Search for: "Medicare, Medicaid & Medical Suppliers"
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8 Jun 2018, 12:32 pm
Drug makers are not allowed to directly cover prescription copayments for Medicare or Medicaid beneficiaries, although they can donate to bona fide independent charities. [read post]
6 Jun 2018, 6:37 am
In September 2016 the Centers for Medicare & Medicaid Services (CMS) published the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers final rule. [read post]
20 May 2018, 2:26 pm
It is important to keep in mind that an excluded party is not merely barred from participating in Medicare, Medicaid and other Federal health benefit programs. [read post]
20 May 2018, 2:26 pm
It is important to keep in mind that an excluded party is not merely barred from participating in Medicare, Medicaid and other Federal health benefit programs. [read post]
CMS Announces Temporary Fee Schedule Increase for Certain Medical Equipment Furnished in Rural Areas
11 May 2018, 1:09 pm
Today the Centers for Medicare & Medicaid Services (CMS) published an interim final rule with comment period that will provide a temporary Medicare rate hike for certain durable medical equipment (DME) and enteral nutrition furnished in rural and non-contiguous areas of the country (Alaska, Hawaii, and U.S. territories) that are not included in competitive bidding. [read post]
10 May 2018, 9:54 am
CMS solicits public comments on the possible establishment of CMS patient health and safety requirements for hospitals and other Medicare-and Medicaid-participating providers and suppliers for interoperable EHR and systems for electronic health care information exchange, along with ways to address barriers that prevent patients from being able to access and control their medical records. [read post]
27 Apr 2018, 1:24 pm
Revamping the Medicare and Medicaid EHR Incentive Programs CMS proposes substantive changes to the Medicare and Medicaid EHR Incentive Programs. [read post]
12 Apr 2018, 8:48 am
(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes a variety of private contractors to process Medicare claims and conduct both administrative and program integrity audits of claims submitted by healthcare providers and suppliers. [read post]
12 Apr 2018, 3:00 am
The Centers for Medicare and Medicaid Services (CMS) issued guidance, which imposes a new timeline and requirements on these contractors effective March 1, 2018. [read post]
8 Apr 2018, 7:19 pm
(Ref: 7/11/05 Memo Q13) Effect of WCMSA on Medicaid Eligibility Medicaid Social Security Income (SSI) is a need-based benefit. [read post]
7 Apr 2018, 8:41 am
Clinics submitting false claims to Medicare and Medicaid for physical and occupational therapy. [read post]
2 Apr 2018, 7:37 am
At last estimate, Medicare Administrative Contractors (MACs) processed an estimated 1.2 billion claims on behalf of America’s seniors.[2] As the Medicare program has grown, the Centers for Medicare and Medicaid Services (CMS) has employed a variety of different claims audit mechanisms to better ensure that the Medicare Trust Fund is protected from waste, fraud and abuse. [read post]
27 Mar 2018, 8:27 am
In the world of litigation healthcare providers can potentially fall victim to the False Claims Act (“FCA”) when they file medical claims for reimbursement from either Medicaid or Medicare. [read post]
27 Mar 2018, 8:27 am
In the world of litigation healthcare providers can potentially fall victim to the False Claims Act (“FCA”) when they file medical claims for reimbursement from either Medicaid or Medicare. [read post]
16 Feb 2018, 5:39 am
Other proposals aim to streamline Medicare program rules for providers and suppliers. [read post]
26 Jan 2018, 9:43 am
Some state medical boards choose not to publicly release information about a first-time offense. [read post]
26 Dec 2017, 7:08 pm
The department’s health care fraud recoveries restore valuable assets to federally funded programs, such as Medicare, Medicaid, and TRICARE. [read post]
16 Nov 2017, 5:57 am
Delays AUC Requirement until 2020, Cuts Off-Campus Hospital Department Payments The Centers for Medicare & Medicaid Services (CMS) has published its final Medicare physician fee schedule (PFS) rule for CY 2018. [read post]
7 Nov 2017, 8:19 am
DOJ’s comments are notable, however, because the credit balances not only involved Medicare and Medicaid, but also TRICARE and the Department of Veterans Affairs, both of which are outside the scope of the 60-Day Overpayment Statute. [read post]
19 Jul 2017, 2:31 am
Foundations Health Solutions (“FHS”), Olympia Therapy (“Olympia”), and Tridia Hospice Care (“Tridia”), Ohio-based healthcare companies, and their executives, Brian Colleran and Daniel Parker, recently agreed to pay approximately $19.5 million to resolve allegations relating to the the submission of false claims for medically unnecessary therapy and end-of-life hospice services to Medicare and the State of Ohio’s Medicaid program. [read post]
