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27 Jan 2020, 11:20 am by Altman & Altman
The post Blowing the whistle on MA Medicare fraud appeared first on Boston Employment Lawyer Blog. [read post]
16 Feb 2024, 5:15 am by Robert Kraft
Additional Resources: Medicare.gov: https://www.medicare.gov/ National Center for Policy Analysis: https://www.ncpathinktank.org/w18/ Medicare Rights Center: https://www.medicare.gov/Pubs/pdf/11534-medicare-rights-and-protections.pdf The post The Shadow Side of Convenience: Exploring the Disadvantages of Medicare Advantage Plans first appeared on Kraft Elder Law. [read post]
10 Sep 2010, 2:18 pm by BCheung
North Shore Long Island Jewish Health System, North Shore University Hospital and Long Island Jewish Medical Center entered into an agreement with the Federal District Court of New York of $2.95 million in civil damages for having submitted false claims for Medicare reimbursement. [read post]
5 Aug 2015, 1:30 am by Thaddeus Mason Pope, J.D., Ph.D.
Late last month, Senate Finance Committee Ranking Member Ron Wyden applauded the Centers for Medicare and Medicaid Services (CMS) for their launch of the Medicare Care Choices Model (MCCM) demonstration, which will enable beneficiaries to continuereceiving curative care while enrolling in hospice care at the same time. [read post]
7 Dec 2011, 8:05 am
For fiscal year 2011, the Centers for Medicare & Medicaid Services recently reported that it has collected a total of $797.4 million in overpayments (compared to returning $141.9 million in underpayments). [read post]
23 Aug 2018, 6:18 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) is proposing a “new direction” for the Medicare Shared Savings Program, with changes to Medicare accountable care organization (ACO) requirements designed to increase Medicare savings and reduce “gaming opportunities. [read post]
15 Jun 2015, 8:00 am by Gregory J. Brod
  In order to be covered by Medicare, the services must be delivered via a community mental health center or the outpatient department of a hospital. [read post]
30 Aug 2011, 12:05 pm
The Centers for Medicare and Medicaid Services (CMS) will require nearly 1.4 million health care providers to re-validate their Medicare provider enrollment, or risk deactivation of their Medicare billing privileges. [read post]
23 Mar 2016, 2:04 pm by Debra A. McCurdy
Congress should eliminate the ambulatory surgical center (ASC) payment update for 2017 and require ASCs to submit cost data. [read post]
6 Apr 2009, 6:35 am
  The changes appeared in the annual Medicare Advantage "call letter" released by the Centers for Medicare and Medicaid Services, which sets out rules for private insurance companies that wish to bid for the right to offer Medicare Advantage (private comprehensive medical coverage) and Medicare Part D (prescription drug) plans. [read post]
31 Dec 2015, 10:22 am by Todd Rodriguez
Earlier this month, the Centers for Medicare and Medicaid Services released a new tool designed to give providers and consumers insight into Medicare drug spending. [read post]
31 Dec 2015, 10:22 am by Todd Rodriguez
Earlier this month, the Centers for Medicare and Medicaid Services released a new tool designed to give providers and consumers insight into Medicare drug spending. [read post]
26 Apr 2020, 6:00 pm by Yale Hauptman
  Previously, telehealth calls needed to be done from a health facility that has video conferencing technology such as an outpatient center. [read post]
9 Jan 2013, 11:00 am by Marsha Tesar
The numbers are fairly enlightening: In 2010, 40 percent of Part A appeals and 53 percent of Part B appeals were granted, according to the Centers for Medicare & Medicaid Services, which administers Medicare (CMS). [read post]
9 Mar 2020, 10:26 am by Robert Liles
(March 6, 2020):   Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
6 Jun 2014, 10:00 am
., The Health Law Firm Under a rule finalized by the Centers for Medicare and Medicaid Services (CMS) on May 19, 2014, doctors and other health care professionals will be required to enroll in the Medicare program, or have a valid opt-out affidavit on file, for prescriptions to be covered under Part D. [read post]
6 Jun 2014, 10:00 am
., The Health Law Firm Under a rule finalized by the Centers for Medicare and Medicaid Services (CMS) on May 19, 2014, doctors and other health care professionals will be required to enroll in the Medicare program, or have a valid opt-out affidavit on file, for prescriptions to be covered under Part D. [read post]
31 Mar 2014, 11:00 am by Marsha Tesar
If you are looking for further information beyond the original article, then the Center for Medicare Advocacy is a great resource with free information like their digital “self help packet. [read post]
19 Feb 2015, 11:00 am by becassidy
The Bloomberg Law Health Practice Center has been enhanced and now includes the following content and practice tools: Practice Pages The Health Practice Center now features seven new practice pages: Business & Taxation, Fraud & Abuse, Health Information & Technology, Health Insurance & Benefits, Hospital & Provider Regulation, Medicare & Medicaid, and Pharmaceuticals & Life Sciences. [read post]