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9 Jun 2014, 4:35 am
” Now, though, that “is changing,” following “a 2013 settlement of a lawsuit that the center and others brought against the secretary of the Health and Human Services Department. [read post]
2 Jun 2014, 11:27 am
A number of Congressional panels have focused on following health policy issues recently, including the following: The House Ways and Means Health Subcommittee examined various Medicare hospital issues, including the CMS two-midnights policy, short inpatient stays, outpatient observation stays, Recovery Audit Contractor audits, and the appeals backlog. [read post]
22 Mar 2007, 6:27 pm
Department of Health and Human Services, Centers for Medicare and Medicaid Services, Final Rule, Final Rule: Hospital Conditions of Participation:... [read post]
8 Jul 2013, 10:47 am
Most health care providers recognize the significant exposure they incur from overbilling Medicare or other federal programs as a result of the highly publicized, heavy-handed audit and enforcement activities of the Centers for Medicare & Medicaid Services (CMS), the Department of Health & Human Services Office of Inspector General (OIG) and Department of Justice (DOJ). [read post]
21 Dec 2009, 6:42 pm
The Department of Justice has reached settlement agreements with three home health agencies for $9.7 million to resolve allegations of false claims to the New York Medicaid and Medicare programs. [read post]
U.S. Government and New York State Receive $24 Million from Home Health Care Programs for False Clai
21 Dec 2009, 6:42 pm
The Department of Justice has reached settlement agreements with three home health agencies for $9.7 million to resolve allegations of false claims to the New York Medicaid and Medicare programs. [read post]
28 Mar 2012, 7:14 am
According to 7thspace.com, an investigation by the FBI and Department of Health and Human Services-Office of Inspector General concluded between Jan. 2005 and Dec. 2008, about $9.3 million in fraudulent claims for inappropriate patients were submitted to Medicare by the facility. [read post]
26 Jul 2010, 3:47 am
In other news, the Department of Health and Human Services (HHS) issued final rules for achieving “meaningful use” of electronic health records.LAWMAKERS URGE CMS TO HALT HOSPITAL CUTS:In an effort to convince CMS to reconsider its proposed Medicare inpatient hospital payment reductions due to documentation and coding practice changes, 242 House Members sent a letter to the agency’s newly-installed Administrator, Donald Berwick, on July… [read post]
15 Sep 2022, 8:03 am
While quality measures and meanings take many forms, one key measure used by Medicare, Medicaid and many other health plans, lawmakers, health quality commentators and others evaluating health care provider “quality” is the Department of Health and Human Services Office of the National Coordinator for Healthcare Information (“ONC”) electronic clinical quality measures (“eCQMs”) that the Centers for… [read post]
2 May 2012, 2:28 pm
In addition to the charges brought against the individuals, the Department of Health and Human Services suspended or took administrative action against 52 health care providers. [read post]
10 Oct 2018, 10:44 am
Regulatory approval for the purchase is predicated on Aetna's previously announced plans to sell off its Medicare Part D business to WellCare Health. [read post]
10 Jul 2013, 2:41 am
Health and Human Services Department’s inspector general found suspicious billing activities at 1,000 of the 2,212 home health agencies in Texas in 2010. [read post]
3 Nov 2009, 7:04 am
In his testimony, AAG West described the Department’s actions to combat various forms of heath care fraud, including Medicare and Medicaid fraud. [read post]
26 Nov 2011, 4:08 am
But in 2009, the Justice Department and the Department of Health and Human Services were given an additional $198 million to combat health care fraud. [read post]
9 Feb 2016, 1:57 pm
As many hospitals, as well as other health care providers and suppliers with pending requests for ALJ hearing are acutely aware, lengthy adjudication delays exist within the Medicare appeals process. [read post]
9 Feb 2016, 1:57 pm
As many hospitals, as well as other health care providers and suppliers with pending requests for ALJ hearing are acutely aware, lengthy adjudication delays exist within the Medicare appeals process. [read post]
20 Jul 2011, 8:42 am
Sebelius case was brought on behalf of Medicare beneficiaries and their attorneys against the Secretary of the Department of Health and Human Resources regarding the confusing Medicare Secondary Payee provisions wherein Medicare seeks to be reimbursed for monies that were paid to either someone who was injured in a liability case, a Workers' Compensation case or a no-fault case. [read post]
20 Jul 2011, 8:42 am
Sebelius case was brought on behalf of Medicare beneficiaries and their attorneys against the Secretary of the Department of Health and Human Resources regarding the confusing Medicare Secondary Payee provisions wherein Medicare seeks to be reimbursed for monies that were paid to either someone who was injured in a liability case, a Workers' Compensation case or a no-fault case. [read post]
2 Jun 2016, 12:23 pm
Temporarily exclude physicians who furnish substantially all of their Medicare services at ASCs from the penalties under the Electronic Health Records Incentives Program and subsequent program under the Merit-Based Incentive Payment System. [read post]
21 Dec 2010, 5:03 pm
Comments may be submitted to CMS at the following addresses: Electronically: http://www.regulations.gov Regular Mail: Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS–6028–P P.O. [read post]
