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19 Apr 2010, 1:38 am
Down the road at the Department of Health and Human Services (HHS), agency officials prepared to begin the arduous task of implementing various provisions of the new healthcare reform law.CONGRESS COMPLETES ACTION ON MEDICARE PHYSICIAN PAY:Ending weeks of back and forth debate, the House and Senate last week approved a final package of short-term extensions of several federal programs that had recently lapsed, such as unemployment benefits. [read post]
19 Apr 2010, 1:38 am
Down the road at the Department of Health and Human Services (HHS), agency officials prepared to begin the arduous task of implementing various provisions of the new healthcare reform law.CONGRESS COMPLETES ACTION ON MEDICARE PHYSICIAN PAY:Ending weeks of back and forth debate, the House and Senate last week approved a final package of short-term extensions of several federal programs that had recently lapsed, such as unemployment benefits. [read post]
22 Aug 2012, 3:00 am
That's right, the Department of Health and Human Services issued its estimate not long ago, and Businessweek reported it in an article titled "Medicare Drug Plan Premiums to Stay at $30 in Coming Year. [read post]
2 Jul 2012, 6:51 am
The Department of Justice, the FBI and the Department of Health and Human Services announced that two Miami-area residents, James Edwards and Nelson Fernandez, were recently sentenced for their roles in a $200 million Medicare fraud scheme. [read post]
30 Aug 2022, 11:46 am
After a long line of opinions scrutinizing the use of rewards programs offered by providers, the Department of Health and Human Services’ Office of Inspector General (“OIG”) issued Advisory Opinion 22-16 on August 19, 2022– a favorable opinion for the provision of gift cards to Medicare Advantage (“MA’) plan enrollees who complete educational modules as part of an online surgical treatment learning tool. [read post]
4 Jun 2019, 7:54 am
The question was whether the Department of Health and Human Services was permitted to change, without notice and comment, an important reimbursement formula for hospitals that treat many low-income patients. [read post]
18 Feb 2011, 2:48 pm
According to an FBI Press Release, more than 700 law enforcement agents from the FBI and the Department of Health and Human Services and State Medicaid Fraud Control Units were involved in Thursdays arrest. [read post]
1 Feb 2011, 4:06 am
According to recent reports from Department of Health and Human Services, since Jan. 4, there were 1,341 qui tam cases under investigation for fraud against the government. [read post]
17 Oct 2011, 8:26 am
The Justice Department announced that nine of the ten defendants admitted recruiting Medicare beneficiaries who allowed the two agencies to bill Medicare for services that were medically unnecessary and/or were never provided. [read post]
28 Apr 2014, 12:48 pm
It is alleged that the Louisiana-based home health company submitted false home healthcare billings to the Medicare program. [read post]
15 Jan 2013, 6:59 am
., Board Certified by The Florida Bar in Health LawThose who are licensed by the Department of Health (DOH) must be sure they are maintaining their continuing education requirements by taking the required courses in a timely manner. [read post]
31 Jan 2017, 7:19 am
With regard to criminal fraud, the Department of Justice (DOJ) opened 975 new criminal health care fraud investigations in FY 2016, with criminal charges filed in 480 cases and 802 defendants convicted of health fraud-related crimes. [read post]
27 Mar 2018, 10:31 am
Three Medicare fraud schemes in recent weeks have targeted a total $139.4 million, which led the Department of Justice to seek multiple convictions and a combined 33 years in prison sentences. [read post]
27 Mar 2018, 10:31 am
Three Medicare fraud schemes in recent weeks have targeted a total $139.4 million, which led the Department of Justice to seek multiple convictions and a combined 33 years in prison sentences. [read post]
9 May 2016, 10:00 am
/M.B.A candidate at Tulane University: Law Clerk, The Health Law Firm On April 20, 2016, the US Department of Health and Human Services Office of Inspector General (OIG) released updated non-binding criteria that disclosed when a company or individual can be barred from participating in Medicare, Medicaid, and other federal health care programs. [read post]
9 May 2016, 10:00 am
/M.B.A candidate at Tulane University: Law Clerk, The Health Law Firm On April 20, 2016, the US Department of Health and Human Services Office of Inspector General (OIG) released updated non-binding criteria that disclosed when a company or individual can be barred from participating in Medicare, Medicaid, and other federal health care programs. [read post]
9 May 2016, 10:00 am
/M.B.A candidate at Tulane University: Law Clerk, The Health Law Firm On April 20, 2016, the US Department of Health and Human Services Office of Inspector General (OIG) released updated non-binding criteria that disclosed when a company or individual can be barred from participating in Medicare, Medicaid, and other federal health care programs. [read post]
19 Sep 2012, 7:03 am
Department of Health and Human Services (DHHS). [read post]
20 May 2009, 4:28 am
The Justice Department and the Dept. of Health and Human Services announced the creation of a new interagency effort to combat Medicare fraud.In addition to the new Health Care Fraud Prevention and Enforcement Action Team (HEAT), the two agencies will add joint DOJ-HHS Medicare Fraud Strike Forces in Detroit and Houston. [read post]
3 Feb 2022, 6:00 am
Where an overlap is found, a provider may raise the issue in the five levels of the Medicare claims appeal process: Redetermination by the MAC, Reconsideration by a Qualified Independent Contractor (QIC), review by an Administrative Law Judge (ALJ) employed by Department of Health and Human Services (HHS), review by the Medicare Appeals Council, also within HHS, and review by a judge in a federal court. [read post]
