Search for: "Center for Medicare and Medicaid Services"
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11 Jan 2023, 7:58 am
In one case, a Texas couple that owned and operated several group homes was sentenced to 60 months in prison for engaging in a $1 million Medicare fraud scheme to send residents to a community health center in exchange for illegal kickbacks concealed as payment for undelivered or unnecessary services. [read post]
9 Jan 2023, 5:31 am
” With such an endorsement, the alphabet soup of the federal government, departments, and independent agencies—including the Federal Communications Commission for telecoms, the Centers for Medicare and Medicaid Services for hospitals receiving Medicare and Medicaid payments, the Environmental Protection Agency for drinking water systems, and on and on—should acknowledge the cyber risk their sectors face and propose legislation… [read post]
8 Jan 2023, 10:26 am
Many comments from stakeholders in the Medicare Physician Fee Schedule Rule for 2023 pointed out this perfect storm of cuts, which some had determined would result in a nearly 10 percent reduction in payments, and asked the Centers for Medicare & Medicaid Services to fix it. [read post]
6 Jan 2023, 10:37 am
We are particularly supportive of the provisions in the bill that would require the Centers for Medicare & Medicaid Services (CMS) to negotiate with pharmaceutical companies regarding prices for drugs covered under the Medicare prescription drug benefit. [read post]
5 Jan 2023, 9:05 pm
The Centers for Medicare and Medicaid Services issued guidance to states that would reduce hunger and diet-related diseases among low-income patients who receive Medicaid benefits. [read post]
4 Jan 2023, 3:15 am
§1348 doesn’t require the DOJ to prove that the defendant received a personal benefit, and affirmed convictions arising out of the defendants’ use of MNPI obtained from an employee of the federal government’s Center for Medicare and Medicaid Services (CMS) concerning potential changes reimbursement rates. [read post]
28 Dec 2022, 6:20 am
In the 2-1 decision, the court dismissed various fraud and theft charges against former hedge-fund partners Theodore Huber and Robert Olan, political intelligence consultant David Blaszczak and former US Centers for Medicare and Medicaid Services (CMS) employee Christopher Worrall. [read post]
26 Dec 2022, 9:05 pm
The Centers for Medicare & Medicaid Services (“CMS”) has proposed a new rule that, among other changes, would amend the “identified overpayment” standard in the current regulations for Medicare to align with the False Claims Act’s (“FCA”) “knowingly” standard. [read post]
23 Dec 2022, 4:06 am
According to the Kaiser Family Foundation, this case “raises the issue of whether Medicaid beneficiaries can seek relief in federal court when they believe their rights are being violated by state officials, or whether enforcement of state compliance with federal Medicaid rules should be left solely to the federal Centers for Medicare and Medicaid Services (CMS). [read post]
23 Dec 2022, 4:06 am
According to the Kaiser Family Foundation, this case “raises the issue of whether Medicaid beneficiaries can seek relief in federal court when they believe their rights are being violated by state officials, or whether enforcement of state compliance with federal Medicaid rules should be left solely to the federal Centers for Medicare and Medicaid Services (CMS). [read post]
22 Dec 2022, 10:41 am
The Centers for Medicare and Medicaid Services have announced updated instructions regarding COVID-19 vaccines and treatments according to McKnight’s Long-Term Care News author, Alicia Lasek. [read post]
19 Dec 2022, 5:00 am
Recently, the Centers for Medicare & Medicaid Services (CMS) published its Final Rule implementing changes to the Medicare Physician Fee Schedule for CY 2023. [read post]
15 Dec 2022, 9:05 pm
The Centers for Medicare and Medicaid Services (CMS) proposed a new rule that would require many of its programs to adopt policies to streamline the electronic exchange of health care data. [read post]
15 Dec 2022, 5:56 pm
The prosecution of the suit against a health care organization subject to the tightest vaccination and other COVID safety mandates under Centers for Disease Control, the Centers for Medicare & Medicaid Services and Occuoatiinal Safety & Health Administration regulations demonstrates the high burden the EEOC expects employers refusing accommodation to meet. [read post]
13 Dec 2022, 11:58 am
PCS and HHCS services subject to EVV requirements are very broad: all services requiring an in-home visit that are included in claims under the PCS or HHCS categories on the Centers for Medicare & Medicaid Services (CMS) Form-64 must comply with EVV requirements, even if they are bundled into different services or furnished through a managed care provider. [read post]
13 Dec 2022, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) has indicated that, for the first time, it intends to apply statistical extrapolations to overpayments and other payment errors by MA plans, which were uncovered in recently released federal audits. [read post]
13 Dec 2022, 2:00 am
In addition to facing local, state, and federal legislation, employers managed a slew of agency directives from the Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), and Occupation Safety and Health Administration (OSHA). [read post]
7 Dec 2022, 5:00 am
On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) published its Final Rule implementing changes to the Medicare Physician Fee Schedule for CY 2023. [read post]
5 Dec 2022, 1:03 pm
The Centers for Medicare & Medicaid Services (CMS) Programs estimates that approximately 6.5% of its spending was for improper payments in 2021 In other words, almost $100 billion of the Medicare spending alone was directed for potentially fraudulent payments in 2021. [read post]
2 Dec 2022, 11:01 am
While the Centers for Medicare and Medicaid Services (CMS) continues to hem and haw regarding the establishment of safe staffing minimum levels, PA nursing home lawyers understand that the only way to make profiteering nursing homes change the way that they provide resident care is to hold them liable when their negligence results in preventable injuries. [read post]
