Search for: "Center for Medicare and Medicaid Services" Results 4741 - 4760 of 6,180
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12 Jul 2018, 8:14 am by Akira Tomlinson
Additionally, the rule will open lines of communication with each state’s attorney general, the Department of Health and Human Services, the Food and Drug Administration, the Center for Disease Control, and the Centers for Medicare and Medicaid Services. [read post]
28 Apr 2009, 8:46 pm
" Fisher, the Cabinet spokesperson, said a civil monetary fine of $6,550 per day was imposed by the federal Centers for Medicaid and Medicare Services because residents were found to be in immediate jeopardy. [read post]
27 Mar 2009, 6:06 pm
Retrieved March 17, 2009, from [www.cms.hhs.gov] Centers for Medicare and Medicaid Services. (2009, March 19). [read post]
24 May 2017, 11:02 am by Altman & Altman
The situation is an incredibly tangled web of different organizations, government agencies and winding policy, but the crux of the matter is as such: Healthcare insurance providers, such as UnitedHealth Group, are given money through the federal government’s Centers for Medicare and Medicaid Services (C.M.S.) [read post]
30 Aug 2012, 5:53 am
That is because most funds used for this care comes from taxpayers, in the form of Medicare and Medicaid payments. [read post]
17 Nov 2010, 2:48 pm by Gould and Lamb
All claims/settlements involving Medicare beneficiaries during this interim period must comply with the Medicare Secondary Payer Statute (MSP) and will be reported to the Centers for Medicare and Medicaid Services (CMS) if they meet the requirements. [read post]
29 Feb 2008, 12:47 am
Dave Camp (PDF 58.7 KB)Letter Requests Further Analysis of the Medicare Advantage Program02/28/2008 GAO Report to Congressional Requesters (PDF .99 MB)Medicare Advantage: Increased Spending Relative to Medicare Fee-for-Service May Not Always Reduce Beneficiary Out-of-Pocket Costs02/28/2008 GAO Report to Congressional Requesters (PDF 665 KB)Chemical and Biological Defense: DOD And VA Need to Improve Efforts to Identify and Notify Individuals… [read post]
16 Aug 2021, 2:01 pm by Ana Popovich
“Total sanctions in all programs sponsored by the Department of Health and Human Services (including Medicare and Medicaid) in 2020 were only $1.85 billion. [read post]
29 Nov 2023, 5:04 pm by Robert Hill and Matthew Loughran
This measure, together with new pharmacy contracting requirements and related enforcement provisions also included in the bill, would represent an important—albeit limited—modification to pharmacy network contracting rules under Part D, which have been limited by the statutory “non-interference clause” barring the Centers for Medicare and Medicaid Services (CMS) from interfering in contract negotiations between pharmacies and plans or their… [read post]
19 Apr 2011, 2:55 am
Up to $500 million will come from the new Center for Medicare and Medicaid Innovation in order to test different models of improving patient care. [read post]
28 Dec 2020, 10:19 am by Robert Liles
  With respect to administrative reviews, private sector program integrity contractors working for the Center for Medicare and Medicaid Services (CMS) have moved forward with audits of hospice claims around the country. [read post]
9 Mar 2011, 11:56 pm by Ben Vernia
The law requires community mental health centers that provide partial hospitalization services to provide at least 40 percent of their services to non-Medicare beneficiaries, which should help reduce fraud by centers that set up shop to prey on Medicare. [read post]
12 Sep 2021, 9:16 am by Jonathan H. Adler
We do not yet have the details of the measure, but here is how the White House described the new policy: The Centers for Medicare & Medicaid Services (CMS) is taking action to require COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies. [read post]
28 Dec 2009, 7:19 am by Lebowitz & Mzhen
Department of Health and Human Services- Substance Abuse and Mental Health Services Administration, (SAMHSA): National Mental Health Information Center Centers for Medicare and Medicaid Services, (CMS): Nursing Home Quality Initiative, (NHQI) [read post]
18 Feb 2020, 9:05 pm by Damini Kunwar
The first rule, proposed by the Centers for Medicare and Medicaid Services (CMS) within HHS, would update the Organ Procurement Organization (OPO) conditions for coverage. [read post]
Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
If you have evidence regarding fraud perpetrated against a state or federal health care program, such as Medicare or Medicaid, then you should contact a skilled San Francisco health care fraud attorney at Brod Law Firm right away. [read post]
27 Mar 2010, 5:01 am by Queller, Fisher, Washor, Fuchs & Kool
The Times recommends the following steps in searching for a quality New York nursing home: START WITH THE DATA: Every year the Centers for Medicare and Medicaid Services collect data on more than 15,000 nursing homes throughout the country. [read post]
12 Jun 2017, 9:05 am by Senior Editor
    Not So Secret Tips for Quick and Successful MSA Submissions It’s no secret quick and successful Medicare Set-Aside submissions to the Centers for Medicare and Medicaid Services (CMS) are driven by medical records which meet CMS requirements for review and approval of the MSA. [read post]
26 Sep 2017, 7:22 am by Caesar and Napoli, P.C.
The researchers combed databases from the Centers for Medicare and Medicaid Services for details about the payments. [read post]