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22 Sep 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law The Centers for Medicare & Medicaid Services (CMS) is implementing a three-year Medicare Pre-Claim Review Demonstration for Home Health Services in the states of Illinois, Florida, and Texas Michigan and Massachusetts. [read post]
22 Sep 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law The Centers for Medicare & Medicaid Services (CMS) is implementing a three-year Medicare Pre-Claim Review Demonstration for Home Health Services in the states of Illinois, Florida, and Texas Michigan and Massachusetts. [read post]
22 Sep 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law The Centers for Medicare & Medicaid Services (CMS) is implementing a three-year Medicare Pre-Claim Review Demonstration for Home Health Services in the states of Illinois, Florida, and Texas Michigan and Massachusetts. [read post]
21 Sep 2016, 5:02 pm by Sabrina I. Pacifici
Using data from a 5% sample of Medicare prescription drug event claims from the Centers for Medicare & Medicaid Services (CMS) Chronic Conditions Data Warehouse, we analyze EpiPen spending, in the aggregate and per user, in Medicare Part D between 2007 (the year after the drug benefit took effect, and the year Mylan acquired the product) and 2014 (the most recent year of data available). [read post]
21 Sep 2016, 8:34 am by Wachler & Associates, P.C.
”  Noridian purports that this policy will help it to fulfill its obligations to the Centers for Medicare and Medicaid Services (CMS) by assuring that all Medicare claims are for medically necessary and reasonable services. [read post]
21 Sep 2016, 8:34 am by Wachler & Associates, P.C.
”  Noridian purports that this policy will help it to fulfill its obligations to the Centers for Medicare and Medicaid Services (CMS) by assuring that all Medicare claims are for medically necessary and reasonable services. [read post]
21 Sep 2016, 8:15 am by Michael B. Stack
The organization also would like to see the Centers of Medicare and Medicaid Services follow its own Part D guidelines when reviewing and approving Workers’ Compensation Medicare Set-Asides (WCMSAs). [read post]
19 Sep 2016, 9:02 am by Michelle Capezza
  Also reporting is not required for supplemental coverage where the employee is already covered by minimum essential coverage for which reporting is required or through Medicare, TRICARE or Medicaid. [read post]
16 Sep 2016, 5:00 am by Marc Neff
The Centers for Medicare and Medicaid Services (CMS) suspected Melgen had overbilled Medicare for $8.9 million from 2007 to 2008 via “multi-dosing,” which results in receiving Medicare reimbursements for more vials of a drug than actually used. [read post]
14 Sep 2016, 10:15 pm by Robert Kraft
Food and Drug Administration and the Centers for Medicare and Medicaid Services. [read post]
14 Sep 2016, 6:30 am by Michael B. Stack
  The voluntary Medicare Set-aside review process established by the Centers for Medicare and Medicaid Services (CMS) compounds this problem. [read post]
13 Sep 2016, 2:42 pm by Barry Rosen
Last year, the Centers for Medicare and Medicaid Services (CMS) published new exceptions and interpretations of the federal physician self-referral law (Stark Law) and clarifications to Medicare “incident to” billing rules. [read post]
12 Sep 2016, 10:00 am
In 2015, the Centers for Medicare and Medicaid Services (CMS) estimated that nearly $60 billion in taxpayer money was lost to fraud, abuse, waste, and improper payments.... [read post]
12 Sep 2016, 10:00 am
In 2015, the Centers for Medicare and Medicaid Services (CMS) estimated that nearly $60 billion in taxpayer money was lost to fraud, abuse, waste, and improper payments.... [read post]
12 Sep 2016, 10:00 am
In 2015, the Centers for Medicare and Medicaid Services (CMS) estimated that nearly $60 billion in taxpayer money was lost to fraud, abuse, waste, and improper payments.... [read post]
12 Sep 2016, 6:07 am by Edward J. Cyran
The Hospital made the following kickbacks to Kuchipudi:  (1) it covered the costs of the physician assistants (PAs) and nurse practitioners (NPs) who exclusively treated Kuchipudi’s patients, while allowing Kuchipudi to bill Medicare and Medicaid for the services of the PAs and NPs treating his patients; (2) it inappropriately paid him rent payments; and (3) it paid him bogus teaching fees. [read post]
12 Sep 2016, 5:09 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has released a long-awaited final rule establishing emergency preparedness requirements for Medicare- and Medicaid-participating providers and suppliers to ensure that they can meet the needs of patients and residents during emergency situations, both natural and man-made. [read post]
10 Sep 2016, 6:18 pm by Thaddeus Mason Pope, JD, PhD
Suggested topics include: •Collaboration between oncologists, intensivists, and other specialties caring for cancer patients in the ICU  •Use of multidisciplinary teams and models for best practices•Moral distress and clinical burnout among oncologists•Advance care planning•Role of clinical ethicists in care planning and management•Legal barriers to good end of life care for cancer patients•Working with physician/medical orders for life sustaining… [read post]
9 Sep 2016, 1:30 pm by Laura Ray
Centers for Medicare & Medicaid Services (CMS) currently does not have the authority to collect data from drug manufacturers on patient coupon discounts. [read post]
When his concerns went unresolved, he emailed the Center for Medicare & Medicaid Services directly, again without authorization from the partners. [read post]