Search for: "US Department of Health and Human Services Center for Medicare "
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18 Jun 2015, 2:45 pm
Department of Health and Human Services ("HHS") arrested 243 individuals for allegedly participating in Medicare/Medicaid fraud schemes. [read post]
23 Mar 2020, 1:28 pm
” [3] Prior to calendar year 2019, the Centers for Medicare and Medicaid Services (“CMS”) has considered an item or service to be “primarily health related” only if the primary purpose is to “prevent, cure, or diminish an illness or injury. [read post]
2 May 2012, 8:03 pm
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
2 May 2012, 8:03 pm
In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. [read post]
26 Mar 2019, 1:34 pm
The Trump Administration’s proposed fiscal year (FY) 2020 budget includes extensive health policy provisions – as evidenced by the 162-page Department of Health and Human Services (HHS) “Budget in Brief. [read post]
14 Dec 2020, 11:46 am
Department of Health and Human Services (HHS) Office for Civil Rights (OCR), the agency that enforces the Health Insurance Portability and Accountability Act of 1996 (HIPAA), is the latest federal agency to jump on the HHS rulemaking bandwagon issuing a Notice of Proposed Rulemaking (NPRM) on December 10, 2020, that proposes pivotal changes to key standards, definitions, and patient rights under the HIPAA Privacy Rule, which are geared toward promoting… [read post]
27 May 2022, 4:01 pm
Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). [read post]
6 Dec 2011, 4:19 pm
Final Rules Make Direct Access To Data By All But Most Sophisticated Impossible The Centers For Medicare & Medicaid Services (“CMS”) says disclosures of certain Medicare provider and supplier claims performance data scheduled to begin in January will empower employers, health plans and consumers to better evaluate the quality of these health care providers and suppliers. [read post]
28 Jun 2018, 3:04 pm
According to DOJ’s press release: Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Alex M. [read post]
2 May 2012, 1:23 pm
Peter Budetti, Deputy Administrator for Program Integrity of the Centers for Medicare and Medicaid Services (CMS). [read post]
2 May 2012, 1:23 pm
Peter Budetti, Deputy Administrator for Program Integrity of the Centers for Medicare and Medicaid Services (CMS). [read post]
5 Mar 2012, 3:17 pm
Medicare is administered by the US Department of Health and Human Services through the Centers for Medicare & Medicaid services (“CMS”). [read post]
12 Jul 2020, 6:40 pm
Department of Health and Human Services, Office of Inspector General (OIG), which will remain in effect for five years. [read post]
8 Sep 2011, 5:11 am
The indictment alleges that Latson used a data-mining service to compile lists of Medicare beneficiaries. [read post]
8 Sep 2011, 5:11 am
The indictment alleges that Latson used a data-mining service to compile lists of Medicare beneficiaries. [read post]
8 Jan 2019, 9:36 am
The intricacies of the Medicare program will be on display at the Supreme Court next week, in a case challenging a major Department of Health and Human Services payment determination issued without notice-and-comment procedures. [read post]
7 Sep 2011, 4:42 pm
The indictment alleges that the home agencies then used the beneficiary information to bill Medicare for services that were unnecessary or never provided. [read post]
7 Sep 2011, 4:42 pm
The indictment alleges that the home agencies then used the beneficiary information to bill Medicare for services that were unnecessary or never provided. [read post]
18 Sep 2019, 2:08 pm
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
14 Dec 2009, 1:41 pm
The American Hospital Association (AHA) recently asked the White House Office of Health Reform, the Department of Health and Human Services, and the Centers for Medicare & Medicaid Services to revise the definition of "hospital-based" so that physicians working in hospital outpatient clinics or hospital-based facilities can receive incentive payments from Medicare and Medicaid under the American… [read post]
