Search for: "Medicare, Medicaid & Medical Suppliers"
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29 Mar 2010, 6:52 am
The Affordable Care Act also provides assistance with retirees’ medical claims. [read post]
22 Apr 2013, 3:06 am
The doctor fills out a lengthy prescription form and sends it to a scooter supplier that delivers the device to the patient and then submits the paperwork to Medicare for payment. [read post]
13 May 2010, 10:43 am
Medicare and Medicaid Reimbursement Rules Medicare and Medicaid have complex reimbursement rules applicable to each type of provider. [read post]
14 Feb 2012, 5:30 am
The fraud prevention and enforcement report announced today coincides with the announcement of a proposed rule from the Centers for Medicare and Medicaid Services aimed at recollecting overpayments in the Medicare program. [read post]
18 Oct 2011, 9:23 am
As a Medical Device Product Liability attorney and board certified medical doctor, I am providing this important update regarding Cochlear Implants. [read post]
25 Mar 2024, 12:29 pm
” See: Health Care Fraud Defense: Arrests Based Upon Medicare, Medicaid, or TriCare Insurance Claims. [read post]
10 May 2009, 1:31 am
Governing LawSection 1128A(a)(5) of the Act (the "CMP") provides for the imposition of civil monetary penalties against any person who gives something of value to a Medicare or state health care program (including Medicaid) beneficiary that the benefactor knows or should know is likely to influence the beneficiary's selection of a particular provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by… [read post]
24 May 2024, 9:46 am
All this was in addition to several False Claims Act criminal proceedings this week, including the conviction of a Nevada doctor for defrauding Medicare/Medicaid by referring medically unnecessary prescriptions to a pharmacy in exchange for kickbacks; the guilty plea of a Texas woman for fraudulently receiving Coronavirus Aid, Relief, and Economic Security (CARES) Act unemployment benefits; and the indictment of a Brooklyn woman for scheming to submit… [read post]
31 Mar 2020, 8:38 am
Section 3719, Expansion of Medicare Hos [read post]
23 Apr 2013, 11:40 am
It also reveals that the federal government is becoming aggressive on referral and business arrangements outside of Medicare, Medicaid and government funded programs. [read post]
21 Feb 2013, 6:31 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]
28 Dec 2020, 10:19 am
During this period, UPICs continued to conduct data mining and other targeting activities, it just held off sending out requests for records to health care providers and suppliers. [read post]
22 Apr 2020, 12:39 pm
Eligible healthcare providers are public entities, Medicare or Medicaid enrolled suppliers and providers, and for-profit and not-for-profit entities that furnish testing and care for COVID-19 as HHS may specify. [read post]
30 Aug 2012, 7:03 am
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, hospitals, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and… [read post]
20 May 2018, 2:26 pm
It is important to keep in mind that an excluded party is not merely barred from participating in Medicare, Medicaid and other Federal health benefit programs. [read post]
20 May 2018, 2:26 pm
It is important to keep in mind that an excluded party is not merely barred from participating in Medicare, Medicaid and other Federal health benefit programs. [read post]
23 Oct 2012, 3:52 am
Where Medicare and Medicaid patients or billings may be involved, the risks of criminal prosecution and very large monetary penalties are much greater. [read post]
30 Oct 2015, 6:31 pm
That scheme involved 27 medical professionals, including 15 doctors. [read post]
23 Jan 2020, 3:16 pm
Philip Esformes of Miami Beach, Florida, was sentenced to 20 years in prison for his role in a decades-long $1.3 billion fraud scheme to submit fraudulent claims to Medicare and Medicaid both for services deemed medically unnecessary and services that were medically necessary but that he did not provide. [read post]
7 Jun 2022, 9:46 am
(National CRT supplier) Numotion wanted to replace both wheels at a cost of $300 to Medicaid and 6-8 weeks to get them. [read post]