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17 Feb 2023, 9:27 am
Strategically centered in Washington, D.C., our Government Investigations & White Collar Litigation Department has been honored as a Law360 Practice Group of the Year and earned the trust of international companies and individuals through our representation in some of the most notable enforcement matters over the past decade. [read post]
17 Feb 2023, 6:02 am
Centers for Medicare and Medicaid Services (CMS) announced yesterday that more than $340,000 in civil penalties have been levied against the New Jersey Veterans Memorial Home at Menlo Park after inspections last fall determined that improper care put the lives of residents in “immediate jeopardy. [read post]
17 Feb 2023, 4:13 am
Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
17 Feb 2023, 4:13 am
Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
16 Feb 2023, 7:32 pm
As the September 1, 2023 deadline for Centers for Medicare & Medicaid Services (CMS) to publish the first 10 “selected drugs” subject to negotiation of “maximum fair prices” under Medicare Parts B and D fast approaches, CMS has recently specified information that manufacturers must submit in order for their drugs to qualify for the “Small Biotech Exception” to being included on the list. [read post]
16 Feb 2023, 11:51 am
These alarming citations provoked the Center for Medicare and Medicaid to label these facilities as contenders to join their “Special Facilities Focus program. [read post]
16 Feb 2023, 9:22 am
On October 1, 2023, the Centers for Medicare and Medicaid Services (“CME”) will be retiring Section G, a measure of the functional status of nursing home residents, from the Medicare and Medicaid Minimum Data Sets (“MDS”). [read post]
15 Feb 2023, 4:25 pm
In addition to the risk of a “clawback,” or having to pay back the insurer for payments found to be in error, practitioners who fail audits face disciplinary actions from the private health insurance company, the Centers for Medicare & Medicaid Services (CMS), and the Illinois Department of Financial and Professional Regulation (IDFPR). [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 10:00 pm
The Centers for Medicaid and Medicare Services (CMS) announced a model on February 14, 2023 that would allow CMS to pay less for drugs approved via FDA’s accelerated approval pathway before a clinical benefit has been confirmed by the required confirmatory studies. [read post]
14 Feb 2023, 2:04 pm
On Monday, February 13, 2023, the Centers for Medicare & Medicaid Services (CMS), a part of the Department of Health and Human Services (HHS), submitted a proposed rule that goes beyond current data collections requirements by requiring nursing facilities to disclose additional information regarding ownership. [read post]
14 Feb 2023, 6:27 am
Legal Action Against a Nursing Home for Mistreatment The California Department of Social Services, California Department of Public Health, and Centers for Medicare and Medicaid Services (CMS) accept and investigate reports of nursing home abuse and neglect, but their primary function is to penalize the institution for rule violations. [read post]
13 Feb 2023, 11:31 am
The notice, posted on the website for the Centers for Medicare and Medicaid Services, instructed certified IDR entities to recall any payment determinations issued after February 6, 2023 (the date of the court’s decision) and to stop any further payment determinations until they receive further guidance from the departments. [read post]
12 Feb 2023, 9:40 am
Among them: Medicare 3 Day Rule Will Return As we have reported before, Medicare covers a period of skilled nursing care only if it follows a three-day hospital stay. [read post]
10 Feb 2023, 9:05 pm
Glen of Georgetown University Law Center in an article published in the Saint Louis University Journal of Health Law & Policy. [read post]
9 Feb 2023, 1:15 pm
Centers for Medicare and Medicaid Services. [read post]
