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Universal Health Services And Subsidiaries To Pay $122 Million to Settle False Claims Act Violations
12 Sep 2020, 11:52 am
The government further asserts that UHS billed Medicare, Medicaid, and TRICARE for service it did not render, while improperly training staff and misusing chemical and physical restraints. [read post]
21 Dec 2011, 9:15 am
Through this litigation, the circuits developed varying methods for deciding sufficiency of payment, as the Centers for Medicare and Medicaid Services (CMS) has not enforced the Equal Access provision vigorously against the states. [read post]
29 Dec 2021, 10:14 am
One is an interim final rule promulgated by the Centers for Medicare and Medicaid Services (“CMS”); the other is an Emergency Temporary Standard (“ETS”) issued by the U.S. [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… [read post]
17 Dec 2009, 9:18 am
Department of Health and Human Services- Substance Abuse and Mental Health Services Administration, (SAMHSA): National Mental Health Information Center Centers for Medicare and Medicaid Services, (CMS): Nursing Home Five Star Quality Rating System [read post]
13 May 2014, 6:22 am
The Centers for Medicare & Medicaid Services (CMS) published the fiscal year (FY) 2015 proposed skilled nursing facility (SNF) prospective payment system (PPS) rule on May 6, 2014 (Proposed Rule). [read post]
1 Oct 2012, 6:19 am
On September 15, 2012, the Center for Public Integrity released a study entitled “How doctors and hospitals have collected billions in questionable Medicare fees. [read post]
21 Jun 2012, 7:37 pm
Rafael has been responsible for all areas of Medicare Set Aside Allocations (MSAs) including the preparation of MSAs and their approval by the Center for Medicare & Medicaid Services. [read post]
12 Jan 2022, 9:20 pm
Citing the company’s January price reduction to $28,200, Health and Human Services Secretary Xavier Becerra is now calling on the Centers for Medicare & Medicaid Services to revisit and recalculate the 2022 premium. [read post]
19 Mar 2014, 10:37 am
” The burden lies on the federal Agency for Healthcare Research and Quality, as well as the Centers for Medicare and Medicaid Services. [read post]
30 Jun 2015, 8:49 am
The Centers for Medicare and Medicaid Services (CMS) is in the process of implementing several projects intended to prevent fraud against federal healthcare programs such as Medicare and Medicaid. [read post]
23 Mar 2015, 2:54 pm
But in what the WSJ calls a “behind-the-scenes bureaucratic conflict,” The Centers for Medicare & Medicaid Services (Medicare, or CMS) steadfastly has opposed the FDA’s plan to monitor safety via claims data and UDIs. [read post]
25 Aug 2011, 5:31 am
On July 29, the Centers for Medicare and Medicaid Services (CMS) announced that, starting in October, it will begin cutting their reimbursement rates to nursing homes by 11.1% to make up for $4 billion overpayment last year. [read post]
24 May 2011, 1:11 pm
In July of 2001, the Centers for Medicare & Medicaid Services CMS introduced the Workers’ Compensation Medicare Set-Aside WCMSA program, which recommended the review and approval of certain types of settlements by CMS. [read post]
28 Aug 2013, 6:14 am
On August 19, 2013, the Centers for Medicare & Medicaid Services (CMS) published a final rule updating FY 2014 Medicare payment policies and rates under the acute inpatient prospective payment system (IPPS) and the long-term care hospital (LTCH) prospective payment system (PPS). [read post]
12 Jul 2018, 12:00 pm
It was alleged that the OB/GYN submitted thousands of claims for pelvic floor therapy training services to the Medicare and Medicaid programs that were either never provided, or were otherwise false or fraudulent.IV. [read post]
8 Dec 2014, 8:00 am
Rulemaking – New Rule Limits Enrollment by Suspect Entities Last week, the Center for Medicare and Medicaid Services (“CMS”) announced approval of a new rule that will allow the agency to prevent future frauds by identifying persons/entities that pose particular risk to the integrity of our federal health care programs. [read post]
11 Aug 2014, 4:14 am
Specifically, OIG contends that from July 1, 2006 through December 31, 2009, Argus knowingly submitted or caused to be submitted PDE claims to the Centers for Medicare & Medicaid Services (CMS) that improperly claimed Louisiana sales tax costs. [read post]
3 May 2010, 3:51 am
In contrast, another provision requires HHS to issue regulations establishing criteria for qualified health plans, and specifically spells out what some of those elements need to be.NEW REPORT INDICATES COSTS MAY INCREASE:On April 22, independent experts at the Centers for Medicare and Medicaid Services (CMS) released a report indicating that while millions more Americans would be covered under the new healthcare law, the nation’s costs would go up… [read post]
3 May 2010, 3:51 am
In contrast, another provision requires HHS to issue regulations establishing criteria for qualified health plans, and specifically spells out what some of those elements need to be.NEW REPORT INDICATES COSTS MAY INCREASE:On April 22, independent experts at the Centers for Medicare and Medicaid Services (CMS) released a report indicating that while millions more Americans would be covered under the new healthcare law, the nation’s costs would go up… [read post]
