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12 Jul 2018, 8:00 pm
The United States alleged their compensation exceeded the fair market value for the services, and thereby violated the Physician Self-Referral Law, which prohibits a hospital from billing Medicare for certain services referred by physicians with whom the hospital has an improper compensation arrangement. [read post]
12 Jul 2018, 6:45 am
United States Department of Health and Human Services et al., in the United States District Court for the District of New Mexico (No.1:16-cv-00878). [read post]
12 Jul 2018, 6:33 am
On January 11, 2018, the Centers for Medicare & Medicaid Services (CMS) sent a letter to State Medicaid Directors that signaled their support of section 1115 demonstration projects that include work or community engagement requirements, as previously summarized in the Health Law Pulse. [read post]
3 Jul 2018, 1:12 pm
On January 11, 2018 the Centers for Medicare & Medicaid Services (CMS) released a letter to State Medicaid Directors announcing a commitment to support section 1115 demonstration projects that include work or community engagement requirements (HL Pulse summary here). [read post]
3 Jul 2018, 9:00 am
(July 3, 2018): On June 26, 2018, the Centers for Medicare and Medicaid Services (CMS) announced “new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. [read post]
28 Jun 2018, 3:04 pm
Bowdich of the FBI, Assistant Administrator John Martin of the Drug Enforcement Administration (DEA), Deputy Inspector General Gary Cantrell of the HHS Office of Inspector General (OIG), Deputy Chief Eric Hylton of IRS Criminal Investigation (CI), Centers for Medicare and Medicaid Services (CMS) Deputy Administrator and Director of the Center for Program Integrity Alec Alexander and Director Dermot F. [read post]
19 Jun 2018, 9:12 am
The Centers for Medicare and Medicaid Services (CMS) have called for an additional reduction of 15 percent by next year for those facilities that still report a high percentage of using these drugs. [read post]
19 Jun 2018, 9:12 am
The Centers for Medicare and Medicaid Services (CMS) have called for an additional reduction of 15 percent by next year for those facilities that still report a high percentage of using these drugs. [read post]
7 Jun 2018, 9:30 pm
The registry is a joint project between FDA, the Centers for Medicare and Medicaid Services, and the U.S. [read post]
25 May 2018, 11:02 am
Indeed, even though tooth decay is virtually entirely preventable, it remains the most common chronic disease among children in the United States.People with low income are more likely to lack access to oral healthcare.There is wide variation in Medicaid coverage for adults between states, and no coverage benefit for Medicare. [read post]
20 May 2018, 2:26 pm
As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
20 May 2018, 2:26 pm
As the Centers for Medicare and Medicaid Services (CMS) has expressly noted in Chapter 2, Section 2.3 of the Medicare Program Integrity Manual (MPIM): “Claims data is the primary source of information to target abuse activities. [read post]
8 May 2018, 7:30 am
Current medical policies and practices in the United States3. [read post]
24 Apr 2018, 6:37 pm
Centers for Medicare & Medicaid Services, Federal Register vol. 82 no. 109. (2017, June 8). [read post]
17 Apr 2018, 5:00 pm
So if they don’t do anything about the abuse you can report this inaction – and they may lose Medicare and Medicaid funding as punishment. [read post]
23 Mar 2018, 8:28 am
A proposal was recently released by the Center for American Progress (CAP) for Medicare Extra, an enhanced version of the Medicare program and a plan to guarantee universal health coverage in the United States. [read post]
8 Mar 2018, 9:30 pm
Arkansas is the third state to have imposed “community engagement” requirements on its Medicaid recipients since the Centers for Medicare and Medicaid Services informed states that they could impose such requirements earlier this year. [read post]
19 Feb 2018, 6:00 am
Companies in its portfolio include Cano Health, an operator of “primary care plus” healthcare centers, and Comfort Health, an operator of Medicare HMO and Medicaid healthcare centers. [read post]
15 Feb 2018, 4:41 pm
Resolution Agreement OCR announced February 13, 2018 also contains critical lessons for Covered Entities about their dealings with their own business associates when read in conjunction with the April, 2017 resolution agreement the Center for Children’s Digestive Health (CCDH) agreed to resolve OCR charges CCDC, as a Covered Entity, violated HIPAA by allowing FileFax, Inc. to act as its business associate without adequately complying with HIPAA’s business associate requirements.… [read post]
28 Dec 2017, 12:27 pm
Jacksonville Illinois Nursing Home Makes Unfortunately List of Worst Facilities Every nursing facility in the United States must undergo traditional recertification surveys performed by Centers for Medicare and Medicaid Services (CMS) and state agencies. [read post]
