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21 Apr 2023, 11:48 am
Implications for Coverage, Costs, and Access (Kaiser Family Foundation)10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision (Kaiser Family Foundation)Health and Human Services COVID-19 Public Health Emergency pageHealth and Human Services COVID-19 Public Health Emergency Transition Roadmap Fact SheetCenters for Medicare & Medicaid Services CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public… [read post]
21 Apr 2023, 7:16 am
The Department of Health and Human Services will end the Covid-19 Public Health Emergency (PHE) on May 11, 2023. [read post]
20 Apr 2023, 12:40 pm
Department of Health and Human Services (HHS) is releasing ownership data for all Medicare-certified hospice and home health agencies. [read post]
19 Apr 2023, 8:17 am
Sibley Hospital (“Sibley”) and its parent company, Johns Hopkins Health System (“Johns Hopkins”) will pay the United States $5 million to resolve Physician Self-Referral Law, (commonly known as the “Stark Law”) allegations arising from claims that Sibley submitted to the Medicare Program, the Justice Department announced today. [read post]
19 Apr 2023, 6:46 am
The provision prohibits a person or entity from offering remuneration to a Medicare or State health care program beneficiary that is known to or is likely to induce the beneficiary’s selection of a particular provider or supplier of health care services for which payment may be made by Medicare or a State health care program. [read post]
18 Apr 2023, 12:20 pm
The Centers for Medicare and Medicaid Services (CMS) now published turnover numbers for nursing staff and Administrators on Care Compare. [read post]
17 Apr 2023, 4:23 pm
On April 17, the Department of Justice announced that Johns Hopkins Health System, and its subsidiary Sibley Hospital in northwest Washington, D.C., have agreed to pay $5 million to settle civil claims that the companies violated the Stark Law’s prohibition against physician self-referrals. [read post]
14 Apr 2023, 9:05 pm
Department of Health and Human Services (HHS), the Substance Abuse and Mental Health Services Administration (SAMHSA) aims to improve the quality and availability of treatment and rehabilitative services for behavioral health challenges. [read post]
14 Apr 2023, 2:58 pm
The Department of Justice has used the law to recover more than $70 billion since 1986, largely in cases related to health care and defense contracting. [read post]
13 Apr 2023, 10:29 am
Shockingly, neither the Centers for Medicare and Medicaid Services (CMS) nor the New Jersey Department of Health tracks cumulative numbers of nursing home abuse complaints specific to resident-to-resident assaults. [read post]
13 Apr 2023, 8:58 am
According to the press release from the Department of Justice, from 2016 to 2019 MedCare billed subsets of the federal programs Medicare and Medicaid for 200 prescription medications that MedCare never distributed to clients. [read post]
13 Apr 2023, 8:41 am
. subsections (a), (d), (e), (h), (i), (j), (k), and (l) of section 405 of this title, shall also apply with respect to this subchapter [i.e., the Medicare Act] to the same extent as they are applicable with respect to subchapter II, except that, in applying such provisions with respect to [the Medicare Act], any reference therein to the Commissioner of Social Security or the Social Security Administration shall be considered a reference to the Secretary [of Health… [read post]
13 Apr 2023, 8:33 am
Department of Health and Human Services’ Office of Inspector General (“OIG”) updated its Frequently Asked Questions (“FAQs”), drafting 13 FAQs aimed at easing the transition from COVID-era flexibilities to the end of the Public Health Emergency (“PHE”) on May 11, 2023. [read post]
13 Apr 2023, 4:30 am
Contractors cannot.No double taxation: Independent contractors have to pay double the amount of social security and medicare taxes. [read post]
13 Apr 2023, 4:15 am
Department of Health and Human Services Office of Inspector General. [read post]
12 Apr 2023, 8:59 am
Recently, a Federal Judge in Pennsylvania decided a Motion To Dismiss in favor of the Government in the case of United States v American Health, et al. [read post]
11 Apr 2023, 8:31 am
Federal OIG Exclusions The federal Office of Inspector General is part of the Department of Health and Human Services (HHS), and it may investigate both individual medical providers and organizations to determine whether they should be excluded from participating in federally-funded healthcare programs. [read post]
10 Apr 2023, 8:01 am
The Department of Health and Human Services Office of Inspector General (OIG) recently published a new frequently asked question (FAQ) and advisory opinion addressing how to analyze arrangements that may involve providing cash, cash equivalents, and/or gift cards to Medicare and/or Medicaid beneficiaries under the beneficiary inducements prohibition provision in the Civil Monetary Penalty Law (Beneficiary Inducements CMP) and Anti-Kickback Statute (AKS). [read post]
9 Apr 2023, 6:21 pm
On April 7, the Department of Justice announced that a North Carolina-based pharmacy had agreed to settle whistleblowers’ allegations that the company submitted claims for prescriptions it had never filled. [read post]
7 Apr 2023, 10:54 am
In connection with the settlement, Genotox entered into a five-year Corporate Integrity Agreement (CIA) with the Department of Health and Human Services Office of Inspector General (HHS-OIG). [read post]
