Search for: "Medicare, Medicaid & Medical Suppliers"
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15 Nov 2022, 7:36 pm
Because Medicare is a government program and the government relies on trustworthy practitioners to provide excellent medical care to potentially vulnerable patients, investigators with the Centers for Medicare and Medicaid Services (CMS) are motivated to find and investigate those who may be acting in ways that are not conducive to Medicare’s overall aims. [read post]
6 Nov 2022, 11:21 pm
In addition, the Second Circuit rejected Pfizer’s argument that the AKS should be read more narrowly than the beneficiary inducement statute (BIS), a civil statute that prohibits a person from offering to a Medicare or Medicaid beneficiary any remuneration that the person knows or should know is likely to influence such individual to order or receive from a particular provider, practitioner, or supplier any item or service for which payment may be made, in whole or… [read post]
26 Sep 2022, 3:46 am
Overview of the Medicare Program and the Use of Incident To Billing: Establishment of the Medicare and Medicaid programs. [read post]
8 Sep 2022, 8:22 am
” The U.S. government alleged that the DME company caused claims to be submitted to Medicare, Medicaid, and TRICARE. [read post]
1 Sep 2022, 5:05 pm
The affected programs were Medicare, Medicaid and TRICARE, which is the health care program for active military and their families.The settlement resolves allegations that Respironics caused DME suppliers to submit claims for ventilators, oxygen concentrators, CPAP and BiPAP machines, and other respiratory-related medical equipment that were false because Respironics provided illegal inducements to the DME suppliers. [read post]
15 Aug 2022, 2:35 pm
The main Medicare prescription drug negotiation provisions do not truly get implemented until 2025-2026. [read post]
14 Aug 2022, 5:34 pm
Starting July 1, 2023, the IRA will also limit to $35 the total monthly contribution by a Medicare Part B beneficiary for insulin purchased through a durable medical equipment (“DME”) supplier. [read post]
7 Jun 2022, 9:46 am
(National CRT supplier) Numotion wanted to replace both wheels at a cost of $300 to Medicaid and 6-8 weeks to get them. [read post]
2 May 2022, 2:12 pm
The Supreme Court took notice that Premier Rehab was subject to these laws because its receipt of Medicare and Medicaid payments qualified as federal financial assistance triggering their applicability. [read post]
19 Apr 2022, 5:05 am
Contents What is the Anti Kickback Statute Key Terms in the Anti Kickback Law AKS Covered Entities Anti-Kickback Statute Safe Harbors Penalties and Enforcement Examples State Anti-Kickback Statutes What is the Anti Kickback Statute The Anti-Kickback Statute is the popular name for The Medicare and Medicaid Fraud and Abuse Statute, 42 U.S.C. [read post]
29 Mar 2022, 5:04 pm
Employer and other group health plan sponsors, fiduciaries, administrators and insurers should prepare their plans and their administrators to respond appropriately to today’s (3/29/2022) U.S. [read post]
28 Mar 2022, 2:03 pm
OSHA is also considering whether to limit explicitly the provisions that provide support for vaccination to employees not covered by the Centers for Medicare & Medicaid Services vaccination rule. [read post]
24 Mar 2022, 12:22 pm
Studies involving an IDE device qualify for Medicare coverage of the device and routine care services and items so long as the study is specifically approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
20 Mar 2022, 9:14 am
Selling, delivering, or refilling orders for medical devices. [read post]
20 Mar 2022, 9:14 am
Selling, delivering, or refilling orders for medical devices. [read post]
3 Mar 2022, 9:32 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other… [read post]
23 Feb 2022, 4:27 am
Revoking a dental practice’s Medicare and Medicaid billing privileges. [read post]
10 Feb 2022, 11:17 am
This post outlines what actions the Centers for Medicare and Medicaid (CMS) or one of its Medicare Administrative Contractors (MAC) may take in response to a provider surrendering their state licensure. [read post]
7 Feb 2022, 10:57 am
Defendants came into competition with Wound Care by providing wound care supply services and began having their physicians add the phrase, “It is not medically necessary to order dressings from any DME supplier for this patient,” to the medical records of their patients. [read post]
3 Feb 2022, 6:00 am
The Centers for Medicare & Medicaid Services (CMS) authorizes several types of contractors to conduct audits, such as Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and the Supplemental Medical Review Contractor (SRMC). [read post]
