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27 Nov 2018, 2:42 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
15 Jun 2022, 8:58 am
The US Supreme Court ruled unanimously Wednesday that the Department of Health and Human Services (HHS) may not cut Medicare drug reimbursement for a specific group of hospitals without a survey of hospitals’ pharmaceutical acquisition costs. [read post]
18 May 2012, 1:18 pm
The Office of Inspector General (OIG) of the Department of Health & Human Services (HHS) is recommending a “strong response” to improve Medicare Part D oversight of retail pharmacy prescriptions by the Centers for Medicare & Medicaid Services (CMS) based on findings of a recent study. [read post]
18 May 2012, 1:14 pm
The Office of Inspector General (OIG) of the Department of Health & Human Services (HHS) is recommending a “strong response” to improve Medicare Part D oversight of retail pharmacy prescriptions by the Centers for Medicare & Medicaid Services (CMS) based on findings of a recent study. [read post]
29 Oct 2009, 1:11 pm
Section 302 of the Tax Relief and Health Care Act of 2006 requires the Secretary of the Department of Health and Human Services to utilize “Recovery Audit Contractors” (RACs) under the Medicare Integrity Program. [read post]
27 May 2022, 4:01 pm
Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). [read post]
10 Sep 2019, 3:51 pm
Medicare is the federal health insurance program that primarily covers the elderly. [read post]
24 May 2016, 9:46 am
Department of Health and Human Resources (HHS) to recover payments it made to Medicare, having previously refunded the payments to Medicare based on Medicare’s notice of overpayment. [read post]
15 Dec 2016, 1:49 pm
Furthermore, the law once again expands the federal government’s fraud and abuse authorities by adding new penalties for various offenses involving Department of Health and Human Services (HHS) grants. [read post]
9 Jun 2014, 6:20 pm
This lawsuit was filed against the secretary of the Health and Human Services Department, which oversees Medicare. [read post]
8 Jan 2014, 8:44 am
The Department of Justice has released updated False Claims Act recovery statistics. [read post]
21 Aug 2014, 6:30 am
It is very likely that counsel for the Department of Health and Human Services is looking for a test case on Medicare to use in its enforcement of the Medicare Secondary Payer Act in liability cases. [read post]
8 Mar 2014, 11:50 am
The Department of Health and Human Services Office of Inspector General (OIG) just released it's shocking report - “Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries.” [read post]
15 Jan 2007, 9:35 am
Bush has threatened to veto a bipartisan bill that would require the Secretary of the Department of Health and Human Services (DHHS) to negotiate for lower prescription drug prices on [read post]
4 Mar 2014, 2:28 pm
Department of Justice agreed to settle part of a whistleblower lawsuit that alleged federal Stark law violations, illegal kickbacks and Medicare false claims. [read post]
8 May 2013, 7:28 am
On Monday, May 6, 2013, the Department of Veterans Affairs (VA) released a final rule (the Rule) that amends the reimbursement structure for non-VA providers of home health and hospice services that have not specifically contracted with the VA for these services.Non-VA providers of home health services and hospice care will receive a payment that is the lower of the Medicare fee schedule or prospective payment system amount, unless VA negotiates a specifi [read post]
8 May 2013, 7:28 am
On Monday, May 6, 2013, the Department of Veterans Affairs (VA) released a final rule (the Rule) that amends the reimbursement structure for non-VA providers of home health and hospice services that have not specifically contracted with the VA for these services.Non-VA providers of home health services and hospice care will receive a payment that is the lower of the Medicare fee schedule or prospective payment system amount, unless VA negotiates a specifi [read post]
4 Mar 2014, 2:28 pm
Department of Justice agreed to settle part of a whistleblower lawsuit that alleged federal Stark law violations, illegal kickbacks and Medicare false claims. [read post]
Healthcare News from Capitol Hill and the Department of Health and Human Services – October 12, 2010
12 Oct 2010, 6:23 am
These grants were awarded to SMPs across the country, and will be administered by the Administration on Aging (AoA) within the Department of Health and Human Services (HHS).Since the late 1990s, the AoA has funded SMP programs in order to train Medicare beneficiaries on how to recognize Medicare fraud, how to accurately read and understand their Medicare billing statements and how to prevent identity theft. [read post]
8 Sep 2011, 10:42 am
The Federal Bureau of Investigation on September 7, 2011 released the following: "DALLAS-A Dallas-area doctor appeared in federal court today on charges related to his alleged participation in a scheme to defraud the Medicare and Medicaid programs, announced the Departments of Justice and Health and Human Services (HHS). [read post]
