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26 Sep 2013, 10:28 am
Today from 2:00-3:00 pm Eastern Time, the Centers for Medicare & Medicaid Services (CMS) will hold a special follow-up Open Door Forum to discuss the Fiscal Year (FY) 2014 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital (LTCH) Final Rule (CMS-1599-F) as well as the CMS guidance on physician order and certification. [read post]
23 Sep 2013, 10:00 am
The providers were accused of defrauding Medicare, Medicaid and TRICARE by performing unnecessary and improperly supervised procedures from 2007 until 2011. [read post]
23 Sep 2013, 10:00 am
The providers were accused of defrauding Medicare, Medicaid and TRICARE by performing unnecessary and improperly supervised procedures from 2007 until 2011. [read post]
20 Sep 2013, 2:46 am
Tony Salters, spokesman for the Centers for Medicare & Medicaid Services, said the agency has gotten other reports of callers “requesting personal information in order to gain access to a beneficiary’s Medicare number or other financial information. [read post]
19 Sep 2013, 12:35 pm
Chaudhary worked in various human service organizations including the Young Adult Institute in Queens, NY, the Girls Incorporated of the Greater Capital Region, and Clearview Center, Inc. in Albany, NY. [read post]
18 Sep 2013, 8:36 am
Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a study addressing problems and vulnerabilities in Recovery Audit Contractor (RAC) activities, as well as their oversight by Centers for Medicare & Medicaid Services (CMS). [read post]
18 Sep 2013, 7:58 am
” (link) – “In its proposed 2014 Medicare physician fee schedule rule, the Centers for Medicare & Medicaid Services floated the idea of tripling the number of measures that must be reported via the Physician Quality Reporting System’s data registry option. [read post]
17 Sep 2013, 6:50 am
The OIG has issued reports on potential Medicare Part B drug rebates, Medicaid drug pricing changes, critical access hospital qualifications; Medicare diabetes test strip payments, Medicaid DME reimbursement, and Medicare program integrity efforts. [read post]
16 Sep 2013, 3:21 pm
HHS Settles with Health Plan in Photocopier Breach Case; WellPoint Settles HIPAA Security Case for $1,700,000; Shasta Regional Medical Center Settles HIPAA Security Case for $275,000; Idaho State University Settles HIPAA Security Case for $400,000; and HHS announces first HIPAA breach settlement involving less than 500 patients. [read post]
16 Sep 2013, 1:32 pm
CMS Issues Guidance on Physician Certification and Order The Centers for Medicare & Medicaid Services (CMS) has released sub-regulatory guidance entitled Hospital Inpatient Admission Order and Certification to help hospitals interpret the agency's requirements for inpatient admission orders and certifications from the Hospital Inpatient Prospective Payment System Final Rule for FY 2014 (the "Final Rule"). [read post]
16 Sep 2013, 11:00 am
The Department of Health and Human Services Office of Inspector General (OIG) released a report in 2011 finding that antipsychotic drugs given to elderly residents of nursing homes were not administered in compliance with standards set forth by the Center for Medicare and Medicaid Services (CMS). [read post]
15 Sep 2013, 7:01 pm
In CVS Caremark, the relator alleged that CVS and its related corporations had "violated the False Claims Act . . . in their role as a Pharmacy Benefit manager by engaging in a nationwide practice of fraudulently adjudicating and submitting improper Prescription Drug Event claims to the Center for Medicaid and Medicare Services." [read post]
13 Sep 2013, 9:19 pm
The government alleged that between 2007 and 2011, the defendants regularly billed for radiation oncology services that were not supervised by a physician, as required by Medicare, Medicaid and TRICARE, and that, in fact, these services were often performed while the defendant doctors were on vacation or were working at another radiation oncology clinic. [read post]
13 Sep 2013, 7:44 am
In celebration of the third annual National Health IT Week is September 16-20, the Centers for Medicare & Medicaid Services (CMS) will host several webinars and launching new eHealth tools and resources that it intends to help providers participate in eHealth programs. [read post]
13 Sep 2013, 7:40 am
In celebration of the third annual National Health IT Week is September 16-20, the Centers for Medicare & Medicaid Services (CMS) will host several webinars and launching new eHealth tools and resources that it intends to help providers participate in eHealth programs. [read post]
12 Sep 2013, 9:00 am
The jury, however, found both of the defendants knowingly provided worthless services and knowingly submitted 1,729 false certified claims to the government. [read post]
10 Sep 2013, 9:24 am
An excerpt: The Centers for Medicare and Medicaid Services requires the Department of Aging and Disability Services (DADS) to ensure that individuals receiving waiver services while living in their own residences or in foster/companion care settings have a service backup plan for each waiver service determined to be critical to meet the needs to ensure the individual’s health and safety. [read post]
4 Sep 2013, 4:37 am
– McKnight’s – “Nursing homes often decrease residents’ need for services covered under Medicare, according to new research published by the Centers for Medicare & Medicaid Services. [read post]
4 Sep 2013, 4:00 am
According to an article on McKnights.com, researchers hoped that their findings might help the Centers for Medicare & Medicaid Services decide to make consumer surveys a part of national nursing home report cards. [read post]
3 Sep 2013, 10:49 am
On August 19, 2013, the Centers for Medicare & Medicaid Services (CMS) published the FY 2014 Medicare payment policies and rates under the acute inpatient prospective payment system (IPPS) and the long-term care hospital (LTCH) prospective payment system (PPS) (Final Rule) which, among other changes, updates policies related to the Hospital Readmissions Reduction Program (HRRP or Program). [read post]
