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28 Jul 2023, 2:00 am
Boynton, head of the Justice Department’s Civil Division, noted, “Federal health care programs only pay for items or services that are reasonable and medically necessary …. [read post]
27 Jul 2023, 12:58 pm by Arthur J. Fried
At the same time, the Departments of Health and Human Services and Homeland Security began the process to end vaccination requirements for Head Start educators, and Centers for Medicare and Medicaid Services (CMS)-certified healthcare facilities, and certain non-citizens at the land border. [read post]
21 Jul 2023, 2:00 am
Department of Justice, S.K., (45), of Miramar, Florida, was recently convicted of “conspiracy to commit health care fraud and wire fraud” for bilking Medicare out of more than $50 million for lidocaine and diabetic testing supplies that patients didn’t need or want.Among other things, S.K. was accused of helping his co-conspirators evade detection by concealing their scheme in several different ways, and using his position as “chief compliance… [read post]
The directory is available to all insured patients, both those in the commercial markets and those insured in federal health plans, like Medicare or Medicaid. [read post]
18 Jul 2023, 6:49 am by jeffreynewmanadmin
Schrank of the Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement. [read post]
17 Jul 2023, 10:00 pm by Sherica Celine
Rely on Practical Guidance – Healthcare to ensure compliance with EMTALA’s requirement that Medicare-participating hospitals and health systems offering emergency services provide emergency care to individuals who come to the emergency department, regardless of their ability to pay. [read post]
16 Jul 2023, 10:41 pm by Robin E. Kobayashi
LexisNexis has selected some of the top “noteworthy” panel decisions issued by the California Workers’ Compensation Appeals Board during the period January through June 2023. [read post]
14 Jul 2023, 1:57 pm by luiza
This week’s Department of Justice (DOJ) Catch of the Week goes to electronic health record (EHR) technology vendor NextGen Healthcare Inc. [read post]
14 Jul 2023, 6:00 am by Public Employment Law Press
  New York State Health Insurance Program – CVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service (2022-S-1) The Department of Civil Service has contracted with CVS Health to administer the Empire Plan’s prescription drug program. [read post]
14 Jul 2023, 6:00 am by Public Employment Law Press
  New York State Health Insurance Program – CVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service (2022-S-1) The Department of Civil Service has contracted with CVS Health to administer the Empire Plan’s prescription drug program. [read post]
12 Jul 2023, 1:09 pm by jeffreynewmanadmin
On March 21, 2019, the United States Department of Justice (DOJ) announced that MedStar Health, a health system in Maryland and Washington, D.C., and two of its hospitals agreed to pay $35 million to settle allegations that they violated the False Claims Act by paying kickbacks to a cardiology group in exchange for patient referrals through a series of professional service agreements, and submitting false claims to Medicare for medically unnecessary cardiology… [read post]
9 Jul 2023, 9:05 pm by Laura Dolbow
Department of Health and Human Services to negotiate the price of a narrow set of single source drugs that Medicare reimburses. [read post]
5 Jul 2023, 12:56 pm by Arthur J. Fried
[1] Amanda D’Ambrosio and Jacqueline Neber, “Health Pulse; Health Systems Prepare for Influx of Pollution-Related Admissions as Respiratory Hospitals Climb in NYC. [read post]
30 Jun 2023, 12:43 pm by luiza
This week’s Department of Justice (DOJ) Catch of the Week goes to the 78 individuals criminally charged with participating in health care fraud and opioid abuse schemes across the country. [read post]
29 Jun 2023, 9:15 pm by Sri Medicherla
Skopec and Berenson explained that most Medicare beneficiaries are enrolled in Medicare Advantage, and beneficiaries under the Quality Bonus Program have become a significant source of revenue for health insurers, totaling over $10 billion in payments in 2022. [read post]
28 Jun 2023, 11:53 am by Melissa Revuelta
Department of Health and Human Services Office of the Inspector General (HHS-OIG). [read post]
28 Jun 2023, 6:53 am by Robert Liles
Department of Health and Human Services Office of Inspector General (HHS-OIG) and the U.S. [read post]
27 Jun 2023, 11:12 am by John Carroll and Sheela Ranganathan
Applicants must publish notice that applications are being submitted in local newspapers, on the applicant’s website, in two locations within the affected community, on the local health department’s website, and on OHS’s website. [read post]