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27 May 2010, 6:09 am
The Secretary of Health and Human Services (HHS) [The Centers for Medicare and Medicaid Services (CMS)] has filed a first amended complant Stricker case now pending in the US District Court in Alabama for recovery of Medicare Secondary Payments (MSP). [read post]
26 May 2010, 1:49 pm
The other option would be for the Plaintiff's lawyer to request a final lien amount and CMS (Center for Medicare and Medicaid Services) would have only 60 days to respond or lose its right to reimbursement. [read post]
19 May 2010, 8:54 am
May 18, 2010 PMSI SETTLEMENT SOLUTIONS ADVOCACY EFFORTS PROMPTS CMS TO IMPROVE MSA REVIEW METHODOLOGY PMSI issued a press release on Monday, May 17, 2010 regarding the recent memorandum from the Centers for Medicare and Medicaid Services (CMS) on Medicare Set-Aside (MSA) allocations, clarifying the exclusion on non-Medicare Part D covered prescription drugs from MSA calculations. [read post]
14 May 2010, 6:24 pm
Prior to 2009, HHS divided civil enforcement responsibility for HIPAA between OCR, which enforced the HIPAA Privacy Rule, and the Centers for Medicare and Medicaid Services (“CMS”), which enforced the HIPAA Security Rule. [read post]
14 May 2010, 3:17 pm
The Center For Medicare and Medicaid Services (CMS) sure knows how to drop the Bomb, The Rated Age Bomb From the latest of 13 CMS Memoranda... there is a new requirement for MSA submissions involving rated ages: “Our organization certifies that all rated ages obtained on the claimant, at any time during that individual claimant’s lifetime, have been included as part of this submission to the Centers for… [read post]
13 May 2010, 7:42 pm
Kansas Senator Pat Roberts released a press release on why he opposes the nomination of Donald Berwick to be the Administrator of the Centers for Medicare and Medicaid Services (CMS). [read post]
13 May 2010, 4:54 pm
The government alleges that, in spite of these actions by the FDA, Schwarz continued to represent to the Centers for Medicare and Medicaid Services (CMS) that the drugs were eligible for reimbursement under federal healthcare programs; the misrepresentations allegedly included submission of false quarterly reports. [read post]
4 May 2010, 9:13 am
"Many do not understand that the CMS (Centers for Medicare & Medicaid Services) approval process is voluntary and carries an inherent cost. [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… [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… [read post]
30 Apr 2010, 11:43 am
The Centers for Medicare & Medicaid Services is working to expeditiously implement these important provisions of PPACA. [read post]
30 Apr 2010, 10:33 am
As of last year, the Center for Medicare and Medicaid Services (CMS) was helping to promote the switch to electronic prescribing by enticing doctors and paying them a bonus for e-prescribing. [read post]
28 Apr 2010, 11:49 pm
According to DOJ’s press release: Schwarz Pharma Inc. will pay $22 million to resolve False Claims Act allegations that the company failed to advise the Centers for Medicare and Medicaid Services (CMS) that two unapproved products did not qualify for coverage under federal health care programs, the Justice Department announced today. [read post]
28 Apr 2010, 6:01 am
Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) ... [read post]
26 Apr 2010, 1:26 pm
If you know or suspect that Medicaid and/or Medicare fraud is being committed anywhere in the country, please contact us to discuss your legal options. [read post]
24 Apr 2010, 8:24 pm
The Centers for Medicare and Medicaid Services (CMS) is reporting that they are now notifying those nursing homes who are candidates to become Special Focus Facilities (SFF). [read post]
24 Apr 2010, 8:24 pm
The Centers for Medicare and Medicaid Services (CMS) is reporting that they are now notifying those nursing homes who are candidates to become Special Focus Facilities (SFF). [read post]
22 Apr 2010, 2:34 pm
Centers for Medicare and Medicaid Services ("CMS") reported yesterday that it realizes that fiscal intermediaries haven't been providing sufficient detail on remittance advices (RAs) when recouping overpayments identified by RACs to allow providers to track and update their financial records. [read post]
21 Apr 2010, 12:20 pm
Glossary of MSP Acronyms AWP Average Wholesale Price CMS Centers for Medicare and Medicaid Services (Formerly the Health Care Financing Administration (HCFA)) COB Coordination of Benefits Contractor DOI Date of Incident or Injury GHP Group Health Plans HICN Health Insurance Claim Number ICD-9 International Classification of Diseases, 9 th Edition MMA Medicare Modernization Act of 2003 MMSEA Medicare, Medicaid… [read post]
20 Apr 2010, 1:25 am
June 18, 2010 is the deadline for health care providers and other concerned parties to comment on proposed Medicare inpatient acute care and long-term are hospital stay policy and payment rate changes announced by the Centers for Medicare & Medicaid Services (CMS) on Monday, April 19 2010. [read post]
