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7 Mar 2014, 6:18 am
” Quoting Jennifer Trussell, who investigates medical identity theft on behalf of HHS, the article cautions that, “If you tweet about your diabetes diagnosis . . . the next thing you know, you’re getting diabetes test strips you didn’t order or receive billed to your insurance company. [read post]
6 Mar 2014, 8:28 pm
The Centers for Medicare and Medicaid Services, which is a devision of HHS, as recently as January 2010 urged Medicare Part D plan insurers to report data on their anti-fraud activities every year. [read post]
6 Mar 2014, 3:10 pm
HHS encourages these entities to submit feedback so that their comments and suggestions can be considered during the policy-making process. [read post]
5 Mar 2014, 5:05 am
HHS has proposed updated electronic health record certification criteria and ACA health coverage waiting period regulations. [read post]
5 Mar 2014, 5:04 am
Major Program Integrity/Efficiency Provisions Expand funding for the Health Care Fraud and Abuse Control (HCFAC) program, the Medicaid Integrity Program, and Medicaid Fraud Control Units, and other Department of Health and Human Services (HHS) program integrity efforts. [read post]
4 Mar 2014, 10:01 pm
Department of Health and Human Services (HHS). [read post]
4 Mar 2014, 5:50 pm
The FAQ reaffirms statements in the preamble to the HHS final regulation on standards related to essential health benefits that the Departments read PHS Act § 2707(b) as requiring all non-grandfathered group health plans subject to ACA to comply with the annual limitation on out-of-pocket maximums described in ACA § 1302(c)(1). [read post]
4 Mar 2014, 12:17 pm
The joint federal health care fraud enforcement efforts of the Departments of Justice (DOJ) and Health and Human Services (HHS) set new records for recoveries in Fiscal Year (FY) 2013, according to the newly […] [read post]
4 Mar 2014, 12:17 pm
The joint federal health care fraud enforcement efforts of the Departments of Justice (DOJ) and Health and Human Services (HHS) set new records for recoveries in Fiscal Year (FY) 2013, according to the newly […] [read post]
4 Mar 2014, 10:46 am
The report also notes the successes of coordinated Department of Justice (DOJ) and HHS efforts such as the Health Care Fraud Prevention & Enforcement Action Team (HEAT) and interagency Medicare Fraud Strike Force teams. [read post]
4 Mar 2014, 5:21 am
A recent HHS Office of Inspector General (OIG) report examines Medicare services provided during the Medicare Severity Diagnosis Related Group (DRG) payment window – that is, the period when certain outpatient services related to an inpatient admission are considered to be included in the DRG payment. [read post]
3 Mar 2014, 8:08 am
HHS is accepting public comments on the proposed rule through March 3, 2014. [read post]
3 Mar 2014, 6:00 am
On February 24, 2014, the Departments of HHS, Labor, and Treasury published final regulations that generally bar employer-sponsored group health plans and group health insurance issuers from imposing a health coverage waiting period of more than 90 days after an employee is otherwise eligible for coverage. [read post]
3 Mar 2014, 5:30 am
HHS explains: Disclosures Without Individual Authorization. [read post]
3 Mar 2014, 5:04 am
CMS has announced that in light of persistent problems individuals have had enrolling in qualified health plans (QHPs) through some state-run Marketplaces, it will now allow individuals to access premium tax credits and cost-sharing reductions on a retroactive basis in certain circumstances. [read post]
28 Feb 2014, 6:24 pm
“The case in Texas raises broader questions about CMS’ ability to detect fraud in its programs,” according to letters sent to the agency and the HHS inspector general’s office. [read post]
27 Feb 2014, 11:23 am
The FDCA confers “complete discretion” on the Secretary of the Department of Health and Human Services (“HHS”) to enforce the FDCA’s provisions. [read post]
25 Feb 2014, 8:16 am
Department of Health and Human Services (HHS) funds on the basis of their objection, because of religious belief or moral conviction, to performing or participating in any lawful health service or research activity. [read post]
25 Feb 2014, 7:08 am
The Department of Health and Human Services announced on February 24 that it is seeking information about conducting a pre-audit survey. [read post]
24 Feb 2014, 10:00 pm
Section 4302 of the Affordable Care Act (ACA) requires the Department of Health and Human Services (HHS) to identify... [read post]
