Search for: "Center for Medicare and Medicaid Services"
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1 Jan 2020, 9:00 am
Medicaid and Medicaid rely on medical services being based on the legitimate needs of the patient and not the profit incentive of the physicians. [read post]
1 Jun 2010, 6:28 am
As a signal that progress on the ACO front can be expected, just ahead of the Memorial Day Holiday weekend, the Centers for Medicare & Medicaid Services published constructive guidance regarding ACOs and the related financial incentives that will be available. [read post]
12 May 2022, 6:59 am
The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) are actively providing audit support, technical assistance, and investigative coordination to the states’ fraud-fighting efforts. [read post]
10 Oct 2023, 9:46 am
The study was conducted by dental officers at the Centers for Medicare and Medicaid Services. [read post]
4 Jul 2009, 1:01 am
According to the Centers for Medicare and Medicaid Services there are about 135 nursing homes on this list. [read post]
24 May 2013, 7:42 am
While Medicaid will pay for nursing home care for those who qualify, Medicare will not. [read post]
15 Mar 2016, 2:14 pm
(I) The MassHealth Regulation at 130 CMR 520.023(C)(1)(d), as Newly Interpreted by the Office of Medicaid, Is an Invalid Expression of Federal Medicaid Trust Law The treatment of trusts funded by the MassHealth applicant under federal Medicaid law is found at 42 U.S.C. [read post]
13 Jan 2016, 12:06 pm
Dep’t of Human Services. v. [read post]
13 Jan 2016, 12:06 pm
Dep’t of Human Services. v. [read post]
23 May 2008, 12:38 pm
According to the Department of Health and Human Services:"CMS [Center for Medicare & Medicaid Services] is adding information about the number of certain elective hospital procedures provided to those patients and what Medicare pays for those services. [read post]
3 Oct 2011, 4:20 am
Most LIFE participants are eligible to receive services under both Medicare and Medicaid. [read post]
30 Jun 2008, 2:15 pm
Countryman The Centers for Medicare and Medicaid Services (“CMS”) recently issued on June 8, 2008 an advisory opinion in which CMS addressed whether a proposed physician ownership in a diagnostic center complies with the rural provider exception to the Stark Law. [read post]
10 Sep 2012, 7:45 am
He also sees the potential for an entire AHLA conference devoted to ADR (similar to the AHLA's regular subject matter offerings, e.g., Medicare/Medicaid, Tax Exempt Organizations, Antitrust, Fraud & Abuse). [read post]
19 Jul 2011, 6:00 am
HHS comprises several other agencies such as the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medicaid Services (CMS). [read post]
20 Dec 2019, 9:30 am
Second, the Centers for Medicare & Medicaid Services (CMS) has proposed revising the current OPO Conditions for Coverage, effective for the 2022 re-certification cycle. [read post]
4 Aug 2024, 8:23 pm
” This exception applies to certain items or services that “improve a beneficiary’s ability to obtain items and services payable by Medicare or Medicaid, and pose a low risk of harm to Medicare and Medicaid beneficiaries and the Medicare and Medicaid programs” by meeting specified criteria. [read post]
31 Mar 2009, 8:16 pm
LTACHs should speak with their dietary department or dietary service provider to determine what steps are being taken to ensure that patients are not served potentially contaminated products. * * * In a memorandum from the Survey and Certification Group, the Centers for Medicare and Medicaid Services (CMS) has urged… [read post]
11 Jan 2022, 11:45 am
Health Net Federal Services – Unique on this list because this settlement involves no allegations of fraud against the Medicare or Medicaid program, Health Net agreed to pay $97 million to resolve allegations that it overbilled the VA for services provided under an insurance arrangement called the Patient Centered Community Care Program, which provides coverage to veterans who cannot access VA facilities. [read post]
11 Jan 2022, 11:45 am
Health Net Federal Services – Unique on this list because this settlement involves no allegations of fraud against the Medicare or Medicaid program, Health Net agreed to pay $97 million to resolve allegations that it overbilled the VA for services provided under an insurance arrangement called the Patient Centered Community Care Program, which provides coverage to veterans who cannot access VA facilities. [read post]
26 Apr 2022, 1:35 pm
The government alleged that between 2017 and 2019, Springbok and Jankelow “billed Medicare and Medicaid for expensive medical evaluation and management services when, at most, less expensive counseling services were provided. [read post]
