Search for: "Medicare, Medicaid & Medical Suppliers"
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17 Aug 2012, 8:58 am
This summer the Centers for Medicare & Medicaid Innovation announced 81 Health Care Innovation Awards made pursuant to the Affordable Care Act. [read post]
12 Apr 2018, 3:00 am
The Centers for Medicare and Medicaid Services (CMS) issued guidance, which imposes a new timeline and requirements on these contractors effective March 1, 2018. [read post]
21 Nov 2012, 12:26 pm
On November 1, 2012, the Centers for Medicare and Medicaid Services ("CMS") released a final Durable Medical Equipment ("DME") face-to-face policy. [read post]
16 Jul 2018, 12:47 pm
UPICs are tasked with investigating instances of suspected fraud, waste, and abuse in the Medicare and Medicaid programs. [read post]
HHS Inspector General Reiterates Commitment to Combating Healthcare Fraud, Highlights Areas of Focus
23 Apr 2024, 11:57 am
” Durable Medical Equipment (DME) Fraud: DME fraud “persisted in traditional Medicare for decades and is growing in Medicare managed care. [read post]
10 Oct 2012, 11:49 am
They also represent DME suppliers, physicians, medical groups, nursing homes, home health agencies, pharmacies, hospitals and other healthcare providers and institutions in Medicare and Medicaid investigations, audits, recovery actions, termination from the Medicare or Medicaid Program and administrative hearings. [read post]
8 Feb 2019, 6:00 am
Based on its findings, OIG recommended in part that the Centers for Medicare & Medicaid Services (CMS) recover the $34 million and that the suppliers refund the deductible and coinsurance amounts to the Medicare beneficiaries. [read post]
8 Feb 2019, 6:00 am
Based on its findings, OIG recommended in part that the Centers for Medicare & Medicaid Services (CMS) recover the $34 million and that the suppliers refund the deductible and coinsurance amounts to the Medicare beneficiaries. [read post]
10 Dec 2019, 4:02 pm
According to the report, private health insurance, Medicare, and Medicaid experienced faster growth in 2018. [read post]
8 May 2023, 12:28 am
States also have the administrative authority to bar providers from participating in their State Medical Assistance Programs (primarily Medicaid and CHIP).[5] Medicaid exclusion actions[6] are similar to OIG exclusions in many respects, but there are also important differences. [read post]
19 Jul 2017, 2:31 am
Foundations Health Solutions (“FHS”), Olympia Therapy (“Olympia”), and Tridia Hospice Care (“Tridia”), Ohio-based healthcare companies, and their executives, Brian Colleran and Daniel Parker, recently agreed to pay approximately $19.5 million to resolve allegations relating to the the submission of false claims for medically unnecessary therapy and end-of-life hospice services to Medicare and the State of Ohio’s Medicaid program. [read post]
19 Jul 2017, 2:31 am
Foundations Health Solutions (“FHS”), Olympia Therapy (“Olympia”), and Tridia Hospice Care (“Tridia”), Ohio-based healthcare companies, and their executives, Brian Colleran and Daniel Parker, recently agreed to pay approximately $19.5 million to resolve allegations relating to the the submission of false claims for medically unnecessary therapy and end-of-life hospice services to Medicare and the State of Ohio’s Medicaid program. [read post]
20 Jun 2023, 5:55 am
" (Emphasis added).[9] November 5, 2021 - CMS Vaccine Mandate: CMS issued an Interim Final Rule revising the requirements that most Medicare and Medicaid certified providers, and associated suppliers must meet to participate in the Medicare and Medicaid programs. [read post]
2 Apr 2014, 9:00 am
Targets ranged widely and included hospitals, medical providers, pharmacies, clinics, and medical equipment suppliers. [read post]
16 Oct 2019, 2:33 pm
—On or after the date of implementation determined by the Secretary under subparagraph (C), a provider of medical or other items or services or supplier within a particular industry sector or category shall, as a condition of enrollment in the program under this title [Medicare], title XI [read post]
6 Dec 2014, 11:26 am
* * * Medicare and Medicaid require suppliers of respiratory therapy equipment and services to comply with state licensing standards. [read post]
4 Mar 2020, 11:31 am
UPICs are also required to recommend the revocation of participating providers and suppliers that are non-compliant with Medicare regulations and policies. [read post]
4 Mar 2009, 8:59 pm
Providers whose claims might be reviewed include hospitals (acute care, critical access, and long term care hospitals alike), physician practices, nursing homes, home health agencies, durable medical equipment suppliers, and any other provider or supplier that bills for services or equipment under Medicare Parts A or B. [read post]
12 May 2009, 4:57 pm
The seriousness with which claimants and attorneys must treat Medicare and Medicaid liens is well known. [read post]
30 Jul 2019, 12:17 pm
On July 29, the Centers for Medicare & Medicaid Services (CMS) published three proposed rules for Calendar Year (CY) 2020: Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule; Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule (MPFS); and End State Renal Disease (ESRD) and Durable Medical Equipment Prosthetics, Orthotics and… [read post]
