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7 Apr 2023, 8:00 am
The Anti-Kickback Statute (AKS) is the popular name for The Medicare and Medicaid Fraud and Abuse Statute, 42 U.S.C. [read post]
7 Apr 2023, 5:10 am
______________ A collective bargaining agreement may establish a vested right to a continuation of the same health coverage enjoyed by the individual at the time of his or her retirement A municipality may discontinue a retiree’s health insurance benefit in the absence of a contract or provision of law granting the retirees a vested right to such a benefit A resolution increasing a NYSHIP participating employer's contribution for health… [read post]
7 Apr 2023, 5:10 am
______________ A collective bargaining agreement may establish a vested right to a continuation of the same health coverage enjoyed by the individual at the time of his or her retirement A municipality may discontinue a retiree’s health insurance benefit in the absence of a contract or provision of law granting the retirees a vested right to such a benefit A resolution increasing a NYSHIP participating employer's contribution for health… [read post]
4 Apr 2023, 5:00 pm
The settlement amount was based on the company’s ability to pay.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]
3 Apr 2023, 6:26 am
Ctrs. for Medicare & Medicaid Servs. [read post]
30 Mar 2023, 7:30 pm
Cigna-HealthSpring Life & Health Insurance Company (“CIGNA”) earned poor marks for its administration of various Medicare Advantage contracts in compliance with Federal requirements in recent Department of Health & Human Services (“HHS”) Office of Inspector General (“OIG”) audits. [read post]
30 Mar 2023, 7:10 am
The IRA has established a system in which the Department of Health and Human Services (HHS) will negotiate a pre-established list of drugs’ prices with the manufacturers over the next six years and beyond.[4] This negotiation process will subsequently change the reimbursement process for Medicare Part B and D providers. [read post]
30 Mar 2023, 7:10 am
The IRA has established a system in which the Department of Health and Human Services (HHS) will negotiate a pre-established list of drugs’ prices with the manufacturers over the next six years and beyond.[4] This negotiation process will subsequently change the reimbursement process for Medicare Part B and D providers. [read post]
28 Mar 2023, 1:00 am
Computer-assisted coding and other advanced billing solutions can automate parts of the billing and coding process (like pulling documentation from electronic health records), create efficiencies, and reduce human error.However, software and apps still require care and attention. [read post]
23 Mar 2023, 4:30 am
The job description is ambiguous: some language indicates a Classical Ombuds role ("advocate on behalf of residents and staff of the Veterans’ Home and to receive, investigate and resolve through administrative action, in a timely manner, complaints filed by residents and staff"); yet other language is more in line with an Organizational Ombuds role ("provides neutral and confidential assistance to resolve conflict and serves as an advocate for fairness, source of support and… [read post]
21 Mar 2023, 6:07 am
NJ Department of Health – licenses and regulates all long-term care facilities in New Jersey. [read post]
17 Mar 2023, 2:51 pm
Department of Health and Human Services’ Office of Inspector General (OIG), and the Department of Justice (DOJ) have already turned their attention towards fraudulent telemedicine schemes, resulting in criminal charges and administrative actions against dozens of providers. [read post]
16 Mar 2023, 1:14 pm
NJ Department of Health – licenses and regulates all long-term care facilities in New Jersey. [read post]
16 Mar 2023, 11:27 am
Last week Georgia Democratic lawmakers, Fulton County officials and the Atlanta NAACP filed complaints with the Department of Health and Human Services, the Department of Justice and the IRS alleging violations of its tax-exempt status and civil rights violations for closing a hospital in communities of color. [read post]
15 Mar 2023, 8:50 am
Department of Health and Human Services: $145.3 billion The budget request allocates more than $145 billion in discretionary funding to the Department of Health and Human Services (HHS), an 11.4 percent increase from the FY 2023 enacted level. [read post]
15 Mar 2023, 5:00 am
Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule to implement requirements of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). [read post]
14 Mar 2023, 3:28 pm
The scheme resulted in millions of dollars of fraudulently-induced Medicare payments. [read post]
14 Mar 2023, 9:02 am
Department of Health and Human Services Special Agent in Charge Maureen Dixon explained, “Prescriptions which are not medically necessary, and not for a medically accepted indication, will not be paid for by Medicare and Medicaid. [read post]
13 Mar 2023, 5:00 am
Department of Health and Human Services (HHS) has announced the coming end of the COVID-19 Public Health Emergency (PHE) and has provided guidance on the phase-out of PHE 1135 Waivers. [read post]
12 Mar 2023, 2:14 pm
” By statute, the Secretary of the Department of Health and Human Services determines a portion of these payments, known as the “uncompensated care” payment, using a three-factor analysis. [read post]
