Search for: "United States Centers for Medicare and Medicaid Services, Administrator for" Results 181 - 200 of 572
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10 Apr 2024, 5:08 pm by jeffreynewmanadmin
inline The complaint alleges that Regeneron fraudulently inflated Medicare reimbursement rates for Eylea by knowingly submitting false average sales price reports to the Centers for Medicare and Medicaid Services that excluded certain price concessions. [read post]
22 Jan 2007, 7:32 am
The Centers for Medicare and Medicaid Services (CMS) in its fiscal year report for 2005 documented that $484.3 billion had been spent in the fiscal year 2005. [read post]
12 Sep 2020, 11:46 am by Robert Liles
While most health care and providers obtained a temporary reprieve from, Medicare, Medicaid and private payor administrative audits[1], many state and federal law enforcement agencies (such as the Federal Bureau of Investigation (FBI), the Department of Health and Human Services, Office of Inspector General (OIG), state Medicaid Fraud Control Units (MFCUs) have continued to investigate allegations of wrongdoing against sober… [read post]
11 May 2023, 2:09 pm by Brenda Oliver and Manda Brefo
In addition to ending the travel restrictions, the Biden Administration also announced that the COVID-19 vaccination requirements for federal employees and federal contractors will end May 11, and the Administration will start the process to end the vaccination requirement for head start educators and CMS (Centers for Medicare and Medicaid Services)-certified facilities. [read post]
20 May 2018, 2:26 pm by Robert Liles
  As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
30 Aug 2017, 7:31 am by Ben Vernia
Thirty state Medicaid Fraud Control Units also participated in today’s arrests. [read post]
20 May 2018, 2:26 pm by Robert Liles
  As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
1 Dec 2012, 12:00 pm
Many of our agencies -- including the Centers for Disease Control and Prevention, the National Institutes of Health, the Health Resources and Services Administration, the Food and Drug Administration, and the Substance Abuse and Mental Health Services Administration; as well as our Office of Global Affairs -- conduct global HIV activities as PEPFAR implementers. [read post]
28 Feb 2013, 10:33 am by Jon Gelman
The Inspector General of the Centers for Medicare and Medicaid Services (CMS) recognized this deficiency decades ago in a report concerning deficient in enforcement of the Medicare Secondary Payer Act (MSP). [read post]
2 May 2012, 3:05 am by Ben Vernia
Peter Budetti, Deputy Administrator for Program Integrity of the Centers for Medicare and Medicaid Services (CMS). [read post]
25 Jan 2009, 1:17 pm by Kenneth Vercammen NJ Law Blog
”On of the losing plaintiffs in this case has filed a lawsuit in the United State District Court for the District of New Jersey seeking to force the NJ Department of Human Services and Division of Medical Assistance and Health Services to change this policy and permit Medicaid eligibility. [read post]
25 Jan 2017, 4:25 am by Debra A. McCurdy
A major Centers for Medicare & Medicaid Services final rule published January 3, 2017 establishes mandatory Medicare episode payment models (EPM) for acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment procedures furnished in designated geographic areas. [read post]
12 Aug 2022, 4:24 am by Ashley Morgan
Nevertheless, at this time, the Centers for Medicare and Medicaid (CMS) has not specifically approved the coverage of amniotic liquid allografts. [read post]
4 Dec 2020, 11:09 am by Lebowitz & Mzhen
During the Obama administration, the Centers for Medicare and Medicaid Services precluded nursing homes from asking residents to sign pre-admission arbitration contracts. [read post]
  In a separate 5-4 decision, the Court permitted an interim rule issued by the Centers for Medicare & Medicaid Services (“CMS”) that requires COVID-19 vaccination for workers in hospitals, nursing homes, and other healthcare facilities that receive Medicare and Medicaid funding. [read post]
7 Jun 2014, 7:45 am by The Public Employment Law Press
 Department of Health, Medicaid Program: Medicaid Payments Made Pursuant to Medicare Part C  (2012-S-133)  During the audit period, auditors found Medicaid could have saved up to $69 million if it limited payments of Medicare Part C cost-sharing liabilities such that the total Medicare and Medicaid payment for a service did not exceed Medicaid's normal service fee. [read post]
26 Sep 2022, 3:46 am by Robert Liles
In 1977, Joseph Califano (the Secretary, HEW), on orders from President Jimmy Carter, created that Health Care Financing Administration (HCFA).[8] When HCFA was first created, its primary mission was to consolidate the management and administration of the Medicare and Medicaid programs under a single authority.[9] On June 14, 2001, HCFA was renamed the Centers for Medicare & Medicaid Services (CMS). [read post]
23 Jun 2016, 7:03 am by Ben Vernia
  Twenty-three state Medicaid Fraud Control Units also participated in today’s arrests. [read post]
27 Jul 2012, 11:15 am by Lucas A. Ferrara, Esq.
The following organizations and government agencies are among the first to join this partnership: America's Health Insurance Plans Amerigroup Corporation Blue Cross and Blue Shield Association Blue Cross and Blue Shield of Louisiana Centers for Medicare & Medicaid Services Coalition Against Insurance Fraud Federal Bureau of Investigations Health and Human Services Office of Inspector General Humana Inc. [read post]