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5 Nov 2012, 11:34 am
RxAmerica, a subsidiary of CVS Caremark, entered a civil settlement agreement with the federal government and agreed to pay $5.25 million to resolve allegations that the company misrepresented prescription drug costs to seniors and submitted false claims to the Centers for Medicare & Medicaid Services (CMS). [read post]
1 Apr 2011, 7:11 am
On Thursday, March 31, 2011, the Centers for Medicare & Medicaid Services ("CMS") provided the health care community with some much needed guidance by publishing its Proposed Rule regarding the Medicare Shared Savings Program (the "Shared Savings Program") and its Accountable Care Organizations ("ACOs"). [read post]
12 Dec 2008, 3:02 pm
Legal Services for the Elderly, Disabled or Disadvantaged of WNY Inc. www.lsed.org (LSED) (716) 853-3087 Legal services for problems with health care, social security, health care insurances (Medicare & Medicaid), Medicare Part D, nursing home & hospital issues, grandparents rights, protective services, mortgage foreclosures and predatory lending. [read post]
19 Oct 2010, 3:18 am
The SMP programs, also known as Senior Medicare Patrol programs, help Medicare and Medicaid beneficiaries avoid, detect, and prevent health care fraud. [read post]
28 Sep 2009, 1:16 pm
The list of nursing homes from CMS (Centers for Medicare & Medicaid Services) is intended to identify the nursing homes that have had a history of serious quality issues…the sort of thing you might want to know if you're looking for a nursing home for your loved one. [read post]
22 Jun 2017, 7:13 am
Within the five individually filed whistleblower lawsuits, the relators allege that SKG and Sun’s nursing home facilities regularly billed Medicare and Medicaid for hospice services that were provided to beneficiaries who were not qualified to receive them. [read post]
22 Jun 2017, 7:13 am
Within the five individually filed whistleblower lawsuits, the relators allege that SKG and Sun’s nursing home facilities regularly billed Medicare and Medicaid for hospice services that were provided to beneficiaries who were not qualified to receive them. [read post]
2 May 2012, 8:03 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, 8:03 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]
10 Jan 2012, 1:31 am
CMS ISSUES ADDITIONAL HEALTH PLAN WAIVERSOn January 6, the Centers for Medicare & Medicaid Services (CMS) announced that it had granted waivers to 1,231 employer-sponsored health insurance plans that will allow them to continue despite their non-compliance with certain requirements of the Patient Protection and Affordable Care Act (PPACA).Most of the waiver recipients are limited medical benefit (“mini-med”) plans which are usually offered to… [read post]
29 Jan 2008, 7:08 am
Evergreen's corporate defense attorney stressed that, although Medicare and Medicaid funding will officially be cut next month, the state is allowing the center to remain open for now. [read post]
27 Oct 2010, 10:30 am
Since 1991, the RUC has submitted more than 7,000 recommendations to the Centers for Medicare and Medicaid Services (CMS) on the value of physician work. [read post]
9 Aug 2011, 4:04 pm
Late last month the Centers for Medicare and Medicaid Services (CMS) released its latest list of “Special Focus Facilities (SFF). [read post]
2 Feb 2012, 4:58 am
There are 368 new ideas on the table this year, according to a list compiled by the Centers for Medicare & Medicaid Services. [read post]
4 Dec 2007, 5:21 am
The Centers for Medicare and Medicaid Services (CMS) says nearly 21% of nursing-home patients who don't have a psychosis diagnosis are on antipsychotic drugs.Why do nursing homes push antipsychotics on residents who are not psychotic? [read post]
25 May 2011, 11:31 am
On May 9, 2011 in the United States District Court for the District of Arizona, some substantial guidance was obtained on two very important questions affecting the application of the Medicare Secondary Payer Act (“MSP”): 1) Whether or not the Center for Medicare and Medicaid Services (“CMS”) can require prepayment of an MSP reimbursement claim (often times referred to as… [read post]
2 Jan 2009, 12:02 pm
The federal government through the CMS (The Centers for Medicare & Medicaid Services) has placed hundreds of nursing homes on a list of long-term care facilities that it wants to improve systemic issues or face expulsion from the Medicaid program. [read post]
25 Feb 2020, 1:59 pm
Comments may be submitted electronically to www.regulations.gov, or by regular mail to: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-5529-P, P.O. [read post]
17 Aug 2019, 11:56 am
In this case, a well-respected state university health science center filed a self-disclosure with the OIG for submitting claims to Medicare using the NPIs of multiple physicians who did not render or supervise the services at issue. [read post]
13 Sep 2013, 9:19 pm
The government alleged that between 2007 and 2011, the defendants regularly billed for radiation oncology services that were not supervised by a physician, as required by Medicare, Medicaid and TRICARE, and that, in fact, these services were often performed while the defendant doctors were on vacation or were working at another radiation oncology clinic. [read post]
