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5 Nov 2011, 5:40 am
Centers for Medicare and Medicaid Services is also being called on to establish high-profile education campaigns to advise consumers, nursing home employees, and physicians about these dangers in an effort to encourage alternative treatments. [read post]
Under such circumstances, common sense judicial rulings allowing the injured to hold careless property owners accountable so they can’t shift their, or their insurers, responsibility for harm they caused to the injured person’s medical insurer, which often is Medicare or Medicaid, are warranted and in the public interest. [read post]
22 Sep 2010, 7:26 pm by FDABlog HPM
  In the Notice concerning “Manufacturer Civil Monetary Penalties,” HRSA says it is reviewing the civil monetary (“CMP”) authorities currently used by other federal agencies such as the Office of Inspector General (“OIG”) of the Department of Health and Human Services, the Federal Aviation Administration, Treasury, the Food and Drug Administration and the Centers for Medicare & Medicaid Services to determine… [read post]
Under such circumstances, common sense judicial rulings allowing the injured to hold careless property owners accountable so they can’t shift their, or their insurers, responsibility for harm they caused to the injured person’s medical insurer, which often is Medicare or Medicaid, are warranted and in the public interest. [read post]
9 Apr 2024, 2:35 pm by Seamus Kim
The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by a federal health care program, such as Medicare, Medicaid, or TRICARE. [read post]
22 Dec 2010, 12:28 am by Randall Reese
The company also suffered from billing issues with Medicare, Medicaid, and Aetna. [read post]
6 May 2016, 8:39 pm by RegBlog
Department of Health & Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) issued an interim final rule that will tighten the eligibility requirements for those seeking to enroll in the Affordable Care Act’s health insurance exchanges during the Act’s designated special enrollment periods (which provide enrollment opportunities for those that move outside of one of the Act’s regular open… [read post]
22 Dec 2010, 12:28 am by Randall Reese
The company also suffered from billing issues with Medicare, Medicaid, and Aetna. [read post]
10 Oct 2013, 8:42 am by Jonathan Tycko
Additionally, they were accused of submitting false claims by overbilling Medicare for some of the hospice’s services. [read post]
8 Feb 2023, 5:39 am
A little spice was added by the indulgence in the rhetoric of setting up of improbable targets followed by solemn pledges of defense (social security and medicare for example). [read post]
26 Dec 2017, 7:08 pm by Ben Vernia
  The department’s health care fraud recoveries restore valuable assets to federally funded programs, such as Medicare, Medicaid, and TRICARE. [read post]
24 May 2022, 11:28 pm by Robert Liles
This article examines a number of the recent balloon sinuplasty / balloon dilation cases pursued by program integrity contractors working for the Centers for Medicare and Medicaid Services (CMS) or prosecuted by the Department of Justice (DOJ) and discusses ways that you and your ENT practice can reduce your level of risk. [read post]
6 Nov 2022, 11:21 pm by Kurt R. Karst
In addition, the Second Circuit rejected Pfizer’s argument that the AKS should be read more narrowly than the beneficiary inducement statute (BIS), a civil statute that prohibits a person from offering to a Medicare or Medicaid beneficiary any remuneration that the person knows or should know is likely to influence such individual to order or receive from a particular provider, practitioner, or supplier any item or service for which payment may be made, in whole or… [read post]
7 Nov 2021, 9:59 am by Daniel Schwartz
Importantly, there was news that the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule on November 5, 2021, with the requirement that Medicare and Medicaid-certified suppliers, providers, and their staff become vaccinated for COVID-19. [read post]
7 Jan 2022, 2:17 pm by Tammy Binford, Contributing Editor
Supreme Court on January 7 heard arguments both pro and con on whether the federal Occupational Safety and Health Administration (OSHA) has the authority to impose a vaccination rule affecting private employers with at least 100 employees and another rule from the Centers for Medicare and Medicaid Services affecting healthcare workers. [read post]
7 Nov 2021, 9:59 am by Daniel Schwartz
Importantly, there was news that the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule on November 5, 2021, with the requirement that Medicare and Medicaid-certified suppliers, providers, and their staff become vaccinated for COVID-19. [read post]
24 May 2012, 4:14 am by David J. DePaolo
One possible contribution to the rise in drug testing frequency and severity in workers' compensation cases may be due to an increase in enforcement efforts against labs that are intentionally overbilling by the Centers for Medicare and Medicaid Services.Prosecutors in Massachusetts announced in April that Calloway Laboratories agreed to pay $20 million to settle state charges that it defrauded Medicaid with a kickback scheme and excessive urine tests.In… [read post]
9 Feb 2012, 9:30 pm by Mima Mohammed
The Centers for Medicare & Medicaid Services (CMS) proposed a rule to implement provisions of the Affordable Care Act (ACA) relating to managed care organization (MCO) contract provisions and calculations of Medicaid reimbursements to pharmacies. [read post]
This proposal aligns with an October 2018 advance notice of proposed rulemaking by the Centers for Medicare and Medicaid Services (“CMS”) that sought public comments on aligning the payment amount for certain Part B drugs with international prices (also known as “reference pricing”). [read post]
17 Oct 2019, 4:33 am by Kellie McTammany
</p> </div> <div style="padding-top:0px;padding-bottom:0px;margin-top:0px;margin-bottom:35px;" data-rss-type="text"> <p style="margin:0px;"> There aren’t many options for the Centers for Medicare and Medicaid Services (CMS) to discipline hospices. [read post]