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14 Dec 2011, 3:38 am by Dan Hargrove
The Center for Medicare and Medicaid Services (CMS) is the governing body that houses the federal Medicare program. [read post]
13 Dec 2011, 7:05 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule giving consumers and employers access to Medicare claims data for provider performance reports. [read post]
13 Dec 2011, 7:05 am
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule giving consumers and employers access to Medicare claims data for provider performance reports. [read post]
12 Dec 2011, 6:23 pm by Alec Sauchik, Esq
Auditors will begin the pilot program by focusing on inpatient hospital claims, especially those for short stays, and conduct the reviews before payment is authorized, said Deborah Taylor, director of the Office of Financial Management at the Centers for Medicare & Medicaid Services. [read post]
12 Dec 2011, 6:16 pm by Alec Sauchik, Esq
Oct. 3 was the last day a physician could begin a 90-day reporting period for 2011, according to the Centers for Medicare & Medicaid Services. [read post]
12 Dec 2011, 1:21 pm by fraudfighters
  Ethex was accused of failing to inform the Centers for Medicare and Medicaid Services (“CMS”) that two of its drugs were ineligible for coverage under federal healthcare programs. [read post]
12 Dec 2011, 12:45 pm
The Center for Medicare & Medicaid Services has just announced new rules that will help accelerate the cumbersome process for obtaining data necessary to conclude injury cases when Medicare or Medicaid has paid bills from medical providers. [read post]
10 Dec 2011, 4:08 am by Ray Mullman
Whitehall was fined $17,000 for the violations, and the state recommended other penalties to the Centers for Medicare & Medicaid Services. [read post]
9 Dec 2011, 12:48 pm by Ed Wallis
The entities defrauding the government do so in a variety of ways: Medicare or Medicaid fraud whereby they bill the government for services which they never provided or overbill for services that were provided; SEC Trading; Tax Fraud; TARP Fraud; Military/Defense contract fraud; Pharmaceutical Manufacturing;contract fraud involving any number of large government spending programs; or other types public benefit fraud. [read post]
9 Dec 2011, 7:37 am by Dan Hargrove
Forbes Magazine reports that the Centers for Medicare & Medicaid Services (CMS) will be conducting a preventative audit in 2012, before it pays out any tax-payer money for cardiology and orthopedic procedures. [read post]
8 Dec 2011, 7:26 am by David Dirr
A group of primary care physicians from Georgia have alleged in a federal lawsuit that the Centers for Medicare and Medicaid Services (CMS) violates federal law by relying on the advice of a committee of the American Medical Association (AMA) in setting Medicare rates for physician services. [read post]
8 Dec 2011, 3:37 am by Darrin Mish
But today, SAS technology is used to tackle fraud, waste and improper payments in many areas of government – from detecting collusive patterns in entitlement programs such as Medicare and Medicaid to purchase-card fraud, bid-rigging and terrorist financing. [read post]
8 Dec 2011, 2:41 am by Jon L. Gelman
The site also provides attorneys, Medicare beneficiaries, claimants, insurance carriers, and WCMSA vendors with the ability to track their submitted cases and the statuses without inquiry to the Coordination of Benefits Contractor (COBC) or the Centers for Medicare & Medicaid Services (CMS).Related articlesUS Supreme Court Maybe Asked to Rule on CMS Issue: "The Doctrine of Equitable Allocation" (workers-compensation.blogspot.com) The Setoff… [read post]
7 Dec 2011, 3:37 pm
The Centers for Medicare & Medicaid Services (CMS) issued its final medical loss ratio (MLR) rule on December 2. [read post]
7 Dec 2011, 3:37 pm
The Centers for Medicare & Medicaid Services (CMS) issued its final medical loss ratio (MLR) rule on December 2. [read post]
7 Dec 2011, 2:26 pm by Sabrina
Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Expand Efforts to Support Program Integrity Initiatives, GAO-12-292T, Dec... [read post]
7 Dec 2011, 8:05 am
For fiscal year 2011, the Centers for Medicare & Medicaid Services recently reported that it has collected a total of $797.4 million in overpayments (compared to returning $141.9 million in underpayments). [read post]
7 Dec 2011, 4:55 am by medmalattorney
By Emily Mapp Brannon, Virginia Medical Malpractice Attorney In his latest post to our Virginia (VA) personal injury attorneys’ website, my colleague Jim Lewis reports the federal Centers for Medicaid & Medicare Services will open its Medicare billing database to employers and consumer health care advocates so those organizations can prepare doctor report cards. [read post]
6 Dec 2011, 4:44 pm
So I was interested to read an article suggesting that the Centers for Medicare and Medicaid, a federal agency that oversees those two programs, has proposed penalizing homes that overuse the drugs. [read post]
6 Dec 2011, 4:44 pm by Rosenbaum & Associates
So I was interested to read an article suggesting that the Centers for Medicare and Medicaid, a federal agency that oversees those two programs, has proposed penalizing homes that overuse the drugs. [read post]