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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 Jul 2015, 5:19 am
Specific areas of coverage include critiques of current (1) Medicare financing of graduate medical education, as both outdated and contributing to provider shortages in critical areas; (2) Medicaid coverage policies that prevent adequate home and community based services; (3) approaches to regulating reproductive technologies, including oocyte cryopreservation and posthumous reproduction; and (4) Medicare payment policies that fail to recognize hospital influence… [read post]
14 Dec 2020, 11:46 am
As we recently flagged, even amidst the chaos of a global pandemic, multiple HHS agencies, including the Office of the National Coordinator for Health Information Technology (ONC), the Centers for Medicare & Medicaid Services (CMS), and most recently, CMS and OIG, have focused their attention in 2020 on facilitating and enforcing patients’ rights to access their health information, encouraging interoperability among health information… [read post]
16 Dec 2021, 6:37 pm
In November, at the White House's direction, the Center for Medicare and Medicaid Services (CMS) promulgated an interim final rule mandating that Medicare and Medicaid service providers require their workers to obtain COVID-19 vaccines. [read post]
17 Jul 2022, 7:57 pm
Those programs, comprising the Medicaid Drug Rebate Program, the 340B drug discount program, the Veterans Affairs drug discount program, the TRICARE retail refund program, and the Medicare Part D Coverage Gap Discount Program, are all implemented through agreements between the manufacturer and the government. [read post]
28 Oct 2019, 1:09 pm
Part One, presented here, focuses on the new value-based arrangement framework proposed by the Office of Inspector General and the Centers for Medicare & Medicaid Services (CMS) and the new safe harbors and exceptions that would be available to persons and entities participating in those arrangements. [read post]
27 Jul 2022, 5:00 am
Although the Public Health Emergency has been extended, it is important to note that the Centers for Medicare and Medicaid Service (CMS) has already started to end some of the regulatory flexibilities implemented during the Public Health Emergency. [read post]
30 Jan 2010, 6:00 am
Late in the Bush administration, the Centers for Medicare & Medicaid Services began assigning nursing homes one to five stars for quality, staffing and health inspections, as well as an overall score. [read post]
25 May 2021, 4:00 am
When researching facilities, be sure to utilize the Centers for Medicare and Medicaid Services website www.cms.gov which allows you to look up past complaints filed against prospective nursing homes, what forms of payment they accept (Medicaid, Medicare, private pay, etc.) and even the owners or major shareholders of the prospective nursing homes. [read post]
8 Jun 2011, 12:19 pm
If problems persist, the hospitals could lose their state operating license or their reimbursements from Medicare and Medi-Cal, California's Medicaid program. [read post]
Maryland hospital pays $22 million to settle Antikickback Statute-based False Claims Act allegations
9 Nov 2010, 6:29 am
The hospital is subject to exclusion from Federal health care programs, including Medicare and Medicaid, for major noncompliance with this CIA and subject to stipulated penalties for less significant noncompliance. [read post]
3 Feb 2015, 8:00 am
That settlement also resolved allegations that one of the company’s affiliated hospitals, Laredo Medical Center, improperly billed Medicare for certain inpatient procedures and for services rendered to patients referred in violation of the Physician Self-Referral Law, commonly known as the Stark Law. [read post]
28 Jan 2015, 4:34 am
Looking to Medicare's fee schedule, RAND recommends using what is already in place, and by reference, that would eliminate reimbursement to family members.Payments under Medicare are limited to services provided by home health agencies that are certified by the U.S. [read post]
15 Nov 2010, 8:00 am
Medicaid, the state and federal program that will pay for some of these services, has strict financial eligibility requirements. [read post]
28 Apr 2009, 3:11 am
Many observers are very interested in what the Centers for Medicare & Medicaid Services might do to counterbalance providers receiving $770 million more than anticipated in Medicare payments for nine higher-acuity reimbursement groups that were added in 2006.Most insiders expect proposed Medicare cuts, or at least a proposed freeze, but almost all acknowledge it is unknown whether lawmakers will have the resolve to act on any such… [read post]
11 May 2009, 7:52 am
Many observers are very interested in what the Centers for Medicare & Medicaid Services might do to counterbalance providers being overpiad by $770 million more than anticipated in Medicare payments for nine higher-acuity reimbursement groups that were added in 2006. [read post]
26 Aug 2015, 5:28 am
Covenant Hospice Inc. to Pay $10.1 Million for Overcharging Medicare, Tricare and Medicaid for Hospice Services On June 18, Covenant Hospice Inc. agreed to pay $10,149,374 to reimburse the government for alleged overbilling of Medicare, Tricare and Medicaid for hospice services, the Department of Justice announced. [read post]
9 Apr 2010, 6:51 am
Centers for Medicare and Medicaid Services, the federal agency that administers the Medicare program, named Northlake a Special Focus Facility. [read post]
19 Sep 2023, 2:00 am
Check out our Practical Guidance Author Center ! [read post]
7 Mar 2014, 10:08 am
Generally speaking, Medicare or Medicaid will not pay ALF fees. [read post]
