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10 Feb 2022, 6:18 am
A significant number of settlements also related to the Medicare Advantage Program, which pays a capitated amount to private health insurers for each patient enrolled in their plan according to a risk calculation. [read post]
9 Feb 2022, 4:31 pm
” It applies to federal medical insurance coverage (Medicare, Medicaid) claim payments received by a health care provider. [read post]
8 Feb 2022, 7:31 am
., relating to a 2020 security incident where a threat actor obtained access to an email account that enabled the threat actor to get access to personal information of consumers including, but not limited to, , dates of birth; health insurance accounts and vision insurance accounts ID numbers; Social Security Numbers; Medicaid numbers; Medicare numbers; driver’s license numbers;, and medical treatment information. [read post]
7 Feb 2022, 1:54 pm
For example, if a community health center had been closed three years ago, it would take considerable time to find and rent space, hire managers and health care professionals, obtain provider agreements with Medicare, Medicaid, and other insurers, publicize the center’s renewed existence, and so forth. [read post]
4 Feb 2022, 1:09 pm
Cardinal Health, Inc. [read post]
3 Feb 2022, 1:38 pm
Examples include TRICARE and the Department of Veteran Affairs’ Patient Centered Community Care Program, both of which provide healthcare and insurance coverage for veterans and their families, the Children’s Health Insurance Program (CHIP), which provides insurance coverage for children of low-income families, and the Federal Employee Health Benefit Program (FEP), which provides insurance coverage for federal employees. [read post]
3 Feb 2022, 6:58 am
File a Complaint with the Inspector General The Department of Health and Human Services (HHS) has an Inspector General (IG) who investigates allegations of waste, fraud, and abuse relating to Medicare, Medicaid, and other HHS issues. [read post]
3 Feb 2022, 6:00 am
Where an overlap is found, a provider may raise the issue in the five levels of the Medicare claims appeal process: Redetermination by the MAC, Reconsideration by a Qualified Independent Contractor (QIC), review by an Administrative Law Judge (ALJ) employed by Department of Health and Human Services (HHS), review by the Medicare Appeals Council, also within HHS, and review by a judge in a federal court. [read post]
1 Feb 2022, 4:08 pm
The department’s health care fraud enforcement efforts restore funds to federal programs such as Medicare, Medicaid and TRICARE, the health care program for service members and their families. [read post]
1 Feb 2022, 8:00 am
Department of Labor’s Occupational Safety and Health Administration (OSHA) can’t go into effect while lawsuits are pending. [read post]
31 Jan 2022, 9:41 am
Cardinal Health will also enter into a compliance program, called a Corporate Integrity Agreement with the Department of Health and Human Services Office of Inspector General. [read post]
31 Jan 2022, 8:30 am
Department of Labor, Occupational Safety and Health Administration involves OSHA’s vaccine-or-testing regime for all businesses with 100 or more employees. [read post]
31 Jan 2022, 7:54 am
Likewise, the Department of Health and Human Services Office of the Inspector General (“HHS-OIG”) has promulgated a regulatory safe harbor to the AKS for “discounts” that are “taken off the buyer’s purchase price. [read post]
31 Jan 2022, 2:08 am
The Jan. 25 ruling, which came in response to a 2011 class-action lawsuit eventually joined by 14 beneficiaries against the Department of Health and Human Services, will guarantee patients the... [read post]
28 Jan 2022, 11:50 am
He was one of eight individuals to be sentenced for a money laundering scheme in Florida and Michigan involving the use of nominee owners to fraudulently purchase home health agencies and then bill Medicare for services that were never provided to Medicare beneficiaries. [read post]
28 Jan 2022, 7:52 am
At the same time, it upheld a rule from the Department of Health and Human Services (HHS) requiring many healthcare workers to get vaccinated. [read post]
25 Jan 2022, 8:13 am
Arthrex also entered into a five-year Corporate Integrity Agreement (CIA) with the Department of Health and Human Services Office of Inspector General (HHS-OIG) setting forth requirements for future compliance. [read post]
24 Jan 2022, 10:59 am
For more detail, read “Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2020,” published by the Department of Health and Human Services and the Department of Justice in July 2021. [read post]
23 Jan 2022, 9:03 pm
On the same day, a five-justice majority refused to stay the mandate that the Centers for Medicare and Medicaid Services (CMS) imposed on organizations that are funded in part by Medicare and Medicaid. [read post]
20 Jan 2022, 4:27 pm
In addition to complying with the ETS, California employers must follow all public health orders on COVID-19 (including local public health department orders). [read post]
