Search for: "Medicare, Medicaid & Medical Suppliers" Results 181 - 200 of 468
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10 Dec 2018, 7:19 am by Robert Liles
”While this study focused on Medicaid patients only, the same fears can be mirrored for all patients. [read post]
7 Dec 2018, 4:55 am by Cynthia Marcotte Stamer
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and… [read post]
3 Dec 2018, 1:21 pm by Robert Liles
Patient Brokering Involving Individuals Covered by Medicare or Medicaid.Regardless of the provider type or treatment setting, when associated with care reimbursed by Medicare or Medicaid, improper patient brokering may constitute a violation under the Federal Anti-Kickback Statute. [read post]
The Centers for Medicare & Medicaid Services has confirmed that it expects to have a “temporary gap” in the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program (CBP) during calendar years 2010-2020. [read post]
6 Nov 2018, 10:56 am by Cynthia Marcotte Stamer
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and… [read post]
5 Nov 2018, 3:06 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services’ (CMS) final calendar year 2019 Medicare home health prospective payment system (HH PPS) rule boosts rates by 2.2% next year and ushers in broader case-mix methodology reforms for 2020. [read post]
4 Oct 2018, 8:17 am by Robert Liles
Home Health Providers Under the Microscope — The Review Choice Demonstration Project is Here(October 4, 2018):  Last week, the Centers for Medicare & Medicaid Services (CMS), confirmed that it intends to initiate the Review Choice Demonstration for Home Health Services project on December 10, 2018. [read post]
25 Sep 2018, 1:49 pm by Debra A. McCurdy
CMS has issued a proposed rule intended streamline the Medicare and Medicaid regulatory burden on numerous types of providers and suppliers. [read post]
10 Sep 2018, 7:49 pm by Cynthia Marcotte Stamer
Stamer has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group a [read post]
26 Jul 2018, 7:38 am by Thomas Dowdell (US)
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]
16 Jul 2018, 12:47 pm by Robert Liles
  UPICs are tasked with investigating instances of suspected fraud, waste, and abuse in the Medicare and Medicaid programs. [read post]
16 Jul 2018, 12:47 pm by Robert Liles
  UPICs are tasked with investigating instances of suspected fraud, waste, and abuse in the Medicare and Medicaid programs. [read post]
16 Jul 2018, 4:12 am by Debra A. McCurdy
  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]
13 Jul 2018, 10:37 pm by Cynthia Marcotte Stamer
A flurry of activity in the House Ways & Means Committee and other Congressional committees over the past few weeks signals the advisability of keeping a close eye on health care and health benefit reform proposals this Summer in anticipation of both the Fall health benefit enrollment and renewal season and the mid-term November Congressional elections. [read post]
12 Jul 2018, 1:13 pm by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2019. [read post]
12 Jul 2018, 12:00 pm by Robert Liles
  It was alleged that the OB/GYN submitted thousands of claims for pelvic floor therapy training services to the Medicare and Medicaid programs that were either never provided, or were otherwise false or fraudulent.IV. [read post]
12 Jul 2018, 12:00 pm by Robert Liles
  It was alleged that the OB / GYN submitted thousands of claims for pelvic floor therapy training services to the Medicare and Medicaid programs that were either never provided, or were otherwise false or fraudulent.IV. [read post]
3 Jul 2018, 9:00 am by Robert Liles
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]
26 Jun 2018, 7:28 am by Michael Cook
  As we reported last April, the Centers for Medicare and Medicaid Services (CMS) announced in its Final Call Letter for bids from plans that participate in the Medicare Advantage program (MA) for 2019. [read post]