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31 Jan 2024, 9:26 am
By the time his wife took him to the emergency department anyway, it was too late. [read post]
31 Jan 2024, 8:44 am
A new analysis by the California Workers’ Compensation Institute (CWCI) uses data on 28.7 million inpatient hospital stays with 2012 through 2022 discharge dates compiled by the California Department of Health Care Access and Information (HCAI) to measure and compare the use of inpatient services and procedures covered by workers’ compensation, Medicare, Medi-Cal and private coverage. [read post]
31 Jan 2024, 7:30 am
Department of Health and Human Services Office of Inspector General (“HHS OIG”) that found that PCPA’s proposed patient-assistance program would run afoul of the Anti-Kickback Statute (“AKS”). [read post]
30 Jan 2024, 6:19 pm
Building on prior requests for information and an increased focus on Medicare Advantage oversight, the Centers for Medicare and Medicaid Services (CMS) has issued another request for information (RFI) seeking input on data needed for Medicare Part C, also known as the Medicare Advantage (MA) program. [read post]
30 Jan 2024, 6:30 am
“From a healthcare perspective, these bills suggest that hospital and health system compliance departments must improve their oversight of their organizations’ billing processes. [read post]
29 Jan 2024, 3:04 pm
Ryan of the Department of Health and Human Services Office of Inspector General (HHS-OIG). [read post]
26 Jan 2024, 2:15 am
The Centers for Medicare & Medicaid Services is collecting these on behalf of the departments. [read post]
25 Jan 2024, 5:31 am
Although all Medicare-covered drugs and biologics have been FDA approved, not all FDA approved drugs and biologics will qualify for coverage and payment by Medicare and / or other payors. [read post]
24 Jan 2024, 5:00 am
Initially, the Department of Health and Human Services (HHS), then under the Trump administration, released guidance that, during the public health emergency (PHE), LDTs for COVID-19 would not require pre-market approval. [read post]
24 Jan 2024, 4:05 am
According to the Whtie House, these include:The Departments of the Treasury, Labor, and Health and Human Services (HHS) are issuing new guidance to clarify standards and support expanded coverage of a broader range of FDA-approved contraceptives at no cost under the Affordable Care Act....The Secretary of HHS is issuing a letter to private health insurers, state Medicaid and Children’s Health Insurance Programs, and Medicare plans about their… [read post]
23 Jan 2024, 5:00 am
ACA Nondiscrimination Rules for Health Programs and Activities (ACA Section 1557) Review ACA section 1557, which prohibits health programs and activities that are either federally funded or administered by the Department of Health and Human Services from discriminating against individuals based on protected characteristics under major federal antidiscrimination laws, including race, color, national origin, sex, age, and disability. [read post]
22 Jan 2024, 4:23 pm
The resolution of this case was a result of collaborative efforts by the Justice Department’s Civil Division, U.S. [read post]
22 Jan 2024, 2:49 pm
Indiana-based Community Health Network agreed to pay $345 million to settle charges it violated the False Claims Act and Stark Law by billing Medicare for certain services referred by physicians with whom the hospital system had a financial relationship. [read post]
19 Jan 2024, 7:09 am
Department of Health and Human Services (HHS), Office of Inspector General, found that Humana had overcharged the Medicare program $200 million in just one year! [read post]
16 Jan 2024, 12:30 pm
Department of Commerce, a second challenge to the NMFS rule, to its docket in October 2023 and fast-tracked the case so that it could be argued on the same day as Loper Bright. [read post]
16 Jan 2024, 11:33 am
Following calls for public comment on revising the 1995 Bank Merger Competitive Review Guidelines by the Department of Justice, internal discord over reform efforts at the FDIC, and the failure of numerous regional banks, a fundamental reassessment of the law governing bank mergers and acquisitions is firmly underway. [read post]
12 Jan 2024, 5:48 am
RDx and Leykin have agreed to cooperate with the Justice Department’s investigations of, and litigation against, other participants in the alleged schemes [read post]
10 Jan 2024, 4:47 pm
All four opinions approve the use of discounts by a preferred hospital organization (PHO) within a “preferred hospital” network as part of Medicare Supplemental Health Insurance (Medigap) policies. [read post]
10 Jan 2024, 9:23 am
The nursing home failed to investigate or report it to the Illinois Department of Health until the family involved the police. [read post]
10 Jan 2024, 9:23 am
The nursing home failed to investigate or report it to the Illinois Department of Health until the family involved the police. [read post]
