Search for: "Medicare, Medicaid & Medical Suppliers"
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1 May 2012, 6:49 am
According to a final rule issued by CMS on Tuesday (4/24), all providers and suppliers who qualify for a National Provider Identifier (NPI) will be required to include the NPI on any enrollment applications to Medicare and Medicaid. [read post]
4 Oct 2018, 8:17 am
Home Health Providers Under the Microscope — The Review Choice Demonstration Project is Here(October 4, 2018): Last week, the Centers for Medicare & Medicaid Services (CMS), confirmed that it intends to initiate the Review Choice Demonstration for Home Health Services project on December 10, 2018. [read post]
13 Aug 2019, 1:28 pm
(August 12, 2019): Over the last year, a number of genetic testing fraud investigations and prosecutions have been initiated by Medicare, Medicaid and TRICARE investigators and auditors. [read post]
14 Mar 2012, 12:59 pm
HHS has released final Affordable Care Act insurance exchange regulations, and CMS has issued a final rule revising Medicare DMEPOS supplier standards and a notice on advanced diagnostic imaging supplier accreditation. [read post]
28 Apr 2010, 10:32 am
Violations of the Stark Law require the provider to refund to Medicare of Medicaid inappropriate payments received, and may result in civil monetary penalties, false claims act liability and/or exclusion from Medicare. [read post]
8 Apr 2011, 9:23 am
The Court of Appeals further found that because the defendant was a DME supplier, he was in a “relationship of trust” with Medicare/Medicaid. [read post]
11 Aug 2008, 3:14 pm
Medicaid Drug Reimbursement. [read post]
28 Jun 2012, 11:53 am
Reed Smith also released a series of in-depth analyses of the law, including alerts focusing on the law’s fraud and abuse/program integrity provisions, along with issues specifically impacting drug, device and biotech manufacturers and medical equipment suppliers and manufacturers. [read post]
7 Mar 2019, 8:04 am
Last fall, the Trump administration proposed new rules for the Centers for Medicare and Medicaid Services in an effort to “reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. [read post]
16 Mar 2023, 10:27 am
Medicare, Medicaid, and private health insurance companies have a list of approved services and medications that are seen as medically necessary. [read post]
13 Feb 2024, 5:00 am
The Stark Law (42 U.S.C. 1395nn) prohibits doctors from referring patients to entities providing “designated health services” covered by Medicare or Medicaid if there is a financial relationship between the physician (or their immediate family) and the entity, except under specific exceptions. [read post]
15 Sep 2011, 6:57 am
Senators asking the Office of Inspector General ("OIG") and the Centers for Medicare and Medicaid Services ("CMS") to issue guidance on physician owned distributorships ("PODs") (or, sometimes referred to as physician owned intermediaries ("POIs")). [read post]
4 Nov 2019, 11:51 am
On October 31, 2019, the Centers for Medicare & Medicaid Services (CMS) released its final rule with comment period that sets forth updates to the home health prospective payment system (HH PPS) for calendar year (CY) 2020 and includes other policy changes for home health agencies (HHA). [read post]
27 Jun 2014, 12:33 pm
The facilities were participating providers under agreements with Medicare and Medicaid. [read post]
1 May 2023, 5:19 pm
Section 1128A(a)(5) of the anti-kickback statute provides for the imposition of civil monetary penalties against any person who offers or transfers remuneration to a Medicare or State health care program (including Medicaid) beneficiary that the benefactor knows or should know is likely to influence the beneficiary’s selection of a particular provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by… [read post]
23 Aug 2012, 7:31 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers (DMEs), medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
25 Jun 2014, 12:37 am
The facilities were participating providers under agreements with Medicare and Medicaid. [read post]
25 Jan 2022, 2:36 pm
The CMS Vaccine Mandate CMS’ vaccine mandate requires all staff at Medicare and Medicaid-certified provider facilities, except for those with approved medical or religious exemptions, to be vaccinated. [read post]
14 Jan 2022, 2:25 pm
As a result, Medicare and Medicaid providers [2] subject to the CMS Vaccine Mandate interim final rule in those states must quickly take steps to come into compliance. [read post]
14 May 2012, 5:05 am
” At the hearing, the GAO issued a report reiterating its recommendations to minimize improper Medicare payments (such as using prepayment controls to identify potentially-improper DME claims and enhanced payment safeguards for physicians who use advanced imaging services) and improve oversight of Medicaid payments. [read post]
