Search for: "B. LILES"
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27 Jun 2018, 3:56 pm
§ 160.546(b) and asked that the ALJ reduce the assessed penalties to below the statutory cap. [read post]
30 Sep 2019, 2:08 pm
CERT contractors are specifically tasked with the review of a sample of Part A and Part B claims that have been paid by a Medicare Administrative Contractor (MAC) or a Durable Medical Equipment (DME) MAC. [read post]
3 Jul 2018, 9:00 am
UPIC Dental Audits / Qlarant Dental Audits Have Been Initiated. [read post]
12 May 2022, 6:59 am
State and Federal Hospice Audit and Investigation Efforts are Expanding in 2022 (May 12, 2022): Hospice agencies are again the focus of both state and federal investigators and prosecutors around the country. [read post]
17 Feb 2020, 9:01 am
Moreover, § 1834(a)(17)(B) bars payments to a DME supplier that knowingly submits a claim that was generated as a result of a prohibited telephone solicitation. [read post]
14 Jun 2023, 8:02 am
HHS Departmental Appeals Board (DAB) Appeals (June 15, 2023): The Department of Health and Human Services (HHS) is enormous, employing more than 80,000 individuals[1] who work in a dozen operating divisions and an even greater number of independent offices that report directly to the Office of the Secretary.[2] One of these independent offices is the HHS Departmental Appeals Board (DAB or Board). [read post]
21 Dec 2018, 10:43 am
(viii) A community mental health center (as defined in section 1861(ff)(3)(B) of the Social Security Act). [read post]
9 Mar 2020, 10:26 am
CMS can revoke Medicare billing privileges of a physician or other eligible professional if it determines that there has been a pattern or practice of prescribing Part B or Part D drugs that is: Abusive or represents a threat to the health and safety of [read post]
20 Mar 2022, 9:14 am
The OIG Exclusion List of Individuals and Entities is Growing. [read post]
20 Mar 2022, 9:14 am
The OIG Exclusion List of Individuals and Entities is Growing. [read post]
13 Aug 2019, 1:28 pm
§ 1320a-7b(b). [read post]
22 Apr 2022, 7:51 am
§ 1308.11(b)-(f) (complete listing of schedule I drugs and substances). [read post]
28 Sep 2020, 8:58 am
NEW — Abusive ordering, certifying, referring, or prescribing of Part A or B services, items or drugs. 42 C.F.R. [read post]
28 Sep 2020, 8:58 am
NEW — Abusive ordering, certifying, referring, or prescribing of Part A or B services, items or drugs. 42 C.F.R. [read post]
16 Oct 2019, 2:33 pm
Under § 6401(b)(5) of the statute: “Subtitle E—Medicare, Medicaid, and CHIP Program Integrity Provisions SEC. 6401. [read post]
29 Jul 2022, 6:14 am
Then something happened… B. [read post]
26 Jan 2023, 8:27 am
B. [read post]
28 Jun 2023, 6:53 am
Texas HHSC-OIG is Ramping-Up its Investigations of Medicaid Pediatric Telemedicine Claims (June 27, 2023): In the State of Texas, Medicaid plays a significant role in providing healthcare services to a large portion of the population. [read post]
17 Sep 2019, 1:21 pm
A Civil Investigative Demand Issued to You or Your Medical Practice is Serious Business. [read post]
26 Sep 2022, 3:46 am
Congress passed (and President Lyndon B. [read post]
