Search for: "Medicare, Medicaid & Medical Suppliers"
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20 May 2009, 12:09 pm
While the initial focus will be on suppliers of Durable Medical Equipment with home health agencies likely to follow, all providers who significantly rely upon Medicare and Medicaid funding located in these targeted geographic areas are well advised to review their practices for compliance with Medicare and Medicaid regulations and policies. [read post]
12 May 2009, 4:57 pm
The seriousness with which claimants and attorneys must treat Medicare and Medicaid liens is well known. [read post]
10 May 2009, 1:31 am
Governing LawSection 1128A(a)(5) of the Act (the "CMP") provides for the imposition of civil monetary penalties against any person who gives something of value to a Medicare or state health care program (including Medicaid) beneficiary that the benefactor knows or should know is likely to influence the beneficiary's selection of a particular provider, practitioner, or supplier of any item or service for which payment may be made, in whole or in part, by… [read post]
27 Apr 2009, 7:35 am
The Centers for Medicare and Medicaid Services ("CMS") recently published a final rule addressing termination of non-random prepayment complex medical review, which became effective January 1, 2009. [read post]
23 Apr 2009, 1:58 pm
However, after a large number of indictments related to DME companies and with Medicare moving toward a bidding process for DME suppliers, the focus has been turning to the physicians who prescribe DME and the often expensive medications associated with respiratory illness. [read post]
28 Mar 2009, 2:26 am
Examples Of Qui Tam Related Recoveries: $355,000,000 AstraZeneca $334,000,000 Amerigroup $325,000,000 HealthSouth $257,000,000 Bayer $155,000,000 Medco Health $49,000,000 Pfizer $26,000,000 Key West Pharmacy Qui Tam Web Resources: FALSE CLAIMS ACT CASES: GOVERNMENT INTERVENTION IN QUI TAM (WHISTLEBLOWER) SUITS Medicare Fraud HHS Takes Further Steps to Protect Medicare From Fraudulent Durable Medical Equipment Suppliers [read post]
28 Mar 2009, 2:26 am
Examples Of Qui Tam Related Recoveries: $355,000,000 AstraZeneca $334,000,000 Amerigroup $325,000,000 HealthSouth $257,000,000 Bayer $155,000,000 Medco Health $49,000,000 Pfizer $26,000,000 Key West Pharmacy Qui Tam Web Resources: FALSE CLAIMS ACT CASES: GOVERNMENT INTERVENTION IN QUI TAM (WHISTLEBLOWER) SUITS Medicare Fraud HHS Takes Further Steps to Protect Medicare From Fraudulent Durable Medical Equipment Suppliers [read post]
27 Mar 2009, 6:06 pm
Newly Released MLN Matters Article of Special Interest to Medicare Suppliers. [read post]
15 Mar 2009, 6:37 pm
The MSPA applies to both past and future medical expenses.s Medicare, Medicaid and SCHIP Extension Act of 2007. [read post]
4 Mar 2009, 8:59 pm
Providers whose claims might be reviewed include hospitals (acute care, critical access, and long term care hospitals alike), physician practices, nursing homes, home health agencies, durable medical equipment suppliers, and any other provider or supplier that bills for services or equipment under Medicare Parts A or B. [read post]
10 Dec 2008, 2:09 pm
The Reed Smith Health Industry Washington Watch blog has been updated to discuss a variety of regulatory and other developments impacting health policy, including the following: Regulatory Developments -- CMS has published regulations regarding Medicaid disproportionate share hospital payments, Medicaid non-emergency medical transportation services, and Medicare home health agency rates. [read post]
20 Nov 2008, 2:21 am
Ironically, this trend actually started with single payer government health insurance for the poor and elderly; Medicaid and Medicare, which paved the way for the prepaid health plans. [read post]
7 Oct 2008, 3:32 pm
CMS Developments: A new CMS initiative to combat Medicare DMEPOS and home health fraud and abuse; CMS guidance on Medicare payment of certain routine costs associated with clinical trials; CMS release of “Medically Unlikely Edits” used by Medicare contractors to prevent payment for excessive services; and waiver of certain hospital quality reporting requirements in hurricane areas. [read post]
26 Aug 2008, 7:20 pm
According to the article, the Center for Medicare and Medicaid Services (CMS) has allowed alleged businesses who claim to be medical equipment suppliers to sign up for Medicare reimbursement eligibility when they were in fact sham businesses that never provided medical supplies to patients. [read post]
11 Aug 2008, 3:14 pm
Medicaid Drug Reimbursement. [read post]
28 Jul 2008, 9:04 pm
INTRODUCTION On July 15, 2008, the House and Senate overrode President Bush’s veto of H.R. 6331, the “Medicare Improvements for Patients and Providers Act of 2008” (“MIPPA”).1 Among many other things, MIPPA delays and reforms the Centers for Medicare & Medicaid Services’ (“CMS”) controversial competitive bidding program for certain categories of durable… [read post]
20 May 2008, 2:36 pm
The Centers for Medicare & Medicaid Services on Monday released the names of the 325 suppliers that have signed contracts with Medicare to provide certain medical equipment and supplies to beneficiaries in Kansas City and nine other communities throughout the... [read post]
12 Jan 2008, 9:44 am
This week, the Centers for Medicare & Medicaid Services (CMS) announced an initiative designed to improve care, save $1 billion annually, and lower Medicare beneficiaries' out-of-pocket costs--by promoting competition in the sale of durable medical equipment. [read post]
23 Sep 2007, 9:09 pm
Hospitals compensate for this by filing, often fraudulently, for reimbursement from Medicare and Medicaid for the supplies that they are purchasing. [read post]
6 Aug 2007, 9:18 pm
The indictments of Texas medical equipment suppliers--who are alleged to have overbilled Medicare and Medicaid for expensive scooters and chairs while providing cheaper ones --show how prevalent false claims are. [read post]
