Search for: "Medicare, Medicaid & Medical Suppliers"
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9 Feb 2012, 8:35 am
The Centers for Medicare and Medicaid Services (CMS) has now posted Self-Referral Disclosure Protocol (SDRP) settlements on the CMS website. [read post]
5 Jul 2023, 5:46 am
On June 6, 2023, the Center for Medicare and Medicaid Services (“CMS”) released a Quality Safety & Oversight memorandum (“QSO Memo”) reminding state survey agencies, accrediting organizations, and hospitals of the requirements for discharges and transfers to post-acute care (“PAC”) providers. [read post]
19 Jun 2010, 12:32 am
With our share of this critical new funding, OIG will expand our Medicare and Medicaid investigations, audits, evaluations, enforcement, and compliance activities to support our health care program integrity efforts. [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]
22 Feb 2023, 7:17 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare-related final rule invoking the agency’s statutory authority to promulgate retroactive rules after finding that failure to apply the final rule retroactively would be “contrary to the public interest. [read post]
17 Feb 2010, 12:25 pm
The Centers for Medicare & Medicaid Services (CMS) has issued new "Telemarketing FAQs" to supplement the Office of Inspector General's (OIG) recent revisions to its Special Fraud Alert on Telemarketing by Durable Medical Equipment Suppliers. [read post]
13 Sep 2011, 12:34 pm
While the automated and complex reviews are familiar to most providers and suppliers, it is the semi-automated review that is the newest type of review authorized by CMS. [read post]
3 Jun 2020, 1:07 pm
The expanded availability of these Medicaid providers has therefore made it less likely that Medicaid patients would seek care for non-emergent medical conditions from hospital emergency rooms. [read post]
10 May 2007, 5:00 am
Two of Moreno's companies - Brenda Medical Supply Inc., and Faster Medical Equipment Inc. - allegedly billed Medicare for more than $1.9 million for services that were not medically necessary. [read post]
13 Dec 2023, 1:00 am
COMPANY AGREES TO PAY $200,000 TO RESOLVE FALSE CLAIMS ACT ALLEGATIONSA Kentucky medical equipment supplier, known as Oxygen Plus, Inc., recently agreed to resolve a False Claims Act claim brought against the company for $200,000.From 2017 to 2021, the company allegedly submitted some 300 false claims to Medicare and Medicaid for respiratory devices, called non-invasive ventilators, that patients “did not need or use. [read post]
12 May 2007, 12:48 pm
In addition to the $4 million payment, the San Antonio based wheelchair supplier also has given up many millions more in pending claims for reimbursement to Medicare. [read post]
3 Apr 2013, 11:47 am
The WCRG continues a series of Medicare legislative and regulatory compliance initiatives which also include the Medicare, Medicaid and SHIP Extension Act (MMSEA) and the Strengthening Medicare and Repaying Taxpayers Act (SMART Act). [read post]
12 Nov 2010, 12:59 am
The Data Bank collects information on and maintains reports on the following: Medical malpractice payments Adverse licensure and certification actions Adverse clinical privilege actions Adverse professional society membership actions Health care-related criminal convictions and civil judgments and other adjudicated actions Medicare/Medicaid exclusions Other adjudicated actions against practitioners, providers, and suppliers … [read post]
26 Apr 2013, 7:18 am
On Thursday, April 25, 2013, the Centers for Medicare and Medicaid Services announced that it would delay implementing Phase 2 of its Ordering and Referring Physician Claims Editing program due to technical difficulties. [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]
26 Jul 2018, 7:38 am
On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) published its calendar year (CY) 2019 proposed rule for Medicare payment updates and proposed quality reporting changes for home health agencies (HHA) under the home health prospective payment system (HH PPS). [read post]
13 Jul 2012, 8:01 am
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare… [read post]
22 Sep 2020, 8:07 am
From a practical standpoint, being excluded from the Medicare and Medicaid programs will make it extremely difficult for the Registered Nurse to find employment. [read post]
28 Jun 2012, 1:09 pm
CMS has outlined conditions for provider use of certain repackaged medications. [read post]
30 May 2013, 10:34 am
The Center for Medicare and Medicaid Innovation. [read post]
