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9 Mar 2023, 11:20 am
Of these patients, 6 were Medicare beneficiaries and 32 were Medicaid beneficiaries. [read post]
8 Mar 2023, 2:02 pm
Department of Veterans’ Affairs if they served on active duty and left the armed forces through a means other than a dishonorable discharge. [read post]
8 Mar 2023, 7:56 am
Among the prominent types of health care fraud were unnecessary services and substandard care, Medicare Advantage fraud, drug pricing fraud, and unlawful kickbacks in violations of the Anti-Kickback and Stark laws. [read post]
8 Mar 2023, 5:30 am
Among the prominent types of health care fraud were unnecessary services and substandard care, Medicare Advantage fraud, drug pricing fraud, and unlawful kickbacks in violations of the Anti-Kickback and Stark laws. [read post]
7 Mar 2023, 7:56 am
United States Department of Health and Human Services, Case No. 6:22-cv-372 (TMA II); CMS, February 24, 2023 Notice, Payment Disputes Between Providers and Health Plans, https://www.cms.gov/nosurprises/help-resolve-payment-disputes/payment-disputes-between-providers-and-health-plans [read post]
7 Mar 2023, 7:14 am
The proposed rules also clarify that a telemedicine encounter that results in a controlled substance prescription requires the health care professional treating the patient to use an interactive telecommunications system, and directly refers to the Medicare definition of that term at 42 C.F.R. [read post]
6 Mar 2023, 5:00 am
Under the new classification, an REH is a Medicare-enrolled provider that must furnish emergency department services and observation care. [read post]
3 Mar 2023, 10:17 am
The Justice Department alleges in court documents that, Brier, Bruining, and RCCA shortchanged Rhode Island and Massachusetts substance abuse disorder patients out of much needed counseling and treatment services, while defrauding Medicare, Medicaid, and other health insurers out of millions of dollars. [read post]
3 Mar 2023, 6:58 am
Department of Health and Human Services, Office of Inspector General. [read post]
1 Mar 2023, 12:35 pm
Department of Health and Human Services Office of Inspector General. [read post]
1 Mar 2023, 12:24 pm
Schwartz; Saratoga Center for Care, LLC; 149 Ballston Ave, LLC; and Ballston Two, LLC will be excluded from Medicare, Medicaid, and all other Federal health care programs, as defined in 42 U.S.C. [read post]
1 Mar 2023, 9:29 am
This applies to both CMS RADV audits as well as Department of Health and Human Services Office of Inspector General (“OIG”) RADV audits. [read post]
28 Feb 2023, 4:00 am
Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) issuing an interim final rule on November 5, 2021, shortcutting the full-blown notice and comment rulemaking process. [read post]
23 Feb 2023, 9:05 pm
Department of Health and Human Services (HHS) announced three proposals that HHS will test to lower prescription drug prices. [read post]
23 Feb 2023, 9:01 pm
For example, the former CEO of a publicly traded health care company was charged with allegedly misleading investors about obtaining rapid test kits. [read post]
23 Feb 2023, 5:00 am
Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing policies for the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
23 Feb 2023, 4:00 am
State and local health departments initiated other tactical moves to circumvent denialist laws through waiver authorities or reliance on everyday public health powers. [read post]
19 Feb 2023, 7:23 pm
The emergency department must be staffed 24 hours per day, seven days per week. [read post]
17 Feb 2023, 4:13 am
The follow-up found that the Department of Health made some progress in addressing the problems identified, but more actions were needed. [read post]
17 Feb 2023, 4:13 am
The follow-up found that the Department of Health made some progress in addressing the problems identified, but more actions were needed. [read post]
