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10 Apr 2014, 1:10 am
Photo MIAMI — Two Florida doctors who received the nation’s highest Medicare reimbursements in 2012 are both major contributors to Democratic Party causes, and they have turned to the political system in recent years to defend themselves against suspicions that they may have submitted fraudulent or excessive charges to the federal government.The pattern of large Medicare payments and six-figure political donations shows up among several of the doctors whose payment… [read post]
19 Apr 2010, 12:42 pm
Effective immediately, the Secretary of the Department of Health & Human Services (“DHHS”) may revoke a physician’s enrollment in the Medicare program if such physician or supplier fails to maintain and provide access to documentation relating to written orders or requests for payment for DME, certifications for home health services, or referrals for other items or services upon request. [read post]
25 Apr 2013, 12:14 pm
Since 1998, an individual providing information regarding potential Medicare fraud and abuse to the Department of Health & Human Services’ Office of the Inspector General or the Medicare contractor with jurisdiction over the suspected fraudulent provider or supplier may be eligible to receive 10 percent of the Medicare funds ultimately collected from the tip, or $1,000, whichever is less. [read post]
26 Apr 2013, 9:25 am
Since 1998, an individual providing information regarding potential Medicare fraud and abuse to the Department of Health & Human Services’ Office of the Inspector General or the Medicare contractor with jurisdiction over the suspected fraudulent provider or supplier may be eligible to receive 10 percent of the Medicare funds ultimately collected from the tip, or $1,000, whichever is less. [read post]
26 Apr 2023, 5:00 am
The Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) recently released a toolkit regarding analysis of telehealth claims to assess program integrity risks. [read post]
23 Feb 2012, 4:24 am
That worked out to an average of $604 per beneficiary, according to the Department of Health and Human Services. [read post]
28 Sep 2011, 8:26 am
The regulations require the Secretary of the Department of Health and Human Services ("Secretary") to publish annually the AIC threshold amounts in the Federal Register; the Centers for Medicare and Medicaid Services ("CMS") published these new amounts in the September 23, 2011 Federal Register. [read post]
27 Jul 2018, 9:41 am
Department of Health and Human Services (HHS) Alex Azar said that HHS will undertake an effort to reform federal health privacy rules, including those under HIPAA and the rules governing substance abuse treatment records at 42 C.F.R. [read post]
29 Feb 2012, 6:26 pm
Use an outside vendor or internal department to submit the MSA. [read post]
20 Mar 2009, 7:20 am
According to an audit report recently released by the Office of Inspector General of the Department of Health and Human Services (OIG), hospitals paid under the inpatient prospective payment system (IPPS) may have received an estimated $25 million in overpayments between fiscal years 2003 and 2005 as a result of noncompliance with Medicare’s post-acute transfer policy. [read post]
23 Jul 2018, 5:16 am
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed Medicare physician fee schedule (PFS) rule for calendar year (CY) 2019. [read post]
20 Dec 2012, 4:07 pm
Schuylkill Health is one of only 13 hospitals in the state that is a Medicare-dependent hospital, which means it's a rural hospital where 60 percent of its discharges are Medicare patients. [read post]
31 Jul 2017, 12:10 pm
In July 2017, the Department of Health and Human Services Office of Inspector General (OIG) revealed its plans to review the $14.6 billion in incentive payments the Centers of Medicare and Medicaid Services (CMS) made to hospitals between January 1, 2011 and December 31, 2016, pursuant to Medicare’s electronic health record (EHR) technology program. [read post]
16 Dec 2014, 5:14 pm
The federal government is the largest payer for overall health care, through the Medicare and Medicaid programs. [read post]
18 Jul 2023, 6:49 am
Schrank of the Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement. [read post]
31 Oct 2011, 7:49 am
The investigation into City Nursing was the result of the joint efforts by special agents of the FBI, Internal Revenue Service-Criminal Investigations, the Department of Health and Human Services-Office of Inspector General and the Texas Attorney General’s Office-Medicare Fraud Control Unit. [read post]
25 Oct 2013, 3:00 pm
., co-chairs of the firm's Medicare and RAC department authored an ABA Health eSource article titled "The Latest Development in Medicare Audits: Supplemental MEdical Review Contractor ("SMRC") Audits." [read post]
17 Dec 2015, 10:23 am
Medicare/Medicaid provisions of the Consolidated Appropriations Act of 2016, which are intended to offset the costs of reauthorizing the World Trade Center Health Program, include the following: Section 501 would rescind funds from the Medicare Improvement Fund (MIF), which was established by MIPAA to fund improvements in the Medicare fee-for-service program. [read post]
29 Sep 2011, 11:29 am
Stern and his practice group, Kentuckiana Center for Better Bone and Joint Health PLLC ("KCB"), have agreed to pay $349,860 to settle allegations of overbilling Medicare. [read post]
16 Mar 2010, 9:27 pm
The OIG's Compendium lists the "significant," but not yet implemented, recommendations that the OIG has provided to the Department of Health & Human Services ("DHHS"). [read post]
