Search for: "Medicare, Medicaid & Medical Suppliers"
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29 Jun 2009, 7:22 am
Turning to public plans like Medicare and Medicaid for more efficient administration is a fool’s errand. [read post]
9 May 2019, 8:06 am
On Wednesday, May 8, 2019, Health and Human Services(“HHS”) Secretary Alex Azar announced the adoption of a Medicare and Medicaid Programs; Regulation to Require Drug Pricing Transparency Final Rule (the “Rule”) by the Centers for Medicare & Medicaid Services (“CMS”) requiring direct-to-consumer television advertisements for prescription pharmaceuticals covered by Medicare or Medicaid to include the list… [read post]
6 May 2019, 5:44 pm
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and… [read post]
26 Dec 2017, 7:08 pm
The department’s health care fraud recoveries restore valuable assets to federally funded programs, such as Medicare, Medicaid, and TRICARE. [read post]
10 Sep 2018, 7:49 pm
Stamer has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group a [read post]
7 Dec 2019, 9:54 am
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other regulatory, contractual and other… [read post]
21 Dec 2016, 2:08 am
Across the country, corrupt physicians accept cash payments from patients without providing them proper examinations, and some file erroneous or fraudulent claims with private insurance companies and Medicare/Medicaid. [read post]
4 Sep 2023, 7:27 am
HHS is announcing important new steps to crack down on nursing homes that endanger resident safety: The Centers for Medicare & Medicaid Services (CMS) is proposing a rule to set a federal floor for staffing levels, so that nursing home owners could not slash staffing to unsafe levels. [read post]
13 Jul 2018, 10:37 pm
A flurry of activity in the House Ways & Means Committee and other Congressional committees over the past few weeks signals the advisability of keeping a close eye on health care and health benefit reform proposals this Summer in anticipation of both the Fall health benefit enrollment and renewal season and the mid-term November Congressional elections. [read post]
12 Apr 2017, 9:35 pm
Throughout her career, she has helped health industry clients manage workforce, medical staff, vendors and suppliers, medical billing, reimbursement, claims and other provider-payer relations, business partners, and their recruitment, performance, discipline, compliance, safety, compensation, benefits, and training ;board, medical staff and other governance; compliance and internal controls; strategic planning, process and quality improvement; change… [read post]
9 Oct 2019, 3:23 pm
In response, on June 25, 2018, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information seeking input on how it could address existing Stark Law barriers to these emerging value-based payment and delivery systems. [read post]
28 Jan 2020, 9:58 pm
A specialized medical-records provider that contracts with healthcare suppliers nationwide to maintain, retrieve, and produce individuals’ PHI, Cox handles tens of millions of requests for records containing PHI annually including demands by healthcare providers for treatment purposes, patients asking for their own PHI, and third parties, such as life insurance companies and law firms, seeking a patient’s PHI for commercial or legal reasons. [read post]
9 Nov 2023, 1:07 pm
The Revenue Procedure also adjusts the deductible required for a health plan to qualify as a “high deductible health plan” (“HDHP”) for which the Code allows tax preferred contributions to Medical Savings Accounts (“MSAs”). [read post]
10 Feb 2023, 9:25 am
Indeed, of the more than $2.2 billion in FCA settlements and judgments reported by DOJ, over $1.7 billion (more than 80 percent of all recoveries) related to matters that involved the health care and life sciences industries, including drug and device manufacturers, durable medical equipment suppliers, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. [read post]
28 Mar 2022, 2:03 pm
OSHA is also considering whether to limit explicitly the provisions that provide support for vaccination to employees not covered by the Centers for Medicare & Medicaid Services vaccination rule. [read post]
3 Jan 2011, 9:45 pm
Medical Device: MEDICAL DEVICE SUPPLIER ISN'T 'HEALTH CARE PROVIDER', Orthopedic Res. v. [read post]
1 Jan 2020, 10:35 am
While not topping this record, OCR during 2019 now has collected civil monetary penalties and resolution payments totaling more than $15 million from HIPAA Covered Entities and their business associates including: A $3 Million Resolution Payment from Cottage Health; A $3 Million Resolution Payment From A Tennessee Diagnostic Medical Imaging Services Company; A $100,000 Resolution Payment From An Indiana Medical Records Service Business Associate;… [read post]
9 Nov 2023, 1:48 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other regulatory,… [read post]
3 Mar 2022, 9:32 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other… [read post]
15 Aug 2022, 2:35 pm
The main Medicare prescription drug negotiation provisions do not truly get implemented until 2025-2026. [read post]
