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14 Apr 2017, 12:08 pm
Also, CMS has gotten an early start on the calendar year (CY) 2018 rules, with the proposed updates for outpatient hospital departments/ambulatory surgical centers, home health agencies, end-stage renal disease providers, and suppliers of durable medical equipment, prosthetics, orthotics, and supplies all pending at OMB. [read post]
30 Mar 2023, 7:30 pm
Cigna-HealthSpring Life & Health Insurance Company (“CIGNA”) earned poor marks for its administration of various Medicare Advantage contracts in compliance with Federal requirements in recent Department of Health & Human Services (“HHS”) Office of Inspector General (“OIG”) audits. [read post]
10 Dec 2013, 1:01 pm
CMS has issued several major Medicare payment rules for 2014, including rules updating reimbursement for hospital outpatient departments, ambulatory surgical centers, physicians and other Part B providers, end-stage renal disease facilities, durable medical equipment suppliers, and home health agencies. [read post]
13 Jun 2014, 1:14 pm
Under the act, individuals must have qualifying health insurance coverage for each month of the year, have an exemption, or make a shared responsibility payment when filing their tax return.Qualifying health insurance coverage or minimum essential coverage includes:Health insurance coverage provided by the employerHealth insurance purchased through the Health Insurance Marketplace in the area where you live (where you may qualify for financial assistance)Coverage provided… [read post]
7 Aug 2014, 2:27 pm
On August 4, 2014, the Department of Justice (DOJ) announced that Community Health Systems, Inc. [read post]
28 Mar 2011, 12:00 pm
Miami Doctor Sentenced to 24 Months in Prison for Role in $37 Million Medicare Fraud Scheme Involving Miami-Area Home Health Agencies A Miami-area doctor, Fred Dweck, was sentenced to 24 months in prison on Friday for his role in a wide-ranging Medicare fraud scheme involving several Miami-area home health agencies, the Departments of Justice and Health and Human Services (HHS) announced today. [read post]
15 Nov 2010, 8:37 am
After several months of working with the Department of Health and Human Services (HHS) and CMS, we are pleased to inform you that today CMS is announcing a one year delay in implementation on Section 111 reporting requirements for claims involving liability insurance, retroactive to October 1, 2010 through October 1, 2011. [read post]
16 Jan 2021, 12:30 am
Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued a proposed rule promoting the fundamental human dignity of individuals with disabilities in the nation’s health care system and protecting the rights of parents seeking treatment for infants with disabilities. [read post]
8 Aug 2014, 4:25 am
The Department of Health and Human Services (DHS) Inspector General has the same discretionary authority. [read post]
29 Apr 2019, 12:44 pm
Home health and hospice fraud cases are still priorities in the Justice Department. [read post]
13 Jan 2021, 12:34 pm
Department of Labor Office of Workers’ Compensations Programs (OWCP). [read post]
26 Apr 2007, 9:11 pm
Health care cases remain busy this week. [read post]
29 Mar 2012, 4:00 am
" The Department of Health reviews health care facilities regularly to insure the health, safety, and quality of care provided to patients, as well as making sure there are no deficiencies that could affect state licensure or eligibility for federal reimbursements through Medicaid and Medicare programs. [read post]
11 Jul 2011, 9:34 am
The AltoonaMirror.com reported some good news for Cambria Care Center in Ebensburg: they are no longer at risk for losing their Medicare agreement, according to a letter from the state Department of Health. [read post]
1 Dec 2014, 10:30 am
In Massachusetts, the Department of Public Health requires respiratory therapists to apply for and obtain a license. [read post]
6 May 2010, 8:10 am
(B) ESTABLISHMENT OF CORE ELEMENTS- The Secretary, in consultation with the Inspector General of the Department of Health and Human Services, shall establish core elements for a compliance program under subparagraph (A) for providers or suppliers within a particular industry or category. [read post]
25 Aug 2016, 12:12 pm
Chicago – Not surprisingly in light of the recent charges and convictions of home health agencies (HHA) and related entities in the Chicago area and throughout the country, the Department of Health and Human Service, Office of Inspector General, (HHS-OIG) issued an Alert reporting that the OIG found home health services susceptible to fraud. [read post]
31 May 2017, 5:45 pm
According to DOJ’s press release: Justice News Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, May 30, 2017 Medicare Advantage Organization and Former Chief Operating Officer to Pay $32.5 Million to Settle False Claims Act Allegations Freedom Health Inc., a Tampa, Florida-based provider of managed care services, and its related corporate entities (collectively “Freedom Health”), agreed to pay… [read post]
31 May 2017, 5:45 pm
According to DOJ’s press release: Justice News Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, May 30, 2017 Medicare Advantage Organization and Former Chief Operating Officer to Pay $32.5 Million to Settle False Claims Act Allegations Freedom Health Inc., a Tampa, Florida-based provider of managed care services, and its related corporate entities (collectively “Freedom Health”), agreed to pay… [read post]
31 Aug 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law The Department of Justice (DOJ) announced that a Daytona Beach chiropractor pleaded guilty to health care fraud, conspiracy to illegally distribute prescription drugs and money laundering on August 28, 2012. [read post]
