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14 Sep 2022, 5:41 pm
The Department of Justice press release announcing the settlement is here. [read post]
13 Sep 2022, 5:00 am
Answer 9: For technical issues with the portal please contact the Benefits Coordination & Recovery Center (BCRC) EDI Department at (646) 458-6740. [read post]
10 Sep 2022, 7:00 am
The DOJ highlighted health care fraud as “the leading source of the department’s False Claims Act settlements and judgments. [read post]
9 Sep 2022, 1:33 pm
Department of Health and Human Services (HHS) never set in place regulations to implement this law. [read post]
9 Sep 2022, 4:00 am
The COVID-19 pandemic highlighted the isolation of carceral spaces from regulation and oversight by state departments of health. [read post]
8 Sep 2022, 8:59 am
The Centers for Medicare and Medicaid Services (CMS) and the Illinois Department of Public Health ensure that every facility is licensed, regulated, and inspected yearly. [read post]
8 Sep 2022, 8:59 am
The Centers for Medicare and Medicaid Services (CMS) and the Illinois Department of Public Health ensure that every facility is licensed, regulated, and inspected yearly. [read post]
8 Sep 2022, 8:22 am
The DOJ highlighted health care fraud as “the leading source of the department’s False Claims Act settlements and judgments. [read post]
7 Sep 2022, 5:38 pm
Wasserstein —Three patient advocate groups have sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging HHS’s 2020 Notice of Benefits and Payment Parameters (NBPP) rule. [read post]
7 Sep 2022, 6:00 am
The DOJ highlighted health care fraud as “the leading source of the department’s False Claims Act settlements and judgments. [read post]
6 Sep 2022, 5:00 am
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced several new changes in its Work Plan update in August 2022. [read post]
2 Sep 2022, 7:00 am
Per the study, SDOH represent nearly half of the cost structure of Medicare and Medicaid. [read post]
1 Sep 2022, 9:02 pm
Department of Health and Human Services (HHS) issued a letter to the governors of all states inviting them to apply for Medicaid waivers—which allow states to use Medicaid funding to support their particular needs. [read post]
1 Sep 2022, 5:05 pm
* * *The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal health care program, such as Medicare, Medicaid or TRICARE. [read post]
30 Aug 2022, 11:46 am
After a long line of opinions scrutinizing the use of rewards programs offered by providers, the Department of Health and Human Services’ Office of Inspector General (“OIG”) issued Advisory Opinion 22-16 on August 19, 2022– a favorable opinion for the provision of gift cards to Medicare Advantage (“MA’) plan enrollees who complete educational modules as part of an online surgical treatment learning tool. [read post]
29 Aug 2022, 11:58 am
Health plans and insurers, health care providers, health care clearinghouses (“Covered Entities”), their business associate service providers, leaders and insurers should re-confirm their own organizations’ for handling and disposing of records and systems containing protected health information (“PHI”) comply with the Health Care Portability & Accountability Act (“HIPAA”) following the Department of… [read post]
29 Aug 2022, 11:08 am
The North Carolina Department of Health and Human Services (NCDHHS) was tasked with providing specific protocols for facilities to implement pursuant to Clifford’s Law. [read post]
29 Aug 2022, 10:41 am
Department of Justice announced that BSN Medical Inc., based in Charlotte, North Carolina, will pay $785,672.14 to resolve allegations that it violated the False Claims Act by causing the submission of false claims to federal health care programs. [read post]
25 Aug 2022, 4:22 am
The Department of Health and Human Services then issued guidance to remind medical providers of their existing EMTALA obligations to provide abortions when emergency care is required to save a mother’s life, regardless of state law. [read post]
24 Aug 2022, 5:10 pm
Medicare’s coverage limitations demonstrated the Department of Health and Human Services’ (HHS) concerns that expanding telehealth would lead to a proliferation of fraud schemes, costing taxpayers millions, or even billions, of dollars. [read post]
