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27 Aug 2011, 4:34 am
VPA, P.C.Court: U.S. 6th Circuit Court of Appeals Docket: 10-1494 Opinion Date: August 23, 2011 Judge: Boggs Areas of Law: Government & Administrative Law, Government Contracts, Health Law, Public Benefits, White Collar Crime Doctors filed suit, alleging violations of the False Claims Act, 31 U.S.C. 3279 and the Michigan Medicaid False Claim Act, as qui tam relators on behalf of the United States/ The claimed that the business defrauded the government by submitting… [read post]
16 Jan 2007, 3:35 am
Health Care Financing Administration (HCFA) in 1978 for the billing of health care services under Medicare and Medicaid. [read post]
22 Dec 2020, 3:14 am
There are more than 230 PACE centers in 31 states. [read post]
27 Sep 2021, 5:48 am
The Centers for Medicare and Medicaid Services (CMS) is “taking action” to require COVID vaccinations for workers in most health care organizations that receive Medicare or Medicaid reimbursement. [read post]
27 Sep 2021, 5:48 am
The Centers for Medicare and Medicaid Services (CMS) is “taking action” to require COVID vaccinations for workers in most health care organizations that receive Medicare or Medicaid reimbursement. [read post]
9 Jun 2023, 7:59 am
”[2] In the consolidated cases before the Court, the Seventh Circuit held that the defendants, which own and operate retail pharmacies, had not “knowingly” presented false claims for reimbursement because they had offered in litigation “objectively reasonable” (if not accurate) interpretations of the complex Medicare and Medicaid prescription drug pricing schemes at issue (involving accurate reporting of “Usual and Customary” pricing… [read post]
7 Oct 2024, 5:35 pm
A substantial majority of these payments were entitled to priority over Endo’s other unsecured claims.Finally, HHS’s Centers for Medicare and Medicaid Services (CMS), HHS’s Indian Health Service and the Department of Veterans Affairs (VA) asserted claims in the bankruptcy proceeding against Endo for the costs these programs incurred in providing medical care to treat individuals who suffer from opioid-use disorder as a result of… [read post]
16 Jan 2024, 12:30 pm
The federal law at the center of the fishing companies’ challenge, the Magnuson-Stevens Act, gives the Secretary of Commerce and the National Marine Fisheries Service the power to “implement a comprehensive fishery management program. [read post]
25 May 2009, 11:56 pm
Health care for just five percent of Medicare beneficiaries accounts for 43 percent of Medicare spending. [read post]
22 Jun 2010, 12:41 pm
Brief in opposition of respondents Independent Living Center of Southern California, Inc. et al. [read post]
21 Mar 2012, 9:04 pm
From the 26 states’ petition (11-400), the Court agreed to hear the challenge to the mandate, the severability issue, and the challenge to the ACA’s expansion of Medicaid for the poor. [read post]
4 Aug 2023, 5:55 pm
Effective August 3, 2023, the Departments of Health and Human Services Centers for Medicare and Medicaid Services, Department of Labor Employee Benefit Security Administration and Department of Treasury (“Departments”) temporarily suspended the Federal Independent Dispute Resolution (IDR) medical claims review process including the ability to initiate new disputes and directed certified IDR entities to pause all IDR-related activities in… [read post]
22 May 2019, 9:00 am
If the medical practice changes ownership, then Medicare, Medicaid, and other payors will need to be properly notified of the change. [read post]
27 Jul 2015, 9:45 pm
The Centers for Medicare and Medicaid Services cautions about over-reliance on its rating system for nursing homes: No rating system can address all of the important consideration[s] that go into a decision about which nursing home may be best for a particular person. [read post]
1 May 2023, 12:27 pm
For example, EBSA assisted HHS’ Centers for Medicare and Medicaid Services in investigating an improper appeals process following the denial of coverage for autism treatment by a plan for a large school district. [read post]
21 Jul 2021, 8:50 am
We continued to collaborate with a number of groups in government, non-profits, and industry, including the Federal Depository Library Program, AfricanLII, an e-regulations project for the Centers for Medicare and Medicaid studies, as well as serving as a formal advisor to the National Science Foundation-funded project FAI: Using AI to Increase Fairness by Improving Access to Justice. [read post]
14 Jun 2023, 7:59 pm
CDRH can engage with the Centers for Medicare & Medicaid Services (CMS) for parallel review – the mechanism for FDA and CMS to simultaneously review the submitted clinical data to help decrease the time between FDA’s approval of a premarket application and the subsequent CMS national coverage determination (NCD). [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]
12 May 2011, 7:59 am
Yet they are embedded within the fabric and location of a community, and given the myriad ways they are interwoven with government – Medicare, Medicaid, state reimbursements, licensing – they may as a practical matter have to accommodate the city’s desires for revenues. [read post]
20 Jun 2011, 10:41 am
Plans Must Apply Before 9/22/11 & Meet Tightened Requirements To Preserve Possibility Of Temporary Relief Qualification For Post 9/22/11 Plan Years On Friday, June 17, 2011, the Centers for Medicare and Medicaid Services (CMS) announced that CMS will not accept or consider any new applications or requests for extensions of temporary waivers of the Affordable Care Act annual limitation requirements. [read post]
