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24 Dec 2015, 8:20 am
Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) suspended payments to Dynasplint based upon the allegations in the lawsuit which it found to contain credible allegations of fraud in the claims and billing. [read post]
22 Dec 2015, 2:30 am
" Here is the abstract: This issue’s “Legal Briefing” column covers the recent decision by the Centers for Medicare and Medicaid Services (CMS) to expand Medicare coverage of advance care planning, beginning 1 January 2016. [read post]
21 Dec 2015, 11:53 pm
Centers for Medicare and Medicaid Services. [read post]
21 Dec 2015, 8:00 am
These cases involved claims that the defendants provided inadequate/unnecessary care, paid inappropriate kickbacks to induce the use of their services/goods, or overcharged one or more federal health care program (e.g., Medicare, Medicaid, Tricare, etc.). [read post]
17 Dec 2015, 10:23 am
Medicare/Medicaid provisions of the Consolidated Appropriations Act of 2016, which are intended to offset the costs of reauthorizing the World Trade Center Health Program, include the following: Section 501 would rescind funds from the Medicare Improvement Fund (MIF), which was established by MIPAA to fund improvements in the Medicare fee-for-service program. [read post]
17 Dec 2015, 3:01 am
Workers' Compensation insurance carriers have a duty to reimburse the Centers of Medicare and Medicaid Services for conditional medical payments. [read post]
11 Dec 2015, 12:03 pm
Centers for Medicare & Medicaid Services); as well as clarify provisions of annual consumer satisfaction surveys for long-term care facilities (see Ohio Revised Code 173.47). [read post]
10 Dec 2015, 12:06 pm
Further, the Centers for Medicare & Medicaid Services recently proposed changes to the 2016 Medicare Physician Fee Schedule to allow for end-of-life care planning payments, highlighting the critical importance of this issue. [read post]
10 Dec 2015, 10:13 am
The December 1, 2015 notice was issued in response to a court order in Shands Jacksonville Medical Center, Inc., et al. v. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
8 Dec 2015, 2:22 pm
Services provided in violation of the Stark Statute are not reimbursable by Medicare or Medicaid. [read post]
7 Dec 2015, 9:12 am
The Centers for Medicare & Medicaid Services ("CMS") recently announced a proposed rule primarily aimed at discharge planning requirements for hospitals and other service providers, including home health agencies (HHAs). [read post]
7 Dec 2015, 4:12 am
The Centers for Medicare & Medicaid Services (“CMS”) recently announced a proposed rule primarily aimed at discharge planning requirements for hospitals and other service providers, including home health agencies (HHAs). [read post]
6 Dec 2015, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently published its final rule modifying several aspects of the federal physician self-referral law (the "Stark Law") and adding two new exceptions: one for recruitment of non-physicians providing primary care and the other for timeshare arrangements. [read post]
6 Dec 2015, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) recently published its final rule modifying several aspects of the federal physician self-referral law (the "Stark Law") and adding two new exceptions: one for recruitment of non-physicians providing primary care and the other for timeshare arrangements. [read post]
3 Dec 2015, 8:28 am
Recently, the Centers for Medicare & Medicaid Services (CMS) released final regulations under the physician self-referral law known as the Stark Law. [read post]
1 Dec 2015, 3:11 pm
Prior to January 1, 2011, the Centers for Medicare and Medicaid Services ("CMS") had not expressly prohibited Medicare providers such as Fresenius from billing for overfill. [read post]
1 Dec 2015, 3:11 pm
Prior to January 1, 2011, the Centers for Medicare and Medicaid Services ("CMS") had not expressly prohibited Medicare providers such as Fresenius from billing for overfill. [read post]
23 Nov 2015, 5:14 pm
Centers for Medicare and Medicaid (CMS) published clarifications regarding National Coverage Determination (NCD) and Local Coverage Determination (LCD) policies. [read post]
