Search for: "United States Centers for Medicare and Medicaid Services, Administrator for"
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17 Aug 2019, 11:56 am
In this case, a well-respected state university health science center filed a self-disclosure with the OIG for submitting claims to Medicare using the NPIs of multiple physicians who did not render or supervise the services at issue. [read post]
9 Jan 2021, 2:00 pm
As UPIC clinical reviewers of both Medicare and Medicaid claims are quick to state in hearings before an Administrative Law Judge, “If it isn’t documented, it didn’t happen. [read post]
5 May 2015, 3:26 pm
The duty of candor to the tribunal applies to lawyers representing administrative agencies. [read post]
5 May 2015, 3:26 pm
The duty of candor to the tribunal applies to lawyers representing administrative agencies. [read post]
28 Apr 2019, 9:05 pm
On the other hand, if the right to health means a right to a specific package of health care services, that may translate into policies that resemble the health care systems in Canada or the United Kingdom more than the one currently in place in the United States. [read post]
23 Jun 2015, 1:27 pm
Health and Human Services inspector general’s office, U.S. attorneys’ offices across the country, and dozens of state Medicaid fraud units. [read post]
26 Jul 2018, 7:38 am
On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) published its calendar year (CY) 2019 proposed rule for Medicare payment updates and proposed quality reporting changes for home health agencies (HHA) under the home health prospective payment system (HH PPS). [read post]
29 Dec 2021, 11:46 am
One is an interim final rule promulgated by the Centers for Medicare and Medicaid Services (“CMS”); the other is an Emergency Temporary Standard (“ETS”) issued by the U.S. [read post]
12 Jul 2018, 6:45 am
United States Department of Health and Human Services et al., in the United States District Court for the District of New Mexico (No.1:16-cv-00878). [read post]
8 May 2012, 12:23 pm
Last week, the Obama administration announced that it would likely give Oregon $1.9 billion to get a new Medicaid initiative started and that it would provide $10.4 million to 70 grantees for rural health care and $728 million to more than 400 community health centers. [read post]
24 Mar 2022, 12:22 pm
Studies involving an IDE device qualify for Medicare coverage of the device and routine care services and items so long as the study is specifically approved by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
4 Nov 2019, 11:51 am
On October 31, 2019, the Centers for Medicare & Medicaid Services (CMS) released its final rule with comment period that sets forth updates to the home health prospective payment system (HH PPS) for calendar year (CY) 2020 and includes other policy changes for home health agencies (HHA). [read post]
12 Jul 2020, 6:40 pm
UHS is headquartered in King of Prussia, Pennsylvania.As part of a comprehensive civil settlement, UHS will pay the United States and participating states a total of $117 million to resolve allegations that its hospitals and facilities knowingly submitted false claims for payment to the Medicare, Medicaid, TRICARE, Department of Veterans Affairs, and Federal Employee Health Benefit programs for inpatient behavioral health services… [read post]
4 Mar 2020, 11:31 am
The Centers for Medicare and Medicaid Services (CMS) has engaged a number of third-party, UPIC contractors (such as Qlarent, AdvanceMed, the CoventBridge Group, and SafeGuard Services LLC) to perform program integrity audits of Medicaid dental claims around the country. [read post]
15 Dec 2021, 11:37 am
Becerra is an interim final rule promulgated by the Center for Medicare and Medicaid Services (CMS) mandating that Medicare and Medicaid service providers require their workers to obtain COVID-19 vaccines. [read post]
21 Jun 2011, 8:53 am
CMS, the Centers for Medicare and Medicaid is responsible for the administration of the Medicare program and contracts with private companies in each state known as intermediaries and carriers to administrator Part A and Part B of the Medicare Program respectively. [read post]
7 Jun 2017, 10:44 am
by Mark Kantor and Karl Bayer The Centers for Medicare and Medicaid Services (CMS), an arm of the United States Department of Health and Human Services, released an announcement on June 5th withdrawing its 2016 Rule prohibiting pre-dispute arbitration agreements for long-term care nursing home contracts. [read post]
13 Aug 2010, 1:31 pm
On August 26, 2009, the Executor of the Estate mailed a copy of the Order to the Centers for Medicare and Medicaid Services in Durham, NC, but Medicare claims it did not receive the letter. [read post]
3 Jan 2009, 6:18 am
Every survey is reviewed by the [Federal] Centers for Medicare and Medicaid Services. [read post]
10 Jan 2024, 5:18 am
Some of the best resources include: The Legal Services Corporation: The Legal Services Corporation is a non-profit organization that provides funding to legal aid programs throughout the United States. [read post]
