Search for: "Medicare, Medicaid & Medical Suppliers"
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18 Jan 2012, 4:41 am
" CMS, which runs Medicare, says it doesn't have the resources to analyze incorporation records for each of its 1.5 million providers and suppliers. [read post]
9 Jan 2012, 3:11 pm
Federal Medicaid expenditures increased 8.9 percent, while state Medicaid expenditures grew 3.9 percent. [read post]
30 Dec 2011, 8:42 am
As a result of its Report, the OIG made recommendations to the Centers for Medicare and Medicaid Services ("CMS") to account for inefficiencies in its reimbursement of portable x-ray suppliers. [read post]
28 Dec 2011, 12:21 pm
The Patient Protection and Affordable Care Act (ACA)2 established a program for the evaluation and public reporting of provider and supplier performance implemented by the Centers for Medicare & Medicaid Services (CMS). [read post]
16 Dec 2011, 6:04 am
Stamer available including: New Guidance On Fiduciary Duties In Handling ACA Group Health Plan Premium Rebates Highlight Advisability Of Tightening Funding Terms & Fund Handling Practices To Manage Fiduciary Risks Mental Health Parity Guidance On Mental Health & Substance Abuse Copays, Utilization Management Limits Released DFW Hospital Council Foundation Among 26 Organizations Selected To Lead Quality Effort Group Health Plans & Insurer To Get More Time To Meet… [read post]
7 Dec 2011, 8:05 am
On September 27, 2011, Hill-Rom Company, Inc., a durable medical equipment supplier, agreed to pay the United States $41.8 million to resolve allegations that it knowingly submitted numerous false claims to the Medicare program for medically unnecessary equipment and certain specialized medical equipment for patients who did not qualify for the equipment and for patients who had died or were no longer using the equipment. [read post]
6 Dec 2011, 4:19 pm
Final Rules Make Direct Access To Data By All But Most Sophisticated Impossible The Centers For Medicare & Medicaid Services (“CMS”) says disclosures of certain Medicare provider and supplier claims performance data scheduled to begin in January will empower employers, health plans and consumers to better evaluate the quality of these health care providers and suppliers. [read post]
15 Nov 2011, 6:16 am
In the spring of this year, the Centers for Medicare and Medicaid Services (CMS) released the proposed rules governing Accountable Care Organizations (ACOs) participating in the CMS Shared Savings Program. [read post]
11 Nov 2011, 9:03 am
On July 19, 2011, the Centers for Medicare and Medicaid Services ("CMS") published in the Federal Register its CY 2012 Physician Fee Schedule Proposed Rule ("Proposed Rule"). [read post]
31 Oct 2011, 2:11 pm
On October 4, 2011 in Izgel Medical Services, PLLC v. [read post]
26 Oct 2011, 7:33 am
Premier agreed to settle its suit for $578,820 to the United States and $21,180 to the State of Indiana, an amount representing more than twice the estimated damages to the Medicare and Medicaid programs. [read post]
18 Oct 2011, 9:23 am
As a Medical Device Product Liability attorney and board certified medical doctor, I am providing this important update regarding Cochlear Implants. [read post]
21 Sep 2011, 7:45 am
However, recently, the Centers for Medicare and Medicaid Services ("CMS") began conducting a pilot program--the Electronic Submission of Medical Documentation ("esMD") pilot--which allows providers and suppliers to send their records to review contractors electronically. [read post]
15 Sep 2011, 6:57 am
Senators asking the Office of Inspector General ("OIG") and the Centers for Medicare and Medicaid Services ("CMS") to issue guidance on physician owned distributorships ("PODs") (or, sometimes referred to as physician owned intermediaries ("POIs")). [read post]
13 Sep 2011, 12:34 pm
While the automated and complex reviews are familiar to most providers and suppliers, it is the semi-automated review that is the newest type of review authorized by CMS. [read post]
10 Aug 2011, 7:41 am
On Monday, CDT filed comments on a rule proposed by the Centers for Medicare and Medicaid Services (CMS) in June that would allow the release of claims data on Medicare beneficiaries to private entities eligible to use this data to generate performance reports for Medicare providers and suppliers. [read post]
29 Jul 2011, 11:52 am
CMS anticipates that this new screening technology will automatically verify information provided on an enrollment application for all Medicare provider supplier types. [read post]
12 Jul 2011, 1:53 pm
" As a result of the findings, the OIG proposed that the Centers for Medicare & Medicaid Services ("CMS") follows the following recommendations: 1) Raise reenrollment screening standards for currently enrolled DMEPOS suppliers; 2) Review multiple sources to determine if the requested power wheelchairs fulfill medical necessity guidelines; 3) Further educate prescribing physicians and suppliers to ensure compliance; 4) Review the… [read post]
8 Apr 2011, 9:23 am
The Court of Appeals further found that because the defendant was a DME supplier, he was in a “relationship of trust” with Medicare/Medicaid. [read post]
7 Mar 2011, 2:16 am
DME INDUSTRY VOICES COMPETITIVE BIDDING CONCERNS: A bipartisan briefing was held for House of Representatives staff on March 1, in order to hear the concerns of durable medical equipment (DME) suppliers with regard to the new Medicare DME competitive bidding program. [read post]
