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13 Sep 2016, 5:20 am
A recent OIG report again focused on Medicare payment for drugs infused through durable medical equipment, which is based on 95% of the average wholesale prices (AWP). [read post]
16 Jul 2018, 4:12 am
Therefore beginning January 1, 2019, beneficiaries may receive DMEPOS items from any Medicare-enrolled supplier until such time as new CBP contracts are awarded. [read post]
3 Feb 2016, 10:03 am
The Work Plan is a great resource for Medicare and Medicaid healthcare providers, suppliers and other healthcare government contractors to help identify internal areas of compliance on which to focus in the upcoming year. [read post]
31 Dec 2015, 1:11 pm
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule earlier this week, which created prior authorization rules applicable to particular durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
20 Aug 2013, 2:39 am
The Centers for Medicare and Medicaid Services will stop approving new or pending applications for ground ambulance suppliers in eight area counties including Harris – the nation’s leader in the number of private Emergency Medical Service providers. [read post]
13 Nov 2012, 2:05 pm
On November 1, 2012, the Centers for Medicare and Medicaid Services (CMS) published its final rule detailing the durable medical equipment (DME) face-to-face encounter requirements. [read post]
21 Nov 2016, 2:46 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (MPFS) for calendar year (CY) 2017. [read post]
14 Jan 2013, 7:55 am
Major Department of Health and Human Services (HHS) regulations are highlighted after the jump.An HHS Office of Inspector General (OIG) proposed rule that would add new/modify existing safe harbors under the anti-kickback statute; add new/revise existing regulations governing OIG's authority to impose civil money penalties and assessments; add new/revise existing regulations governing OIG's exclusion authority; and codify new exceptions to the beneficiary inducement prohibition (expected July… [read post]
25 Sep 2020, 11:41 am
Medicare Revocation Actions for the Failure to Provide Medical Records Have Typically Sought a 10-Year Re-Enrollment Bar. [read post]
16 Feb 2018, 5:39 am
Other proposals aim to streamline Medicare program rules for providers and suppliers. [read post]
2 Dec 2021, 8:18 am
As we previously reported, the Centers for Medicare and Medicaid Services’ (CMS) interim final rule (“the Rule”) requiring full COVID-19 vaccination for staff and others at Medicare- and Medicaid-certified providers and suppliers (i.e., the “vaccine mandate”) has been challenged in the U.S. [read post]
15 Nov 2021, 2:26 pm
Alternatively, commenters may submit comments by mail to: Regular Mail: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-3415-IFC, P.O. [read post]
18 Nov 2021, 11:55 am
As we previously reported, effective November 5, 2021, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (the Rule) requiring full COVID-19 vaccination for staff and others at Medicare- and Medicaid-certified providers and suppliers as a Condition of Participation by January 4, 2022. [read post]
16 Feb 2024, 2:35 pm
., a durable medical equipment supplier with locations throughout the country. [read post]
14 Feb 2012, 11:13 am
On February 7, 2012, The Centers for Medicare and Medicaid Services (CMS) released a Request for Comments regarding two demonstration programs it intends to conduct. [read post]
6 May 2010, 8:10 am
For instance, at Section 6401(a)(7), the Act creates mandatory compliance programs for providers enrolled in Medicare and Medicaid. [read post]
20 May 2009, 12:09 pm
While the initial focus will be on suppliers of Durable Medical Equipment with home health agencies likely to follow, all providers who significantly rely upon Medicare and Medicaid funding located in these targeted geographic areas are well advised to review their practices for compliance with Medicare and Medicaid regulations and policies. [read post]
11 Apr 2023, 11:05 am
Many Medicare Advantage plans include prescription drug coverage, which can be convenient for patients who take multiple medications. [read post]
1 Nov 2012, 6:02 am
The Miami area is among the nation’s highest when it comes to the commission of Medicare fraud, particularly involving the areas of mental health, physical health, nursing homes, home health care, and durable medical equipment suppliers. [read post]
3 Jul 2018, 9:00 am
The UPICs Integrate the program integrity functions for audits and investigations across Medicare and Medicaid, and assure that CMS’s National priorities for both Medicare and Medicaid are executed and supported at the state level or within the UPIC jurisdiction. [read post]
