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19 Jan 2017, 10:37 am
The statute not only prohibits outright bribes, but also prohibits offering inducements or remuneration that has as one of its purposes the inducement of a physician to refer patients for services that will be reimbursed by a federal healthcare program. prohibits, among other things, the payment of remuneration to induce the use of medical devices covered by Medicare, Medicaid and other federally-funded health care programs, including the Department of Veterans Affairs… [read post]
19 Jan 2017, 10:37 am
The statute not only prohibits outright bribes, but also prohibits offering inducements or remuneration that has as one of its purposes the inducement of a physician to refer patients for services that will be reimbursed by a federal healthcare program. prohibits, among other things, the payment of remuneration to induce the use of medical devices covered by Medicare, Medicaid and other federally-funded health care programs, including the Department of Veterans Affairs… [read post]
21 Dec 2018, 10:43 am
Medicaid Telehealth Services: As with the case of Medicare, state Medicaid telehealth guidelines require that all qualified practitioners providing telehealth services meet the requirements of their State Practice Act. [read post]
23 Feb 2022, 4:27 am
Revoking a dental practice’s Medicare and Medicaid billing privileges. [read post]
9 Jan 2012, 3:11 pm
Federal Medicaid expenditures increased 8.9 percent, while state Medicaid expenditures grew 3.9 percent. [read post]
12 Aug 2010, 3:47 pm
At the time PPACA was passed, there were questions as to how the new disclosure requirement would be implemented, including whether the law was self-effectuating or whether the Centers for Medicare and Medicaid Services (CMS) would need to first promulgate regulations to make it effective. [read post]
30 Jul 2012, 9:29 am
The power of CMS, in consultation with OIG, to suspend Medicare payments and require States to suspend Medicaid and SCHIP payments to providers or suppliers during the investigation of a credible allegation of fraud; The deployment and use of the sophisticated data collection and mining technologies of CMS’ new Fraud Prevention System, which since June 30, 2011 has used advanced predictive modeling technology to screen all Medicare fee-for-service… [read post]
23 Mar 2010, 10:03 am
It could also expand the income limits for Medicaid or lower the age requirements for Medicare to cover many uninsured individuals. [read post]
14 Aug 2022, 5:34 pm
Starting July 1, 2023, the IRA will also limit to $35 the total monthly contribution by a Medicare Part B beneficiary for insulin purchased through a durable medical equipment (“DME”) supplier. [read post]
31 Jan 2022, 7:54 am
The only way to pass on those benefits, however, is if Medicare and Medicaid are made aware of the competitively low costs so that the federal or state system reimburses the provider the percentage of only the reduced price. [read post]
6 Nov 2022, 11:21 pm
In addition, the Second Circuit rejected Pfizer’s argument that the AKS should be read more narrowly than the beneficiary inducement statute (BIS), a civil statute that prohibits a person from offering to a Medicare or Medicaid beneficiary any remuneration that the person knows or should know is likely to influence such individual to order or receive from a particular provider, practitioner, or supplier any item or service for which payment may be made, in whole or… [read post]
24 May 2019, 10:46 pm
The $100,000 payment Medical Informatics Engineering, Inc. [read post]
28 Dec 2011, 12:21 pm
The Patient Protection and Affordable Care Act (ACA)2 established a program for the evaluation and public reporting of provider and supplier performance implemented by the Centers for Medicare & Medicaid Services (CMS). [read post]
17 Sep 2019, 1:21 pm
A Civil Investigative Demand Issued to You or Your Medical Practice is Serious Business. [read post]
15 Nov 2021, 1:16 pm
Specialty pharmacies, medical equipment suppliers, therapy centers, or nursing homes paying patient recruiters or patients directly. [read post]
9 Jan 2021, 3:40 pm
We specialize in regulatory compliance reviews, UPIC audits of Medicare and Medicaid claims, and the defense of proposed State Medical Board disciplinary actions. [read post]
19 Jan 2021, 9:26 am
It involved Medicare, Medicaid, and TRICARE. [read post]
30 Mar 2023, 7:10 am
Further, there are several statements and rules from the Center for Medicaid and Medicare (CMS) which will be changing to accommodate the IRA’s provisions. [read post]
30 Mar 2023, 7:10 am
Further, there are several statements and rules from the Center for Medicaid and Medicare (CMS) which will be changing to accommodate the IRA’s provisions. [read post]
10 Dec 2018, 7:19 am
”While this study focused on Medicaid patients only, the same fears can be mirrored for all patients. [read post]
