Search for: "Medicare, Medicaid & Medical Suppliers"
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1 Mar 2010, 12:37 am
Such key changes include the following: The bill eliminates the Nebraska Medicaid provision (the infamous "Cornhusker Kickback") and provides additional federal funding to all states for the expansion of Medicaid programs; It closes the Medicare prescription drug "donut hole" gap in coverage; It increases the Senate bill’s affordability provisions by increasing federal assistance levels for low and middle income individuals and families;… [read post]
1 Mar 2010, 12:37 am
Such key changes include the following: The bill eliminates the Nebraska Medicaid provision (the infamous "Cornhusker Kickback") and provides additional federal funding to all states for the expansion of Medicaid programs; It closes the Medicare prescription drug "donut hole" gap in coverage; It increases the Senate bill’s affordability provisions by increasing federal assistance levels for low and middle income individuals and families;… [read post]
8 Jan 2019, 12:38 pm
Among other things, participants in the healthcare system and their suppliers will need to prepare to comply with new expectations and mandates for interoperability. [read post]
12 Jan 2023, 9:05 pm
” The Centers for Medicare and Medicaid Services (CMS) announced its plan to implement a Medicare drug pricing negotiation program, which will set maximum fair price ceilings, as authorized by the Inflation Reduction Act. [read post]
28 Jul 2020, 11:02 am
While the proposed rules made a sweeping effort to promote a value-based health care delivery system, they left notable and significant room for public comment on the various options under consideration by HHS’s Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) to achieve their goals. [read post]
13 Nov 2023, 5:40 pm
It creates crimes that are considered to protect the patient’s best interests by outlawing even the offer to exchange any kind of remuneration (even if it never happens) to get referrals for services or to get items that are eligible for monetary reimbursement under federal healthcare programs (e.g., Medicare, Medicaid, Tricare). [read post]
7 Feb 2023, 6:19 pm
These recoveries restore funds to federal programs such as Medicare, Medicaid, and TRICARE, the health care program for service members and their families. [read post]
12 Feb 2013, 6:41 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
24 Jan 2013, 6:52 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
22 Mar 2010, 3:51 am
H.R. 4872 is expected to extend health insurance coverage to approximately 32 million individuals, amounting to coverage of up to 95 percent of the population.As expected, the reconciliation measure strikes controversial Medicaid provisions in the Senate bill that would provide special treatment for individual states such as Nebraska, and would provide enhanced federal Medicaid payments to all states – including additional aid to states that have already expanded their… [read post]
22 Mar 2010, 3:51 am
H.R. 4872 is expected to extend health insurance coverage to approximately 32 million individuals, amounting to coverage of up to 95 percent of the population.As expected, the reconciliation measure strikes controversial Medicaid provisions in the Senate bill that would provide special treatment for individual states such as Nebraska, and would provide enhanced federal Medicaid payments to all states – including additional aid to states that have already expanded their… [read post]
27 Mar 2020, 7:53 am
Most recently, Medicare beneficiary information has been misused by a number of telemarketing companies and durable medical equipment companies. [read post]
3 Dec 2018, 1:21 pm
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 2023, 9:44 am
Reddy’s, Intas Pharmaceuticals, or BDR Pharmaceuticals), to supply patients purchasers through the Federal Supply Schedule, as well as the Medicare and Medicaid programs. [read post]
25 Mar 2020, 3:41 pm
CMS also has the authority to grant a “blanket” waiver or modification to a Medicare, Medicaid, or CHIP requirement. [read post]
31 Jul 2016, 9:30 pm
But state Medicaid programs remain under pressure from the federal Centers for Medicare and Medicaid Services (CMS) to make sure any limits placed on access to the drugs are “reasonable. [read post]
21 May 2021, 12:48 pm
Financial arrangements with multiple related-party entities siphon off profits to sister therapy businesses, staffing agencies, suppliers, or other non-arm’s length enterprises. [read post]
2 Mar 2020, 7:29 am
HHS predicts this change could generate $18.2 million more per year in medical loss ratio (MLR) rebate payments to consumers;. [read post]
19 Apr 2022, 5:05 am
Contents What is the Anti Kickback Statute Key Terms in the Anti Kickback Law AKS Covered Entities Anti-Kickback Statute Safe Harbors Penalties and Enforcement Examples State Anti-Kickback Statutes What is the Anti Kickback Statute The Anti-Kickback Statute is the popular name for The Medicare and Medicaid Fraud and Abuse Statute, 42 U.S.C. [read post]
2 Sep 2009, 6:40 am
""This settlement demonstrates the ongoing efforts to pursue violations of the False Claims Act and recover taxpayer dollars for the Medicare and Medicaid programs," noted Jim Zerhusen, U.S. [read post]
