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19 Aug 2019, 10:29 am
The Centers for Medicare & Medicaid Services (CMS) will increase Medicare inpatient psychiatric facility (IPF) prospective payment system (PPS) payments by 1.5%, or $65 million, in fiscal year (FY) 2020 under a recently-published final rule. [read post]
29 Nov 2013, 4:12 am
This reinforces Department of Health and Human Services (HHS) efforts to support care management through payment reform and incentives and is consistent with HHS’ Strategic Framework on Multiple Chronic Conditions. [read post]
25 Jun 2009, 1:27 am
[JURIST] The US Department of Justice (DOJ) [official website] announced indictments [press release] Wednesday against 53 health care providers and beneficiaries accused of submitting $50 million in fraudulent Medicare [official website] claims. [read post]
17 May 2004, 8:04 pm
Democrats followed up on threats to sue after the Department of Health and Human Services Secretary Tommy Thompson refused to make the cost estimates available. [read post]
8 May 2023, 12:28 am
Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities (May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal… [read post]
19 Jan 2010, 11:42 am
Mexican authorities passed on the tip to the FBI's legal department in Mexico City. [read post]
4 Mar 2014, 10:46 am
The report also notes the successes of coordinated Department of Justice (DOJ) and HHS efforts such as the Health Care Fraud Prevention & Enforcement Action Team (HEAT) and interagency Medicare Fraud Strike Force teams. [read post]
20 Dec 2019, 11:37 am
Department of Health and Human Services, issued a report finding billions of dollars in estimated risk adjustment overpayments to Medicare Advantage Organizations (MAOs). [read post]
15 Sep 2009, 11:22 am
A California Filipino-American owned nursing facility received a five-star rating from the US Department of Health and Human Services and the US Centers for Medicare and Medicaid Services. [read post]
9 Jul 2012, 9:11 am
Department of Health and Human Services (HHS) announced today that as of July 1, 2012, 89 new accountable care organizations (ACOs) started to serve 1.2 million Medicare beneficiaries in 40 states and Washington, D.C.ACOs are established by the Affordable Care Act’s Medicare Shared Savings Program (MSSP) to create new types of voluntary health care entities that are held accountable for coordinating care, improving health and quality of… [read post]
9 Jul 2012, 9:11 am
Department of Health and Human Services (HHS) announced today that as of July 1, 2012, 89 new accountable care organizations (ACOs) started to serve 1.2 million Medicare beneficiaries in 40 states and Washington, D.C.ACOs are established by the Affordable Care Act’s Medicare Shared Savings Program (MSSP) to create new types of voluntary health care entities that are held accountable for coordinating care, improving health and quality of… [read post]
23 Sep 2012, 10:02 pm
Healthcare providers, Medicare, Medicaid, Children’s Health Insurance Program (CHIP) intermediaries, State Medicaid and CHIP fund recipients, Medicare and Medicaid Advantage Plan and others wanting to get a leg up on potential audit targets likely to draw the attention of the Department of Health & Human Services (HHS) Office of Inspector General (OIG) and their health care fraud auditors [...] [read post]
7 Jul 2011, 6:08 am
Rosenstein; Special Agent in Charge Nicholas DiGiulio, Office of Investigations, Office of Inspector General of the Department of Health and Human Services; and Special Agent in Charge Richard A. [read post]
7 Jul 2011, 6:08 am
Rosenstein; Special Agent in Charge Nicholas DiGiulio, Office of Investigations, Office of Inspector General of the Department of Health and Human Services; and Special Agent in Charge Richard A. [read post]
1 Oct 2008, 6:51 pm
Department of Justice have closed 379 cases, recovering $9.3 billion - according to a report by Annals of Internal Medicine. [read post]
7 Jun 2024, 12:28 pm
Department of Health and Human Services, Rabin and his related entities have agreed to pay nearly $2.5 million to resolve claims of fraudulent billing practices involving Medicare and Medicaid. [read post]
22 Jan 2021, 10:31 am
Skyrocketing drug prices directly caused by schemes concocted by major players in the health care space are invariably passed along to federal health care programs such as Medicare, Medicaid, TRICARE for military families, the VA and the federal employees health benefits (FEHB) programs. [read post]
30 Sep 2012, 6:46 am
Justice Department launched an investigation into the practices of the country's biggest mental health care chain, based in Miami. [read post]
3 Apr 2020, 12:13 pm
Department of Health and Human Services (“HHS”) issued a Notification of Enforcement Discretion (the “Notification”) regarding the disclosure of protected health information (“PHI”) to public health authorities and use of PHI to perform analytics for such authorities. [read post]
21 Jun 2015, 8:00 am
In a list released in February 2015, the Department of Health and Human Services (“HHS”) lists “Ensuring Appropriate Use of Prescription Drugs in Medicare and Medicaid” among the top challenges it faced in 2014. [read post]
