatment of the patient’s condition or to improve a malforming body function. [read post]
3 Feb 2016, 2:00 am
In the case of Center for Biological Diversity, et. al v. [read post]
21 Jul 2010, 11:56 am
On June 8, 2010, the Centers for Medicare and Medicaid Services ("CMS") held a national outreach session to educate hospice providers regarding specific vulnerabilities involving hospice services, with specific emphasis on the provision of hospice services to beneficiaries residing in nursing facilities. [read post]
24 Nov 2019, 4:00 am
In the case of Brian Lewis versus the Baton Rouge General Medical Center (“BRGMC”), the notice procedure was complicated by the fact that Mr. [read post]
23 Jul 2020, 10:13 pm
Filing a Claim for Medical Benefits The Official Military Personnel Files (OMPF), held at the National Personnel Records Center (NPRC), are administrative records containing information about military service history. [read post]
23 Jul 2020, 10:13 pm
Filing a Claim for Medical Benefits The Official Military Personnel Files (OMPF), held at the National Personnel Records Center (NPRC), are administrative records containing information about military service history. [read post]
6 Sep 2016, 1:04 pm
By the Kean Miller Medicare Compliance Team Historically, the Benefits Coordination and Recovery Center (“BCRC”) arm of the Centers for Medicare & Medicaid Services (“CMS”) collected Medicare’s conditional payments. [read post]
30 Jan 2018, 2:00 pm
Local News An argument reportedly escalated into gunfire outside a Community Event Center Sunday morning, January 28, 2018, claiming the lives of 26-year-old Kendrick Shaw and 31-year-old Rocca Guyton . [read post]
16 Mar 2016, 8:57 am
At the center of the investigation were two non-veterans, Gary and Jeremy Thurston. [read post]
10 May 2018, 9:38 am
In Hal-Pe Associates Engineering Services Inc., CBCA 5361 (2018), Hal-Pe Associates Engineering Services, Inc. sought compensation for extra work it performed as part of VA construction project at an Ambulatory Care Center in Columbus, Ohio. [read post]
21 Jun 2022, 2:47 pm
This service member should pursue a claim for service-connected benefits for their injuries. [read post]
24 Apr 2015, 2:05 pm
On April 21, 2015, the Department of Justice (DOJ) announced that Citizens Medical Center (CMC) a county-own hospital located in Victoria, Texas agreed to pay the Government a settlement of $21.75 million to resolve claims that it violated the Stark law and the False Claims Act (FCA) by allegedly paying kickbacks to doctors for patient referrals. [read post]
17 Jan 2012, 10:45 am
Thompson, of counsel to the National Consumer Law Center, recently published an article in the Washington Law Review that analyzes various servicer incentives and how they prompt servicers to select loan modification or foreclosure. [read post]
13 Nov 2014, 7:23 am
While the average payment per outpatient service was the highest of all states, the number of outpatient services performed per claim was the lowest. [read post]
29 May 2010, 8:52 pm
The Centers for Medicare and Medicaid Services (CMS) have filed a reply brief in US v Strickler, et al, now pending in the US District Court in Alabama, alleging that the government’s recovery action was valid and filed within the six years Statute of Limitations. [read post]
9 Oct 2012, 10:00 am
Connolly, Inc., the contractor for RAC audit services for 15 states and two US territories, will sort through claims filed by doctors and hospitals from as far back as October 1, 2007.... [read post]
