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29 Nov 2017, 2:18 am
At the federal level alone, there will be several different agencies focusing on this: i.e., the Justice Department (FBI); the Department of Health & Human Services’ Office of Inspector General (OIG); and the Centers for Medicare & Medicaid Services (CMS). [read post]
19 Oct 2023, 5:19 am
However, the AKS contains a statutory exemption for payments to bona fide employees in the course of employment and HHS has promulgated a safe harbor regulation that carves out from the definition of remuneration: “any amount paid by an employer to an employee, who has a bona fide employment relationship with the employer, for employment in the furnishing of any item or service for which payment may be made in whole or in part under Medicare, Medicaid or other… [read post]
17 Apr 2020, 8:10 am
On March 17, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that it would temporarily modify the originating sites that are permissible for a Medicare beneficiary to receive telemedicine services by a Section 1135 waiver. [read post]
6 Jan 2023, 10:37 am
We are particularly supportive of the provisions in the bill that would require the Centers for Medicare & Medicaid Services (CMS) to negotiate with pharmaceutical companies regarding prices for drugs covered under the Medicare prescription drug benefit. [read post]
30 Jun 2010, 5:14 pm
This article is brought to you by the QTT, the epicenter for whistleblowers and people interested in the False Claims Act, Qui Tam Provisions, and Medicare and Medicaid fraud. [read post]
14 May 2012, 8:13 am
The first rule reforms requirements that hospitals and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid programs. [read post]
4 Jun 2008, 3:33 pm
Countryman On May 30, 2008, the Centers for Medicare & Medicaid Services (CMS) issued an Advisory Opinion regarding a proposed arrangement under which a hospital system would license a custom software interface for use by the physicians on its medical staffs. [read post]
24 Mar 2014, 2:56 pm
” The notice, which was jointly published by the Centers for Medicare & Medicaid Services (CMS), the IRS, and the Employee Benefits Security Administration, solicits feedback on all aspects of the interpretation of this provision, including comments on access, costs, other federal and state laws, and feasibility. [read post]
8 Mar 2023, 4:17 am
Hospice benefits are available through Medicare, Medicaid, the Veterans Administration and private insurers. [read post]
15 Nov 2012, 11:48 am
You will not be allowed to work for or contract with (in any capacity) any Medicare provider including physicians, hospitals, nursing homes and ambulatory surgical centers (ASCs). 5. [read post]
29 Mar 2010, 6:52 am
Beginning in 2010, insurers must report the proportion of premium dollars spent on clinical services and quality. [read post]
26 Jul 2019, 9:39 am
Similarly, Ridgeview settled allegations in May 2019 that it violated the FCA by billing Medicare for services that were not medically necessary. [read post]
3 May 2013, 11:45 am
A unit with the worst scores in a Centers for Medicare and Medicaid Services (CMS) satisfaction survey was chosen for a pilot. [read post]
17 Sep 2009, 7:39 pm
Acute care hospitals would receive a single bundled payment from Medicaid for such services. [read post]
3 Jul 2017, 1:07 pm
The recently proposed Federal healthcare legislation and other cutbacks in federal subsidies threaten healthcare services in Texas more than most.Since 2011, Texas has been receiving $6.2 billion dollars in aid from the federal government through a Medicaid waiver program, but that program is set to end in December of this year, and Texas has been told by the Centers for Medicare & Medicaid Services to expect this funding to be cut by… [read post]
24 Apr 2012, 6:44 am
Exchanges will coordinate with Medicaid coverage. [read post]
14 Apr 2023, 9:05 pm
Furthermore, they recommend that the Centers for Medicare and Medicaid Services leverages underused community resources by establishing a demonstration program for funding community-initiated care. [read post]
15 Jul 2015, 1:00 pm
Although rumblings have begun to include dental care under Medicare coverage, medical plans generally don’t cover your teeth. [read post]
26 Jun 2012, 8:41 am
In order to opt out of the physician supervision requirement, the state's governor must submit a letter to the Centers for Medicare and Medicaid Services (CMS) requesting an exemption. [read post]
17 Nov 2011, 3:29 am
As expected, on November 7th, the Centers for Medicare & Medicaid Services (CMS) implemented a new fixed percentage option for Conditional Payment Resolution (CPR). [read post]
