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7 Oct 2008, 3:32 pm
CMS Developments: A new CMS initiative to combat Medicare DMEPOS and home health fraud and abuse; CMS guidance on Medicare payment of certain routine costs associated with clinical trials; CMS release of “Medically Unlikely Edits” used by Medicare contractors to prevent payment for excessive services; and waiver of certain hospital quality reporting requirements in hurricane areas. [read post]
28 Jul 2008, 9:04 pm
  INTRODUCTION On July 15, 2008, the House and Senate overrode President Bush’s veto of H.R. 6331, the “Medicare Improvements for Patients and Providers Act of 2008” (“MIPPA”).1  Among many other things, MIPPA delays and reforms the Centers for Medicare & Medicaid Services’ (“CMS”) controversial competitive bidding program for certain categories of durable… [read post]
13 Nov 2015, 11:17 am by Patrick E. Knie
Related Blog Posts Blow the Whistle on Medicare or Medicaid Fraud Merck Agrees to Pay $100 Million in NuvaRing Settlement The post South Carolina-Based Healthcare System Resolves False Claims Act Case with Feds After $237 Million Verdict appeared first on South Carolina Personal Injury Law Blog. [read post]
21 Oct 2015, 11:17 am by Patrick E. Knie
Related Blog Posts Blow the Whistle on Medicare or Medicaid Fraud Merck Agrees to Pay $100 Million in NuvaRing Settlement The post South Carolina-Based Healthcare System Resolves False Claims Act Case with Feds After $237 Million Verdict appeared first on South Carolina Personal Injury Law Blog. [read post]
7 Aug 2012, 1:54 pm by The Health Law Firm
Medicare and Medicaid audits can result in overpayment demands reaching into hundreds of thousands of dollars and assessment of fines. [read post]
27 Mar 2009, 6:06 pm
Newly Released MLN Matters Article of Special Interest to Medicare Suppliers. [read post]
5 Nov 2021, 2:12 pm by admin
By Mickell Jimenez, Robert Ayers, Tyson Horrocks, Kody Condos, and Curtis Greenwood Today, the Department of Occupational Safety and Health Administration (OSHA) issued its Covid-19 Vaccination and Testing Emergency Temporary Standard (ETS) and the Centers for Medicare & Medicaid Services (CMS) issued its Interim Final Rule (the “Interim Rule”), nearly two months after President Biden issued two executive orders in conjunction with the Path out of the… [read post]
1 Dec 2021, 9:36 am by Grant T. Collins, Felhaber Larson
A Louisiana federal district court has issued a nationwide injunction barring the Centers for Medicare and Medicaid Services (CMS) from enforcing its COVID-19 vaccine mandate for healthcare workers. [read post]
10 Aug 2006, 9:44 pm
CMS, OIG Release Final Health IT Rules The Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (DHHS) Office of Inspector General (OIG) released final rules August 1 to speed the adoption of electronic prescribing and electronic health records. [read post]
14 Jan 2022, 2:25 pm by Jennifer Papapanagiotou
With the Court’s decision today, all Medicare and Medicaid providers must come into compliance with CMS’ Vaccine Mandate rule. [read post]
22 Dec 2023, 2:31 pm by Robert Liles
” This standardized regulatory program permitted OPM to effectuate sanctions issued by other agencies (including those issued by the HHS OIG in connection with Medicare and Medicaid exclusion actions. [read post]
25 Jan 2011, 10:00 am by Lucas A. Ferrara, Esq.
  Types of providers and suppliers that have been identified in the past as posing a higher risk of fraud, for example durable medical equipment suppliers, will be subject to a more thorough screening process. [read post]
27 Aug 2013, 7:23 am by Spencer Aronfeld
 As a result of the DOJ’s efforts, approximately $4.2 billion was deposited with the Treasury or Centers for Medicare & Medicaid Services (CMS) and to private persons during the fiscal year. [read post]
14 May 2012, 8:13 am by Debra A. McCurdy
The first rule reforms requirements that hospitals and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid programs. [read post]
8 Jan 2010, 10:53 am by jblock
Min Liao advises a wide variety of clients, including pharmaceutical manufacturers, durable medical equipment suppliers, medical device companies, hospitals, imaging centers, physicians, medical associations and societies, regarding distribution, competitive bidding, coverage, reimbursement, government price reporting, advocacy and Medicare/Medicaid policy issues. [read post]
18 Apr 2012, 9:07 am by fraudfighters
It has become all too common in the healthcare industry for durable medical equipment suppliers to market and provide medical supplies to seniors that are unnecessary and unwanted. [read post]
29 Dec 2016, 7:43 am by Benson Varghese
Whether it is providing medical insurance through Medicare or Medicaid, the construction of military weaponry, or a host of other services the government provides, the government’s use of private companies to accomplish these goals is vast. [read post]
13 Mar 2024, 10:43 am by Colin Zick
Recently, the Centers for Medicare & Medicaid Services (CMS) announced that it will accelerate payments for Medicare Part A providers and Part B suppliers. [read post]
3 Jan 2019, 9:01 am by Robert Liles
Examples of Criminal Cases Brought Against Dentists in Connection with Fraudulent Aetna Claims: It is important to keep in mind that in addition to offering private dental insurance products, the company has greatly expanded its Medicare Advantage, Medicaid and Medicaid Advantage programs footprint. [read post]