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14 Jul 2023, 6:00 am
In particular, the Office of the Medicaid Inspector General, which investigates and recovers improper Medicaid payments on behalf of the Department of Health, needs to review and recover, as appropriate, the $9.6 million in DMEPOS claims identified. [read post]
26 Jan 2011, 1:59 am
The House Republican Study Committee (RSC), made up of 165 House Republicans, unveiled their plan to cut spending: across the board cuts of over 40 percent in every sector of the U.S. government--save for Social Security, Medicare, Medicaid, and the Defense Department. [read post]
3 Jun 2008, 7:00 am
This month’s comment indicates that, after the initial statement of the policy change, the Comptroller's office received questions about the scope of the exclusion. [read post]
18 Jan 2016, 4:11 pm
Also don’t make the minor children beneficiary of big life insurance policies, because they automatically receive when they turn 18. [read post]
4 Oct 2012, 4:22 pm
To have help with these issue in San Diego and nearby California communities feel free to contact the estate planning lawyer at the Law Office of Scott Soady. [read post]
2 Jul 2012, 7:32 pm
Our resources include a broad range of legal, regulatory, compliance, risk management, internal controls and other key information and support to aid management generally as well as industry and discipline specific resources on Management Compliance, Operations & Risk Management; Human Resources, Employee Benefits & Compensation, Health Plans & Insurance; Investigations, Audits & Assessments; Internal & External Controls & Policies;… [read post]
12 Feb 2015, 1:07 pm
The latest report highlights five areas of particular concern to the GAO: Payments and provider incentives in original Medicare (specifically referencing physician feedback reports, physician self-referral policy, high-expenditure Part B drugs, end stage renal disease (ESRD) bundled payments, and low-volume payment adjustments for dialysis facilities); Medicare Advantage (MA) and other Medicare health plans (including concerns about MA plan payment adjustments… [read post]
13 Dec 2022, 11:58 am
The Executive Office of Health and Human Services (EOHHS), which administers the Massachusetts Medicaid program, MassHealth, had previously significantly delayed implementation of its EVV program after a failed attempt at implementation. [read post]
23 Dec 2021, 11:10 am
In November 2020, four months after the Trump Administration issued a series of Executive Orders reiterating its policy goals on reducing the costs to consumers for prescription drugs and directing the Department of Health and Human Services, Office of Inspector General (“HHS-OIG”) to implement those policy objectives, HHS-OIG issued a Final Rule to amend certain provisions in the safe harbor regulations under the Federal Anti-Kickback Statute… [read post]
29 Jul 2010, 8:15 am
Protecting whistleblowers the focus of a policy statement issued by Wayne County [NY]Source: Wayne County web siteWayne County recently issued a policy statement addressing Whistleblower Protections . [read post]
1 Nov 2022, 4:00 am
Department of Health (DOH): Medicaid Program – Improper Overlapping Medicaid and Essential Plan Enrollments (2020-S-66) Weaknesses within DOH’s automated claims processes resulted in recipients who should have been enrolled in either Medicaid or the State’s Essential Plan (EP) being improperly enrolled in both – causing both Medicaid and EP programs to make claim payments on their behalf. [read post]
1 Nov 2022, 4:00 am
Department of Health (DOH): Medicaid Program – Improper Overlapping Medicaid and Essential Plan Enrollments (2020-S-66) Weaknesses within DOH’s automated claims processes resulted in recipients who should have been enrolled in either Medicaid or the State’s Essential Plan (EP) being improperly enrolled in both – causing both Medicaid and EP programs to make claim payments on their behalf. [read post]
22 Jan 2007, 8:47 am
Each state must operate its Medicaid program pursuant to a state plan reviewed and approved by CMS. [read post]
7 Oct 2017, 7:00 am
At the time of the follow up review, the Office of the Medicaid Inspector General (OMIG) was actively investigating the doctor. [read post]
23 Jun 2020, 12:56 pm
A final rule published by the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) significantly scales back nondiscrimination regulations first released in 2016. [read post]
28 Nov 2011, 5:50 am
The Office of Inspector General ("OIG") for the U.S. [read post]
23 Feb 2013, 5:00 pm
The Health Insurance Portability & Accountability Act (HIPAA) generally requires that health care providers, health plans, health care clearinghouses and their businesses associates safeguard personal health care information or “PHI” and restrict its use, access and disclosure in accordance with the extensive and highly detailed requirements of the Privacy, Security and Breach Notification Regulations of the Department of Health & Human Services Office of… [read post]
5 Mar 2016, 1:13 pm
Selected Reports issued by the Office of the State Comptroller during the week ending March 5, 2016Click on text highlighted in color to access the full reportState audits released. [read post]
21 Aug 2012, 8:29 pm
The deductibility of premiums is limited by the age of the taxpayer at the end of the year, as follows (the limits will be adjusted annually with inflation): Age attained before theend of the taxable year Amount allowed as a medical expense in 2011 2012 40 or under $340 $350 41-50 $640 $660 51-60 $1,270 $1,310 61-70 $3,390 $3,500 71 or older $4,240 … [read post]
18 Jun 2012, 8:47 am
HHS has published a proposed rule on accreditation entities for qualified health plans under the ACA. [read post]
