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8 Jun 2020, 7:20 am
On June 2, 2020, the staffs of the Federal Trade Commission’s (FTC) Office of Policy Planning, Bureau of Economics, Bureau of Competition and Office of the General Counsel submitted a comment to the Centers for Medicare & Medicaid Services (CMS) on its Interim Final Rule regarding policy and regulatory revisions in response to the COVID-19 public health emergency. [read post]
24 Aug 2010, 1:11 pm
While the Centers for Medicare and Medicaid Services (CMS) have prohibited hospitals from recovering payment for the treatment of secondary conditions acquired in the hospital, practically, these charges are often submitted and paid by Medicare long before and attorney becomes involved and makes a claim for medical malpractice. [read post]
2 Jul 2013, 9:56 am
According to the report, the Centers for Medicare and Medicaid Services (CMS) agreed to the OIG's urge to heighten monitoring over Part D prescribers. [read post]
19 Mar 2019, 11:30 am
First, the Centers for Medicare & Medicaid Services (“CMS”) proposes to change how insurance plans and PBMs conduct drug utilization management and structure drug formularies. [read post]
20 Jul 2021, 5:58 am
Based on an audit by the Office of Inspector General (OIG), the Centers for Medicare & Medicaid Services (CMS), required hospitals to investigate and report any overpayments from the last six years related to manufacturing credits for replaced cardiac medical device implants. [read post]
30 Jun 2010, 6:04 am
The Centers For Medicare and Medicaid Services (CMS) has published the CY2011 Proposed Medicare Physician Fee Schedule for public inspection. [read post]
14 May 2014, 9:00 am
On May 7, 2014, the Centers for Medicare and Medicaid Services (“CMS”) issued a Final Rule to reform Medicare regulations identified as “unnecessary, obsolete, counterproductive or excessively burdensome” to hospitals and other health care providers. [read post]
6 May 2009, 7:37 am
You may mail written comments to the following address ONLY: Centers for Medicare &Medicaid Services, Department of Health and Human Services, Attention: CMS-2287-P2, P.O. [read post]
24 May 2011, 6:40 am
I was recently researching the physician signature requirements under the Medicare program and found this resource outlining some of key questions and answers around the requirements.The Centers for Medicare & Medicaid Services Medicare Learning Network has issued a fact sheet on Comprehensive Error Rate Testing (CERT) Signature Requirements with the Q and A. [read post]
3 Aug 2012, 7:52 am
., Board Certified by The Florida Bar in Health LawOn July 31, 2012, the Centers for Medicare and Medicaid Services (CMS) announced on its website that hospitals should brace themselves for prepayment audits beginning August 27, 2012.The CMS originally announced the Recovery Audit Prepayment Review (RAPR) Demonstration Project in November of 2011 for a January 1, 2012 start date, then delayed it to June 1, 2012, then again to, “summer of 2012. [read post]
2 May 2012, 6:59 pm
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
2 May 2012, 6:59 pm
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
5 Mar 2012, 3:17 pm
Medicare is administered by the US Department of Health and Human Services through the Centers for Medicare & Medicaid services (“CMS”). [read post]
12 Feb 2019, 11:17 am
” As the federal agency that oversees Medicaid, the Centers for Medicare & Medicaid Services (CMS) monitors state compliance with federal requirements. [read post]
6 Oct 2023, 1:46 pm
As part of that process, the Centers for Medicare & Medicaid Services (CMS) has announced a series of patient-focused listening sessions as part of the Medicare Drug Price Negotiation Program. [read post]
21 Sep 2020, 5:42 am
On September 15, 2020, the Centers for Medicare & Medicaid Services (CMS) announced $75,000,000 in grants for rural providers. [read post]
9 Jan 2021, 2:00 pm
Eight Elements of a Payable Claim are an Essential Tool When Preparing for a UPIC Audit (Updated January 9, 2021): Each year, our attorneys and paralegals review and assess literally thousands of Medicare claims which have been audited (and denied) by Unified Program Integrity Contractors (UPICs) and other contractors working for the Centers for Medicare and Medicaid Services (CMS). [read post]
3 Oct 2018, 6:39 pm
The Centers for Medicare & Medicaid Services (“CMS”) recently announced a review of Inpatient Rehabilitation Facilities (“IRFs”) that will focus on the “reasonable and necessary” requirement that IRFs are required to meet. [read post]
18 Dec 2008, 10:11 am
Tennessee nursing homes rank No. 48 (beating only Louisiana and Georgia), according to new survey information out from the Centers for Medicare and Medicaid Services. [read post]
21 May 2019, 4:58 pm
Prosecutors will often claim in these type of cases that the elderly on Medicare are being short-changed on care which can be used to persuade the jury that these are serious offenses even where quality of care is not an issue.In addition to imprisonment, the Court ordered both defendants to pay a total of $1,054,839 in restitution to the Centers for Medicare and Medicaid Services. [read post]
