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18 May 2011, 9:01 am
Department of Health and Human Services (HHS) released a report on the oversight and enforcement actions conducted by the Center for Medicare and Medicaid Services (CMS) pertaining to hospitals’ implementation … Continue reading ? [read post]
13 Mar 2008, 10:29 am
Pursuant to section 801(a)(2)(A) of title 5, United States Code, the GAO has issued a report on a major rule promulgated by the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), entitled "Medicaid Program; Health... [read post]
18 Jan 2017, 10:01 am
CMS recently released guidance on how hospitals can request from their CMS Regional Office a relocation exception from site-neutral payment rates for an excepted off-campus department of a provider due to an extraordinary circumstance, in conformance with the 2017 Medicare Outpatient Prospective Payment System Final Rule. [read post]
30 Aug 2020, 10:19 am
On August 18, the Department of Justice filed a civil lawsuit against Teva Pharmaceuticals USA, Inc., and its subsidiary, alleging that the companies violated Medicare’s Antikickback Statute and the False Claims Act by paying patients’ copayments. [read post]
28 Oct 2020, 7:00 am
In 2017, a Medicare contractor audited a sample of Sahara’s claims, and calculated that the Department of Health and Human Services (HHS) had overpaid approximately $3.6 million. [read post]
26 Aug 2014, 8:45 am
Government when it submitted false bills to Medicare and other Federal Health Care programs. [read post]
25 Jun 2010, 12:01 pm
Operating under the direction of the Department of Health and Human Services (HHS), RACs are independent third-party contractors tasked with identifying and correcting improper past Medicare payments. [read post]
18 Aug 2012, 9:39 pm
The whistleblowers contend that Adventist Health System applied improper coding to overbill Tricare, Medicaid, and Medicare. [read post]
13 Sep 2016, 5:20 am
In a report entitled “Medicare Part B: Data on Coupon Discounts Needed to Evaluate Methodology for Setting Drug Payment Rates,” the GAO assessed the impact of manufacturer coupon programs on Medicare payment rates for high-expenditure Medicare Part B drugs. [read post]
26 Feb 2018, 11:09 am
A number of recent Congressional hearings focused on federal health policies, including the following: House Energy and Commerce Committee hearings on the impact of health care consolidation, oversight of the Department of Health and Human Services (including the Trump Administration’s HHS budget request), and drug compounding. [read post]
29 Aug 2024, 3:59 pm
Regulated entities include health care organizations, health insurers, and clinicians that participate in Medicare, Medicaid, or other programs. [read post]
17 Feb 2016, 5:57 am
On February 9, 2016, the Obama Administration released its proposed fiscal year (FY) 2017 budget, which contains significant Medicare and Medicaid reimbursement and program integrity legislative proposals – including $419 billion in Medicare savings over 10 years. [read post]
14 Feb 2020, 11:25 am
Department of Health and Human Services, Office of Inspector General. [read post]
14 Apr 2020, 10:01 am
” On April 10, 2020, as part of the Public Health and Social Services Emergency Fund (PHSSEF Relief Funds), HHS automatically distributed the first tranche of $30 billion to health care providers enrolled in Medicare, allocated proportionally based on their respective 2019 Medicare fee-for-service (FFS) reimbursements. [read post]
31 Jul 2013, 12:12 pm
In 2005 the Department of Health and Human Services (HHS) established the Office of Medicare Hearings and Appeals (OMHA). [read post]
28 May 2014, 8:47 pm
Justice Department. [read post]
30 Oct 2015, 6:31 pm
This was evidenced in 2009 when the Department of Health and Human Services (DHHS) and Department of Justice (DOJ) joined together to create the Health Care Fraud Prevention and Enforcement Action Team (HEAT). [read post]
12 Jun 2017, 10:37 am
The free event will touch on such topics as Medicare, Medicare Supplemental and Managed Care plans, HMO’s, PPO’s, Part D coverage and long term care insurance to help seniors and their families make informed decisions about elder health care needs. [read post]
31 Jan 2012, 3:00 am
In rating a nursing home, the Centers for Medicare & Medicaid Services take into consideration staffing levels, inspections by the Department of Health, as well as other Medicare and Medicaid quality measures. [read post]
17 Feb 2011, 5:16 am
Also today, the Department of Justice (DOJ) and HHS announced the expansion of Medicare Fraud Strike Force operations to two additional cities – Dallas and Chicago. [read post]
