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3 Dec 2018, 1:21 pm by Robert Liles
Patient Brokering Involving Individuals Covered by Medicare or Medicaid.Regardless of the provider type or treatment setting, when associated with care reimbursed by Medicare or Medicaid, improper patient brokering may constitute a violation under the Federal Anti-Kickback Statute. [read post]
28 Mar 2022, 7:13 am by Linda C. Severin
  The Center for Medicare & Medicaid Services notified Mallinckrodt in 2016 that it had been misreporting Acthar’s base AMP. [read post]
On March 6, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released a frequently asked questions that contains important insights for stakeholders about Medicare coverage relating to COVID-19. [read post]
13 Aug 2006, 2:40 pm
Full Story CMS Issues Proposed OPPS Rule Containing Significant Revisions To ASC Payment: Hospitals will receive an overall average increase in Medicare payments of 3% in calendar year (CY) 2007 for outpatient services under the proposed hospital outpatient prospective payment system (OPPS) rule issued August 8 by the Centers for Medicare and Medicaid Services (CMS). [read post]
1 Dec 2012, 12:00 pm
Medicare also covers certain recommended preventive services, including HIV screening for individuals at increased risk, without cost-sharing or deductibles. [read post]
6 Nov 2011, 10:35 am by Jeff Marshall
The 10% cuts which were approved byThe Centers for Medicare and Medicaid Services on October 27th of this year may actuallybe higher since they are based on payment rates in effect two years ago. [read post]
23 Sep 2011, 1:26 pm by Ed Wallis
UT Southwestern Medical Center in Dallas agreed in September to pay $1.4 million to settle allegations the hospital submitted false claims to Medicaid and Medicare regarding the supervision of resident physicians between 2004 and 2007. [read post]
24 Dec 2009, 3:27 pm
  Simply put, in the medical mall model, the medical doctor rents space; patients pay the medical doctor for services; and the medical doctor pays the Center, Clinic or Spa for administrative services. [read post]
3 Feb 2012, 10:09 am by Sandra Park, Women's Rights Project
The federal Centers for Medicare and Medicaid Services have instructed state Medicaid agencies that male breast cancer patients are categorically excluded from coverage for treatment, even if they meet all other qualifying criteria. [read post]
25 Feb 2021, 8:11 am by Dan Bressler
” “MSP Recovery said an analysis of its claims data found that in 381 of 970 instances where the USAA and its related entities reported to the federal Centers for Medicare & Medicaid Services that they had a contractual obligation to make primary payments for enrollees’ injuries, and Akerman attorneys represented both the defendants and another client whose policies were implicated in the same incident involving the same enrollee. [read post]
24 Jun 2011, 6:22 am by Todd Rodriguez
According to the AMA article, the Senators have written letters to both the Centers for Medicare and Medicaid Services and the Department of Health and Human Services asking for the agencies to review the propriety of POD arrangements under the Federal anti-kickback statute. [read post]
25 Jun 2010, 11:00 am by Lucas A. Ferrara, Esq.
I have tasked the Centers for Medicare & Medicaid Services (CMS) to satisfy the President's directive through new requirements that will be included in the Medicare Hospital and Critical Access Hospital Conditions of Participation, 42 C.F.R. [read post]
10 Nov 2015, 11:19 am by Green and Associates
  In addition, Millennium will pay $19.2 million to the Centers for Medicare and Medicaid Services (CMS) to resolve certain administrative actions related to Millennium’s urine drug test billing practices.Millennium agreed to make significant changes to its board of directors, and most of the board will be comprised of new independent members. [read post]
1 May 2008, 5:28 pm
Primary Focus: Substance abuse treatment services Services Provided: Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services Type of Care: Outpatient Forms of Payment Accepted: Medicare, State financed insurance (other than Medicaid) Special Language Services: ASL or other assistance for hearing impaired Website: http://www.breakaddiction.org 6 Professional Services… [read post]
18 Nov 2019, 1:14 pm by Green and Associates
          The Anti‑Kickback Statute prohibits offering or paying anything of value to induce the referral of items or services covered by Medicare, Medicaid, and other federal healthcare programs. [read post]
12 Feb 2010, 6:26 am by Josh
Since the 1990s, the federal government has paid billions in reimbursements to New York State and City through the Centers for Medicare and Medicaid Services, a component of the Department of Health and Human Services. [read post]
27 Oct 2010, 7:39 pm by David Harlow
If you are in the Boston area and are interested in attending this program, I am giving away one free pass to the seventh person who provides the correct answer to the following question, by tweeting it to me -- @healthblawg:  Who is the Administrator of the Centers for Medicare and Medicaid Services and what is the pithy catchphrase he uses to refer to his vision for reforming the U.S. health care system? [read post]