Search for: "Medicare, Medicaid & Medical Suppliers"
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6 May 2010, 8:10 am
For instance, at Section 6401(a)(7), the Act creates mandatory compliance programs for providers enrolled in Medicare and Medicaid. [read post]
28 Apr 2010, 10:32 am
Violations of the Stark Law require the provider to refund to Medicare of Medicaid inappropriate payments received, and may result in civil monetary penalties, false claims act liability and/or exclusion from Medicare. [read post]
29 Mar 2010, 6:52 am
The Affordable Care Act also provides assistance with retirees’ medical claims. [read post]
23 Mar 2010, 10:03 am
It could also expand the income limits for Medicaid or lower the age requirements for Medicare to cover many uninsured individuals. [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]
8 Mar 2010, 1:15 am
As previously noted, the complex legislative process necessary to push President Obama's top domestic priority across the finish line consists of many moving parts and unpredictable factors, and we will continue to closely follow this fluid situation and provide relevant updates.The Healthcare Reform Legislation ultimately adopted may affect many segments of the healthcare industry, including providers and suppliers, insurers, educational institutions, pharmaceutical and… [read post]
8 Mar 2010, 1:15 am
As previously noted, the complex legislative process necessary to push President Obama’s top domestic priority across the finish line consists of many moving parts and unpredictable factors, and we will continue to closely follow this fluid situation and provide relevant updates.The Healthcare Reform Legislation ultimately adopted may affect many segments of the healthcare industry, including providers and suppliers, insurers, educational institutions, pharmaceutical and… [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]
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]
17 Feb 2010, 12:25 pm
The Centers for Medicare & Medicaid Services (CMS) has issued new "Telemarketing FAQs" to supplement the Office of Inspector General's (OIG) recent revisions to its Special Fraud Alert on Telemarketing by Durable Medical Equipment Suppliers. [read post]
11 Feb 2010, 8:47 am
Recently, the Centers for Medicare & Medicaid Services (CMS) approved the following three national accreditation organization to provide the accreditation services for suppliers of the TC of advanced diagnostic imaging procedures: (1) the American College of Radiology; (2) the Intersocietal Accreditation Commission; and (3) the Joint Commission. [read post]
1 Feb 2010, 10:44 am
I have several supplier clients on 100% pre-pay Medicare review facing significant potential disallowances because a contractor decided for the first time to implement a technical Medicare manual provision about recording a specific date of service – when there is no question from the medical record that medically necessary, physician ordered, and readily documented services were in fact provided. [read post]
8 Jan 2010, 10:53 am
Min Liao advises a wide variety of clients, including pharmaceutical manufacturers, durable medical equipment suppliers, medical device companies, hospitals, imaging centers, physicians, medical associations and societies, regarding distribution, competitive bidding, coverage, reimbursement, government price reporting, advocacy and Medicare/Medicaid policy issues. [read post]
7 Jan 2010, 10:46 am
Medicare is not supposed to be free medical care. [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]
27 Aug 2009, 2:10 pm
The Centers for Medicare and Medicaid Services (CMS) recently issued Transmittal 297, which provides that, as of September 8, 2009, only one durable medical equipment (DME) vendor shall be allowed to store and/or sell DME items at a physician’s or a physician group’s office, and sets forth specific requirements that must be met in connection with these arrangements. [read post]
18 Aug 2009, 7:05 am
Centers for Medicare and Medicaid Services (CMS) noted that consignment closets (also known as stock and bill arrangements) have not complied with durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) supplier standards. [read post]
16 Jul 2009, 12:07 pm
According to the 2010 Proposed Physician Fee Schedule (PPFS), as of January 1, 2012, the Center for Medicare and Medicaid Services (CMS) proposes that Medicare payment be made only for the technical component (TC) of advanced diagnostic imaging services to suppliers who have met the accreditation requirements set forth by the Secretary. [read post]
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]
