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25 Sep 2024, 8:40 am
” The plaintiffs argue that those enrolled in the SSI program at the time of hospitalization qualify, whereas the Department of Health and Human Services (HHS), which oversees the Centers for Medicare and Medicaid Services, argues that only those entitled to receive SSI cash payments qualify. [read post]
13 Feb 2014, 11:45 am
” – McKnight’s – ”The Centers for Medicare & Medicaid Services has loosened regulatory language regarding which providers can furnish vaccines to hospice patients, and has tightened enforcement of a five-day payment limit for respite care. [read post]
15 May 2018, 9:00 am
Among other things, the Roadmap explains the federal anti-kickback statute (AKS) as follows: The AKS is a criminal law that prohibits the knowing and willful payment of “remuneration” to induce or reward patient referrals or the generation of business involving any item or service payable by the Federal health care programs (e.g., drugs, supplies, or health care services for Medicare or Medicaid patients). [read post]
26 Mar 2019, 1:32 pm
” When the competitor drug is commercially available, the Centers for Medicare & Medicaid Services (CMS) would pay for both innovator and competitor drugs at ASP plus 6%. [read post]
1 Apr 2011, 8:03 am
Before her death, the plaintiff’s mother’s medical care was paid for by Medicare, a federal program administered by the Centers for Medicare and Medicaid Services (“CMS”) of the Department of Health and Human Services (“HHS”). [read post]
25 Jun 2020, 6:52 am
Reports of violations filed by the Texas Health and Human Services Commission and/or Centers for Medicare and Medicaid Services might provide such evidence. [read post]
25 Jun 2020, 6:52 am
Reports of violations filed by the Texas Health and Human Services Commission and/or Centers for Medicare and Medicaid Services might provide such evidence. [read post]
31 Oct 2011, 2:11 pm
CMS, the Department of Health and Human Services Departmental Appeals Board ("DAB") held that the Centers for Medicare and Medicaid Services ("CMS") "was authorized to revoke the Medicare provider enrollment of Petitioner, Izgel Medical Services, PLLC" for its failure to timely report to CMS a change in its practice location. 42 CFR 424.516(d)(1)(iii) requires that physician practitioner organizations… [read post]
22 Feb 2010, 9:14 am
Comments on the Rules must be submitted to the Center for Medicare and Medicaid Services by May 3, 2010. [read post]
27 Jul 2012, 11:15 am
The following organizations and government agencies are among the first to join this partnership: America's Health Insurance Plans Amerigroup Corporation Blue Cross and Blue Shield Association Blue Cross and Blue Shield of Louisiana Centers for Medicare & Medicaid Services Coalition Against Insurance Fraud Federal Bureau of Investigations Health and Human Services Office of Inspector General Humana Inc. [read post]
12 May 2019, 9:05 pm
” In November 2018, the Centers for Medicare and Medicaid Services (CMS) proposed changes to its regulations under Medicare Advantage—also known as Medicare Part C—and the Medicare Part D Prescription Drug Benefit program. [read post]
5 Apr 2011, 12:48 pm
The compendium covers Medicare, Medicaid and Public Health and Human Services as different parts of the compendium. [read post]
8 Nov 2023, 7:36 am
Make the attestation online via the Centers for Medicare & Medicaid Services Website no later than the due date (discussed below). [read post]
8 Dec 2014, 2:09 pm
" The report reviewed as many as 33,000 medical records each year from the Inpatient Quality Reporting Program at the Centers for Medicare and Medicaid Services (CMS). [read post]
5 Dec 2011, 6:12 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitled to complete reimbursement of Medicare payments under the Medicare Secondary Payer Act (MSP) from a liability claim even though the beneficiary claimed that the settlement required allocation due to the law allocating liability. [read post]
17 Feb 2013, 12:01 am
The Centers for Medicare and Medicaid Services also granted funds for training sessions that would teach employees in nursing homes and assisted-living facilities how to treat dementia patients without relying on antipsychotic medications. [read post]
18 Aug 2010, 3:50 pm
Rodrigue On July 13, 2010, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require physicians to disclose to their patient(s), at the time of ordering a CT, MRI or PET Scan service that may be performed in the physician’s office, the name, address, telephone number and distance from the physician’s office of ten (10) competing suppliers of the CT, MRI or PET Scan service where… [read post]
14 May 2024, 6:15 am
Forest Service in order to (1) avoid bidding against each other with respect to certain dispatch centers or (2) deliberately bid at a higher or lower daily rate to determine who would win priority on a dispatch center’s dispatch priority list, which determined who would first receive business from the U.S. [read post]
25 Mar 2011, 10:05 am
In the report, the OIG identified 1,427 complaints made to the fraud hotline (1-800-HHS-TIPS) that OIG had forwarded to the Center for Medicare and Medicaid Services (CMS) during the first six months of 2008. [read post]
8 Jan 2009, 8:27 am
" The change barred nursing home inspectors from releasing privileged information to the public without approval from the director of the Centers for Medicare and Medicaid Services. [read post]
