Search for: "DEPARTMENT OF HEALTH, MEDICARE" Results 861 - 880 of 5,940
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2 Mar 2015, 12:07 pm
Department of Health and Human Services Office of Inspector General ("OIG") titled Limited Compliance with Medicare's Home Health Face-to-Face Documentation Requirements, the Centers for Medicare and Medicaid Services ("CMS") has decided to audit all home health agencies ("HHAs") in the country. [read post]
12 Jul 2019, 10:13 am by Thomas W. Greeson and Debra A. McCurdy
RO Provider/Supplier Participation Medicare-participating physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy centers that furnish RT services in designated CBSAs generally would be required to participate in the RO Model. [read post]
11 Apr 2016, 8:00 am by Gregory J. Brod
Health care fraud touches almost every part of the American health care system and dental care is no exception. [read post]
1 Jun 2017, 8:32 am by Debra A. McCurdy
  On the one hand, a document summarizing the Department of Health and Human Services (HHS) provisions declares that, unlike other recent Administration budget proposals, the Trump budget “does not include any direct Medicare cuts. [read post]
5 Apr 2013, 2:44 pm
The partnership between the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative and the Department of Justice has led to intensive efforts to prevent and reduce Medicare and Medicaid fraud. [read post]
10 Feb 2012, 6:35 am
HHS has decided your health, and/or your wallet, can be dangerous and requires warning labels.According to KHN:"For too many Americans today, choosing a health plan means reading through a human resources book usually the size of a small phone book and important information about eligibility and benefits is often buried in the fine print," saidMarilyn Tavenner, the acting head of the Centers for Medicare and Medicaid Services, the agency within the… [read post]
14 Sep 2021, 12:00 pm by Peter Briccetti
Department of Justice press release, BAYADA Home Health Care Inc., and BAYADA Health LLC and BAYADA Home Care (collectively, BAYADA) bought two Home Health Agencies (HHAs) from a retirement home operator, allegedly in return for patient referrals. [read post]
16 Dec 2010, 8:00 am by Lucas A. Ferrara, Esq.
Owner of Detroit-area Medical Clinic Sentenced to 151 Months in Prison for $23 Million Medicare Fraud Scheme   Vice President of Clinic Sentenced to 108 Months in Prison   The owner and the vice president of a Detroit-area physical therapy clinic were sentenced to 151 months and 108 months in prison, respectively, for their leading roles in a $23 million Medicare fraud scheme, the Departments of Justice and Health and Human Services (HHS)… [read post]
The proposed rule would implement provisions in the No Surprises Act mandating that health plans and health insurance issuers in the group and individual markets and Federal Employees Health Benefits carriers be more transparent regarding air ambulance services and submit certain data on these costs to HHS, the Departments of Treasury and Labor and the Office of Personnel Management. [read post]
13 Jul 2015, 8:00 am by Gregory J. Brod
  Stuart Delery, Assistant Attorney General for the Department of Justice’s Civil Division, explains: “Schemes such as [these] undermine the health care system and take advantage of elderly nursing home residents. [read post]
8 Nov 2019, 3:06 pm by Joseph Fishkin
Congress should set the basic parameters of coverage through legislation and give the Department of Health and Human Services broad and very clear regulatory authority to add coverage to Basic Health upon a determination, through a fair process, that such coverage would be cost-effective and beneficial for the American people. [read post]
3 Aug 2011, 12:00 pm by Lucas A. Ferrara, Esq.
District Court in Miami for his role in two separate fraud schemes that resulted in the submission of more than $200 million in fraudulent claims to Medicare, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS). [read post]
The Office of Inspector General (OIG) of the Department of Health Human Services (HHS) is seeking input on Medicare and State Health Care Programs: Fraud and Abuse; Request for Information Regarding the Anti-Kickback Statute and Beneficiary Inducements CMP. [read post]
8 May 2012, 9:22 am
According to prosecutors, Armando Gonzalez is a convicted cocaine trafficker who got involved in Medicare fraud schemes in the mid-2000’s when he opened mental health clinics in the Kendall and Cutler Bay areas. [read post]
Utilization Management Requirements Including Prior Authorizations The prior authorization requirements of MAOs have been the focus of a report by the Department of Health and Human Services Office of Inspector General as well as another recent proposed rule by CMS. [read post]
31 Dec 2011, 4:37 am by Ray Mullman
  The Department of Health and Human Services announced in August that 2012 Medicare prescription drug plan premiums would average about $30 a month, compared to $30.76 in 2011. [read post]
9 Aug 2010, 3:19 am
CMS PROPOSES CHANGES TO “36 MONTH RULE” FOR HOME HEALTH:In late July, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for the Medicare Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year 2011. [read post]