Search for: "Medicare, Medicaid & Medical Suppliers"
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27 Dec 2018, 2:00 pm
In light of this mandate, CMS published its Proposed Rule entitled “Medicare and Medicaid Programs; Regulatory [read post]
14 Oct 2019, 3:33 pm
” “A physician practice could provide smart pillboxes to patients without charge to help them remember to take their medications on time. [read post]
15 May 2014, 5:34 am
On May 12, 2014, the Centers for Medicare & Medicaid Services (CMS) published a final rule that reforms federal health policy regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. [read post]
4 Sep 2012, 7:41 am
The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicare and Medicaid investigations, audits and recovery actions. [read post]
6 Feb 2015, 1:00 pm
The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. [read post]
9 Oct 2010, 2:30 pm
Working together to promote the integrity of the Medicare and Medicaid programs, in recent years Safeguard has developed close working relationships with CMS, HHS-OIG, U.S. [read post]
18 Aug 2010, 3:50 pm
This raises the question of whether tests that are ordered for Medicare patients are medically necessary, i.e., whether they are ordered only when they meet Medicare’s “reasonable and necessary” standard for reimbursement. [read post]
9 Jan 2019, 1:39 pm
At trial, the government submitted evidence to prove that the defendant patient recruiter sold personal patient information to a home health agency which it then used to bill the Medicare and Medicaid program for services that were either not medically need or were never even provided. [read post]
7 Apr 2018, 8:41 am
Clinics submitting false claims to Medicare and Medicaid for physical and occupational therapy. [read post]
15 Jan 2013, 6:59 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
8 Jun 2018, 12:32 pm
Drug makers are not allowed to directly cover prescription copayments for Medicare or Medicaid beneficiaries, although they can donate to bona fide independent charities. [read post]
14 Jan 2014, 11:29 am
This off-label marketing leads to the submission of improper claims to the Medicare and Medicaid systems, which results in fraud. [read post]
26 Mar 2020, 2:21 pm
Eligible health care providers include public entities, Medicare or Medicaid enrolled suppliers and providers, and for-profit and not-for-profit entities as the Department of Health and Human Services (HHS) may specify. [read post]
8 Feb 2019, 9:00 am
Doctors who treat patients on Medicare or Medicaid need to comply with the Patient Protection and Affordable Care Act of 2010. [read post]
15 Jun 2015, 1:57 pm
Separately, the OIG’s mid-year update to its FY 2015 work plan adds a new financial review project directed at the Center for Medicare & Medicaid Services’ (CMS) Open Payments Program (sometimes called the “Sunshine Act” provisions). [read post]
1 Feb 2010, 10:44 am
I have several supplier clients on 100% pre-pay Medicare review facing significant potential disallowances because a contractor decided for the first time to implement a technical Medicare manual provision about recording a specific date of service – when there is no question from the medical record that medically necessary, physician ordered, and readily documented services were in fact provided. [read post]
15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of the Patient Protection &… [read post]
15 Sep 2015, 5:37 am
Self-insured group health plan sponsors and fiduciaries, health insurance issuers, third party administrators (TPAs) and administrative services-only (ASO) contractors who may participate in helping contributing entities submit reinsurance contributions required by the Patient Protection & Affordable Care Act (ACA) should consider participating one of the “Module 3: 2015 Reinsurance Contributions: Form Completion, Submission, and Payment” training model that the Centers for… [read post]
13 Jan 2022, 2:35 pm
CMS’s Rule, available here, mandates vaccination of all employees as a condition of participation on various Medicare and Medicaid certified providers and suppliers. [read post]
2 May 2012, 9:47 pm
However, the insurance industry and the federal government as a provider of Medicare/Medicaid could not sustain the exponential expense of medical care, advancing technologies, healthcare demand and fraud. [read post]
