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19 Jul 2010, 11:27 am
(July 17, 2010): Yesterday, the Department of Justice (DOJ) announced charges against 94 physicians, medical assistants, and health care company owners and executives in connection with alleged false Medicare claims amounting to more than $251 million. [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]
11 Aug 2021, 12:18 pm
This is considered one of the largest Medicare fraud schemes ever charged by the Justice Department. [read post]
17 Oct 2010, 4:20 pm
In this national, multi-agency investigation, 52 were arrested in the largest Medicare fraud scheme ever perpetrated by a single criminal enterprise and charged by the Department of Justice. [read post]
4 Jun 2019, 2:38 pm
Department of Health and Human Services (“HHS”) in Azar v. [read post]
3 Apr 2014, 9:48 am
Today, the Department of Health and Human Services (HHS) announced that the Social Security Administration (SSA) is now able to process requests for Medicare Part A and Part B Special Enrollment Periods, and reductions in Part B and premium Part A late enrollment penalties for certain eligible people in same-sex marriages. [read post]
20 Sep 2023, 9:05 pm
This month, the Department of Health and Human Services (HHS) selected the first 10 drugs subject to negotiation. [read post]
17 Dec 2009, 7:26 pm
The United States Department of Justice announced December 17, 2009 that the U.S. and state of New York have entered into settlement agreements with three home health agencies to resolve allegations that they submitted false claims to the New York Medicaid and Medicare programs. [read post]
31 Jul 2023, 1:10 pm
POSTED ON JULY 31, 2023 Martin’s Point Health Care Inc. [read post]
21 Nov 2012, 6:56 am
The American Hospital Association (AHA) and four hospitals have filed suit against the Department of Health and Human Services, seeking to end what the plaintiffs call an “unlawful government practice. [read post]
26 Oct 2016, 12:01 pm
Medicare reimburses nursing facilities at a daily rate for the health care services that they provide to Medicare patients. [read post]
8 Dec 2010, 7:48 am
Four Detroit-area residents were arrested today by federal agents from the Department of Health and Human Services, Office of the Inspector General (HHS-OIG) and the FBI as part of an ongoing investigation into a $14.5 million home health care fraud scheme, announced the Departments of Justice and HHS. [read post]
11 Mar 2024, 5:01 am
Department of Health and Human Services, one in ten denials for service by Medicare Advantage organizations should have been automatically covered under Medicare coverage rules. [read post]
16 Feb 2009, 7:35 am
After a nursing center was cited for numerous serious deficiencies from the state Health Department, the home lost their Medicare and Medicaid funding. [read post]
11 Jul 2022, 2:22 pm
The Department of Health and Human Services Office of Inspector General has warned that “anyone who routinely waives copayments or deductibles can be criminally prosecuted under” the anti-kickback statute. [read post]
1 Dec 2010, 7:13 am
Judicial Watch, the public interest group that investigates and prosecutes government corruption, announced today that it has obtained documents from the Obama Department of Health and Human Services regarding a series of three Medicare television advertisements featuring actor Andy Griffith, which were deemed misleading by a number of press outlets, including the nonpartisan FactCheck.org. [read post]
4 Apr 2018, 9:54 am
Department of Justice. [read post]
13 Feb 2013, 1:06 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (“CMS”) released a proposed rule that reforms a number of Medicare regulations. [read post]
13 Feb 2013, 1:06 pm
Department of Health and Human Services Centers for Medicare and Medicaid Services (“CMS”) released a proposed rule that reforms a number of Medicare regulations. [read post]
21 May 2018, 3:00 pm
§ 1395hh(a)(2) requires the Department of Health and Human Services to conduct notice-and-comment rulemaking before providing instructions to a Medicare Administrative Contractor that makes initial determinations of payments due under Medicare, when those instructions rest on a non-legally-binding administrative interpretation of a relevant statutory provision. [read post]
