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10 Jul 2022, 12:06 pm
In the process much administrative law has been made in the United States, and cultures of administrative operation, especially with respect to the exercise of discretion and the limits of administrative authority, have been made. [read post]
7 Jul 2022, 9:14 pm by Devontae Torriente
Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) proposed a rule that would establish certain conditions that rural emergency hospitals must meet to participate in Medicare and Medicaid programs. [read post]
24 Jun 2022, 9:48 am by Christopher J. Walker
The post Administrative Law Job Openings: General Attorney Positions at HHS Centers for Medicare & Medicaid Services Division Program Review Group appeared first on Yale Journal on Regulation. [read post]
14 Jun 2022, 6:01 am by Ana Popovich
” The settlement agreement states the whistleblowers alleged “Steward submitted or caused the submission of false claims for payment” to Medicare and Medicaid “by submitting or causing the submission of claims that were tainted by violations of the Anti-Kickback Statute…or the Stark Law. [read post]
9 Jun 2022, 9:30 pm by Claire Hill
Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure stated that the extension provides states with “the time and resources to strengthen connections to care at home and in communities. [read post]
3 Jun 2022, 2:07 pm by Andrew Hamm
United States, a Turkish bank asks the justices to review its claim for protection from criminal prosecution. [read post]
20 May 2022, 9:56 am by Robert Liles
In the context of acupuncture services, before referring a veteran for these treatment services to a non-VA acupuncture service provider, a VHA medical center provider is supposed to evaluate the veteran’s clinical needs. [read post]
12 May 2022, 6:59 am by Robert Liles
The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) are actively providing audit support, technical assistance, and investigative coordination to the states’ fraud-fighting efforts. [read post]
2 May 2022, 2:12 pm by Cynthia Marcotte Stamer
The Supreme Court took notice that Premier Rehab was subject to these laws because its receipt of Medicare and Medicaid payments qualified as federal financial assistance triggering their applicability. [read post]
29 Apr 2022, 6:48 am by Jim Dempsey
  Now, the United States faces a similar situation. [read post]
14 Apr 2022, 9:08 pm by William McDonald
” The Centers for Medicare & Medicaid Services (CMS) announced a final policy approving Medicare coverage of monoclonal antibodies to treat Alzheimer’s Disease in clinical trials. [read post]
30 Mar 2022, 9:02 pm by Brinna Ludwig
Why did the Centers for Medicare & Medicaid Services (CMS) raise the standard premium so drastically? [read post]
29 Mar 2022, 5:04 pm by Cynthia Marcotte Stamer
Where applicable, Section 2713’s preventive care mandate generally requires ACA covered plans to cover without cost sharing specified preventive health services recommended with an A or B rating by the United States Preventive Services Task Force (USPSTF) and any immunization with a recommendation by ACIP adopted by the Centers for Disease Control and Prevention (CDC), for routine use for a given individual. [read post]
24 Mar 2022, 12:22 pm by Andrew Sylora
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]
8 Mar 2022, 6:11 am by Don Asher
  Of importance, current insurance coverage (e.g., Medicare, Medicaid, Tricare) may not provide sufficient assistance to help. [read post]
3 Mar 2022, 9:32 pm by Cynthia Marcotte Stamer
As alleged in the complaint, the proposed transaction would give United, a massive company that owns the largest health insurer in the United States, access to a vast amount of its rival health insurers’ competitively sensitive information. [read post]
23 Feb 2022, 4:27 am by Robert Liles
  With respect to administrative reviews, both private health insurer anti-fraud units and Unified Program Integrity Contractors (UPICs) for the Center for Medicare and Medicaid Services (CMS) have moved forward with Medicaid audits of dental claims around the country. [read post]
22 Feb 2022, 5:01 am by Jim Dempsey
The Centers for Medicare & Medicaid Services (CMS) will not approve a hospital for participation in the Medicare and Medicaid system unless its brick-and-mortar facilities comply with the standards of the Life Safety Code of the National Fire Protection Association (or a comparable code imposed by state law) and the association’s separate Health Care Facilities Code. [read post]
11 Feb 2022, 12:39 pm by Ana Popovich
” The press release states: “Because CMC submitted claims for payment to Medicare, Medicaid, and other federal health care programs for the services referred by the cardiologist, the United States alleged that these claims were the result of unlawful kickbacks. [read post]
1 Feb 2022, 4:08 pm by Ben Vernia
The department’s health care fraud enforcement efforts restore funds to federal programs such as Medicare, Medicaid and TRICARE, the health care program for service members and their families. [read post]