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21 Oct 2013, 2:13 pm
The OIG made four recommendations to the Centers for Medicare & Medicaid Services (CMS): Implement claims processing edits or improve existing edits to prevent inappropriate payments; Recover payments for claims that did not meet Medicare requirements; Consider using measures of questionable billing from this study to identify providers for further investigations; and Take appropriate action regarding providers that exhibit patterns of… [read post]
18 Oct 2013, 5:18 am
HHSC will now request that the Centers for Medicare and Medicaid Services (CMS) approve the cognitive rehabilitation therapy waiver amendment with an effective date of March 1, 2014. [read post]
16 Oct 2013, 9:30 pm
Department of Health and Human Services’s (HHS) Centers for Medicare and Medicaid Services (CMS) announced that it would collect new data to determine ACA eligibility.The Fitch credit rating agency threatened to downgrade the U.S. debt rating.Washington State approved rules on the sale of marijuana and will begin regulating sales in mid-2014.The South Florida Water Management District agreed to a deal with “Big Sugar. [read post]
16 Oct 2013, 6:51 am
In fact, they recently received a five-star rating (the highest rating) from the Centers for Medicaid and Medicare Services. [read post]
15 Oct 2013, 8:39 am
HHSC will now request that the Centers for Medicare and Medicaid Services (CMS) approve the cognitive rehabilitation therapy waiver amendment with an effective date of March 1, 2014. [read post]
14 Oct 2013, 5:58 am
How will the Centers for Medicare & Medicaid Services (CMS) Notice of Proposed Rulemaking impact future medical costs in liability cases? [read post]
10 Oct 2013, 10:52 am
These Big Corporations are alleged to have mounted a campaign to influence the OIG to issue the POD Fraud Alert.Among the actions said to have been undertaken by the Big Corporations during the ensuing years were: Forming lobbying entities Making major campaign contributions Hiring a major law firm to advocate for legislative and regulatory action before OIG, the Centers for Medicare & Medicaid Services, Congress, and states Causing the… [read post]
10 Oct 2013, 8:42 am
Additionally, they were accused of submitting false claims by overbilling Medicare for some of the hospice’s services. [read post]
10 Oct 2013, 7:00 am
According to the Center for Medicare and Medicaid Services, at least 70 percent of Americans over the age of 65 will require long-term care services. [read post]
10 Oct 2013, 4:09 am
In a related development, the Centers for Medicare & Medicaid Services (CMS) has announced that while small businesses may view available plans being offered through the federally-facilitated Small Business Health Option Program (SHOP) Marketplace as of October 1, 2013, all functions (including enrollment) will not be available until November. [read post]
9 Oct 2013, 12:59 pm
The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) is continuing Medicare and Medicaid oversight and enforcement activities, including maintaining its fraud and abuse hotline, while most other OIG activities will be suspended during this period. [read post]
4 Oct 2013, 11:27 am
Additionally, Medicaid funding was made available for states on October 1. [read post]
4 Oct 2013, 6:38 am
., asked Marilyn Tavenner of the Centers for Medicare and Medicaid Services whether President Obama's promise that “if you like your health care plan, you can keep your health care plan” was true. [read post]
4 Oct 2013, 3:57 am
The facilities Kindred is slated to sell to Signature contain 996 licensed nursing center beds. [read post]
3 Oct 2013, 5:39 am
” – McKnight’s – “The Centers for Medicare & Medicaid Services has decided to ease guidelines concerning auditors’ requests for additional documentation. [read post]
1 Oct 2013, 7:21 pm
Three doctors are suing Vanderbilt University Medical Center for Medicare fraud. [read post]
1 Oct 2013, 11:41 am
At the start of Open Enrollment, watch for media advisories for the Centers for Medicare & Medicaid Services’ regular operational updates for reporters. [read post]
30 Sep 2013, 3:08 pm
The Centers for Medicare and Medicaid Services (CMS) recently released a national provider Comparative Billing Report (CBR) focused on spinal orthotics and ordering providers. [read post]
29 Sep 2013, 1:59 am
The provisions of the Medicare Secondary Payer Act mandating reimbursement to The Center for Medicare and Medicaid Services (CMS) will be put on hold. [read post]
26 Sep 2013, 4:13 pm
The Centers for Medicare and Medicaid Services (CMS) announced during its September 26, 2013 Open Door Forum that, for a period of 90 days, CMS will not permit Recovery Audit Contractors (RAC) to review inpatient admissions of one midnight or less that begin on or after October 1, 2013. [read post]
