Search for: "Medicare, Medicaid & Medical Suppliers"
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12 Oct 2016, 7:09 am
According to the allegations made against each of the defendants, the clinics would purchase osteoarthritis medications from these overseas suppliers and prescribe these medications to patients who had Medicare or Medicaid. [read post]
13 Sep 2016, 5:20 am
A recent OIG report again focused on Medicare payment for drugs infused through durable medical equipment, which is based on 95% of the average wholesale prices (AWP). [read post]
31 Jul 2016, 9:30 pm
But state Medicaid programs remain under pressure from the federal Centers for Medicare and Medicaid Services (CMS) to make sure any limits placed on access to the drugs are “reasonable. [read post]
19 Jul 2016, 8:42 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare physician fee schedule (MPFS) for calendar year (CY) 2017. [read post]
4 Jul 2016, 8:31 am
CMS also requests comments on a series of issues related to timely access to DME benefits for individuals dually eligible for Medicare and Medicaid. [read post]
4 Jul 2016, 8:30 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2017. [read post]
23 Jun 2016, 7:03 am
* * * According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare and Medicaid for treatments that were medically unnecessary and often never provided. [read post]
16 Jun 2016, 7:17 am
* * * The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid or TRICARE. [read post]
18 May 2016, 1:13 pm
These free services were supposedly given to durable medical equipment (DME) suppliers who bought sleep apnea masks from the Pennsylvania company during the period from April 2012 to November 2015. [read post]
18 May 2016, 1:13 pm
These free services were supposedly given to durable medical equipment (DME) suppliers who bought sleep apnea masks from the Pennsylvania company during the period from April 2012 to November 2015. [read post]
18 May 2016, 1:13 pm
These free services were supposedly given to durable medical equipment (DME) suppliers who bought sleep apnea masks from the Pennsylvania company during the period from April 2012 to November 2015. [read post]
18 May 2016, 1:13 pm
These free services were supposedly given to durable medical equipment (DME) suppliers who bought sleep apnea masks from the Pennsylvania company during the period from April 2012 to November 2015. [read post]
20 Apr 2016, 8:21 pm
The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid or TRICARE. [read post]
29 Mar 2016, 7:55 am
HEAT, a partnership between the Secretary of Health and Human Services and the Attorney General, focuses primarily on reducing and preventing fraud against Medicare and Medicaid. [read post]
24 Mar 2016, 10:44 am
CMS has released a complex and controversial plan – the Part B Drug Payment Model — to test new Medicare payment methods for certain Part B drugs to determine whether alternative payment designs will reduce Medicare expenditures while preserving or enhancing the quality of care provided to Medicare beneficiaries. [read post]
29 Feb 2016, 7:16 am
On March 1, 2016, CMS is publishing a proposed rule that would make a variety of changes to the Medicare, Medicaid, and CHIP provider and supplier enrollment requirements. [read post]
25 Feb 2016, 3:45 pm
On February 25, 2016, the Office of Medicare Hearings and Appeals (OMHA) hosted a Medicare Appellant Forum for Part A and B providers and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers with important updates on management of the appeals backlog within OMHA, the Centers for Medicare & Medicaid Services (CMS) and Departmental Appeals Board (DAB) launch of the Appellant Public Portal, and the Phase III rollout… [read post]
19 Feb 2016, 1:42 pm
Because the term “DME” is used differently under the Medicare and Medicaid programs, CMS uses the term “medical supplies, equipment, and appliances” or, alternatively, “medical equipment” in the final rule. [read post]
3 Feb 2016, 10:03 am
The Work Plan is a great resource for Medicare and Medicaid healthcare providers, suppliers and other healthcare government contractors to help identify internal areas of compliance on which to focus in the upcoming year. [read post]
11 Jan 2016, 3:00 am
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (PA) for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
