Search for: "PARKER v. US DEPARTMENT OF HEALTH AND HUMAN SERVICES" Results 21 - 40 of 57
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3 Jun 2020, 1:07 pm by Robert Liles
  As early as 1983, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) noted that there was a high rate of hospital emergency room misuse by Medicaid recipients who would utilize high-cost emergency rooms for the care and treatment of non-emergency medical issues. [read post]
22 Dec 2023, 2:31 pm by Robert Liles
The OPM Debarment Process – Responding to an FEHBP Debarment or Suspension Action in 2024 (December 20, 2023):  Most health care providers and suppliers are familiar with the fact that as a participating provider in the Medicare and / or Medicaid programs, certain criminal convictions, adverse licensure actions, and various types of prohibited conduct may subject the provider to exclusion from participation in Federal health care… [read post]
26 Sep 2022, 3:46 am by Robert Liles
Overview of the Medicare Program and the Use of Incident To Billing: Establishment of the Medicare and Medicaid programs. [read post]
3 Jun 2020, 1:07 pm by Robert Liles
  As early as 1983, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) noted that there was a high rate of hospital emergency room misuse by Medicaid recipients who would utilize high-cost emergency rooms for the care and treatment of non-emergency medical issues. [read post]
13 Aug 2019, 1:28 pm by Robert Liles
  Practical Applications of Genetic Testing: The successful mapping of the human genome has led to the development of literally thousands of tests that can now be used to determine whether there is any evidence of chromosomal abnormality that may be used to detect the possibility of illness or disease. [read post]
12 Aug 2022, 4:24 am by Ashley Morgan
Based on the November 2017 guidance, the FDA determined that amniotic fluid falls under Section 351 of the Public Health Service (PHS) Act. [read post]
12 May 2022, 6:59 am by Robert Liles
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]
30 Jun 2022, 7:36 am by Jeff Welty
For example, to fall within the safe harbor, an abortion “procedure [must be] performed by a qualified physician licensed to practice medicine in North Carolina in a hospital or clinic certified by the Department of Health and Human Services to be a suitable facility for the performance of abortions. [read post]
10 Oct 2022, 5:01 am by Robert Liles
Department of Justice (DOJ) won or negotiated over $5.6 billion in False Claims Act (FCA)[1] settlements and judgments. [read post]
29 May 2023, 4:00 am by Administrator
To see how they can provide insightful, pragmatic, and solutions-focused legal services to you and your legal department, visit LawyersInHouse.com. [read post]
17 Feb 2020, 9:01 am by Robert Liles
”[7]  A more in-depth discussion of these Medicare telemedicine restrictions can be found at this linked article.[8] Despite the fact that coding and fee schedule guidance regarding Medicare covered telemedicine services wasn’t even published until November 2001, by March 2003 the Department of Health and Human Services (HHS), Office of Inspector General (OIG) had already found it necessary to issue a Special Fraud Alert entitled… [read post]
12 Apr 2018, 8:48 am by Robert Liles
In fact, as set out in the most recent assessment of improper billing data by the Department of Health and Human Services (HHS), entitled “2017 Medicare Fee-for-Service Supplemental Improper Payment Data,” the estimated improper error rate for Lumbar-Sacral Orthoses was 52.5%. [read post]
9 Jul 2011, 9:48 am by Andrew Spillane
 Perhaps even more radically, the PPACA delegates authority to the Department of Health and Human Services to regulate the contents of health insurers’ and plans’ summary of benefits and even the policies themselves. [read post]
16 Oct 2019, 2:33 pm by Robert Liles
  Every Dental Practice Must Develop and Implement an Effective Compliance Program: As you will recall, the Department of Health & Human Services (HHS), Office of Inspector General (OIG), issued voluntary Compliance Guidance for Individual and Small Group Physician Practices” almost 20 years ago, in 2000.[6]  As the seven element compliance guidance reflects, the term “physician” is defined to include “a doctor of dental… [read post]
31 Aug 2023, 8:25 pm by Sri Medicherla
Department of Health and Human Services (HHS) announced its recommendation to the Drug Enforcement Agency to reclassify marijuana from a Schedule I substance that has no accepted medical use to a Schedule III substance, which consists of drugs “with a moderate to low potential for physical and psychological dependence. [read post]
3 Oct 2012, 1:13 pm by Jeff Marshall
The Court requested that the US Department of Health and Human Services (HHS) provide its views on (1) whether the income stream from the annuity should be treated as income or as a resource, and (2) the policy implications of resolving the case in favor of Mr. and Mrs. [read post]
31 Aug 2023, 9:05 pm by Sri Medicherla
Department of Health and Human Services (HHS) announced its recommendation to the Drug Enforcement Agency to reclassify marijuana from a Schedule I substance that has no accepted medical use to a Schedule III substance, which consists of drugs “with a moderate to low potential for physical and psychological dependence. [read post]