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25 Jul 2011, 2:56 pm by Tom D'Amore
” Vitas, which projects $1 billion in revenue this year, is currently under federal investigation for “engage(ing) in an extensive scheme” to “defraud the Medicare and Medicaid programs of potentially hundreds of millions of dollars” by falsifying records and hospice certifications, and for billing for services it didn’t deliver, according to a federal court filing. [read post]
24 Jul 2011, 5:51 am by Ray Mullman
Guidelines from Centers for Medicare & Medicaid Services for this regulation state that "[nursing] facilities must be thorough in their investigations of the past histories of individuals they are considering hiring. [read post]
20 Jul 2011, 9:08 am
The Institute of Medicine and the Centers for Medicare and Medicaid Services concluded that the ideal level of care in a nursing home is only 45 minutes of registered nurse staffing per resident per day. [read post]
20 Jul 2011, 8:42 am
What this means is if you are in a car accident in West Virginia and you have medicare or medicaid which pays for medical services DHHR cannot bring a suit to seek repayment if you dispute the amount of reimbursement they are seeking. [read post]
20 Jul 2011, 8:42 am
What this means is if you are in a car accident in West Virginia and you have medicare or medicaid which pays for medical services DHHR cannot bring a suit to seek repayment if you dispute the amount of reimbursement they are seeking. [read post]
20 Jul 2011, 7:00 am
A report by the Centers for Medicare and Medicaid Services found that at least 91% of homes have been cited for health and safety deficiencies. [read post]
20 Jul 2011, 5:01 am by James Edward Maule
Fourth, payments to Social Security recipients, including the retired and the disabled, and to beneficiaries of Medicare and Medicaid will stop. [read post]
19 Jul 2011, 6:30 am
Bernhard ran the Chesapeake Wound Care Center from his home and submitted 80 claims for Medicare reimbursement for services he claimed to have provided at skilled nursing facilities. [read post]
19 Jul 2011, 6:00 am by Vanessa Kurzweil
 HHS comprises several other agencies such as the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medicaid Services (CMS). [read post]
19 Jul 2011, 5:16 am by Jonathan Rosenfeld
Attorney's Office deemed the care so inadequate that the facility should never have billed Medicare or Medicaid for such services. [read post]
15 Jul 2011, 12:48 pm
The Centers for Medicare & Medicaid Services ("CMS") recently released the Medicare Fee-For-Service Recovery Audit Program ("RAC") statistics for the third quarter of the fiscal year ("FY") 2011 [read post]
15 Jul 2011, 11:02 am by Christie Britt, MBA MSCC AIC
Services that are covered by both will be paid first by Medicare and the difference by Medicaid. [read post]
14 Jul 2011, 2:22 pm
Michael Bell, the deputy director of the CDC’s division of health care quality promotion, reported to Kaiser Health News that “repeated outbreaks resulting from unsafe practices, along with breaches of infection control noted in ambulatory surgical centers during inspections by the [Centers for Medicare and Medicaid Services] indicate the need for better infection prevention. [read post]
12 Jul 2011, 3:02 pm by Lisa Baird
On July 8, 2011, Centers for Medicare & Medicaid Services (CMS) announced that it had awarded Myers and Stauffer, LC a contract to prepare a monthly survey of retail community pharmacy ("RCP") prescription drug prices. [read post]
12 Jul 2011, 1:53 pm
" As a result of the findings, the OIG proposed that the Centers for Medicare & Medicaid Services ("CMS") follows the following recommendations: 1) Raise reenrollment screening standards for currently enrolled DMEPOS suppliers; 2) Review multiple sources to determine if the requested power wheelchairs fulfill medical necessity guidelines; 3) Further educate prescribing physicians and suppliers to ensure compliance; 4) Review the suppliers OIG… [read post]
11 Jul 2011, 7:42 pm by Rosenbaum & Associates
King pointed to rules from the Centers for Medicare and Medicaid Services, which say residents cannot be transferred for nonpayment unless their claims have been denied -- but the court said Medicare payment had already been denied. [read post]
11 Jul 2011, 7:10 pm by mcarzima@imediainc.com
Verizon, Northrop Grumman and National Government Services have developed fraud detection and prevention technology for the Centers of Medicare & Medicaid Services. [read post]
11 Jul 2011, 5:17 pm
The Centers for Medicare and Medicaid Services Nursing Home Compare website compares every nursing home in the country that is eligible for Medicare and Medicaid. [read post]
11 Jul 2011, 9:18 am by Nathan J. Forck, Attorney at Law
Lewendon added that he and his colleagues are challenging another state practice related to the full-return rule, one that rests on a theory that Connecticut couldn't persuade the Centers for Medicare and Medicaid services to approve but that the state employs nonetheless. [read post]