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22 Jan 2013, 10:06 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitle to ... [read post]
21 Jan 2013, 6:00 am
Designed to Address Medicare Secondary Payer Statutes The SMART Act came about due to the conflicts that occur between state workers’ compensation insurance laws and the federal laws overseen by the Centers for Medicare and Medicaid Services (CMS). [read post]
15 Jan 2013, 6:59 am
We represent facilities, individuals, groups and institutions in contracts, sales, mergers and acquisitions.The services we provide include reviewing and negotiating contracts, business transactions, professional license defense, representation in investigations, credential defense, representation in peer review and clinical privileges hearings, Medicare and Medicaid audits, commercial litigation, and administrative hearings. [read post]
14 Jan 2013, 7:55 am
Major Department of Health and Human Services (HHS) regulations are highlighted after the jump.An HHS Office of Inspector General (OIG) proposed rule that would add new/modify existing safe harbors under the anti-kickback statute; add new/revise existing regulations governing OIG's authority to impose civil money penalties and assessments; add new/revise existing regulations governing OIG's exclusion authority; and codify new exceptions to the beneficiary inducement prohibition… [read post]
3 Jan 2013, 6:31 am
We represent facilities, individuals, groups and institutions in contracts, sales, mergers and acquisitions.The services we provide include reviewing and negotiating contracts, business transactions, professional license defense, representation in investigations, credential defense, representation in peer review and clinical privileges hearings, Medicare and Medicaid audits, commercial litigation, and administrative hearings. [read post]
2 Jan 2013, 1:00 pm
The Center for Medicare and Medicaid Services (CMS) has also recognized that antipsychotics are used rather excessively and unnecessarily in nursing homes and has initiated a program to reduce such use. [read post]
20 Dec 2012, 11:59 am
The final safe harbor includes: (1) devices that are identified in the FDA’s IVD Home Use Lab Tests (over-the-counter, or OTC, tests) database; (2) devices described as OTC devices in the relevant FDA classification regulation heading; (3) devices that are described as OTC devices in the FDA’s product code name, device classification name, or the classification name field in the FDA’s device registration and listing database; and (4) certain devices that qualify as durable medical… [read post]
16 Dec 2012, 10:48 pm
In § 931(b)(2), Congress provided that: The Secretary shall assure the independence of administrative law judges performing the administrative law judge functions … from the Centers for Medicare & Medicaid Services and its contractors. [read post]
16 Dec 2012, 10:48 pm
In § 931(b)(2), Congress provided that: The Secretary shall assure the independence of administrative law judges performing the administrative law judge functions … from the Centers for Medicare & Medicaid Services and its contractors. [read post]
16 Dec 2012, 10:48 pm
In § 931(b)(2), Congress provided that: The Secretary shall assure the independence of administrative law judges performing the administrative law judge functions … from the Centers for Medicare & Medicaid Services and its contractors. [read post]
1 Dec 2012, 12:00 pm
Many of our agencies -- including the Centers for Disease Control and Prevention, the National Institutes of Health, the Health Resources and Services Administration, the Food and Drug Administration, and the Substance Abuse and Mental Health Services Administration; as well as our Office of Global Affairs -- conduct global HIV activities as PEPFAR implementers. [read post]
29 Nov 2012, 7:20 am
”Click here to read the entire press release from the AHA.Neither the Centers for Medicare and Medicaid (CMS) nor the Department of HHS has commented on the pending litigation.AHA Agrees with the Office of Inspector General’s (OIG) Review of Medicare Contractors.In October 2012, prior to the lawsuit, the executive vice president of the AHA wrote a letter to the Office of Inspector General (OIG) in response to the Work Plan for Fiscal Year… [read post]
29 Nov 2012, 3:46 am
For example, as discussed in a recent Albany Times Union editorial, the federal Centers for Medicare and Medicaid (CMS) is making a one-time offer to states of 90% matching funds for "modernization" efforts. [read post]
28 Nov 2012, 5:29 pm
The report Questionable Billing by Community Mental Health Centers revealed that in 2010, about half of community mental health centers (CMHC) met or exceeded thresholds that indicated unusually high Medicare billing for at least one of nine questionable billing characteristics related to partial hospitalization programs (PHP). [read post]
20 Nov 2012, 3:00 am
Department of Health and Human Services suggests that the administration may be going strong with its attempts to root out overbilling, waste, and fraud in the system. [read post]
18 Nov 2012, 10:44 pm
Be aware, however, that a number of HHS Centers for Medicare and Medicaid Services (CMMS) rules are constantly being litigated and, as noted last week, the Disproportionate Share formula has been vacated and remanded. [read post]
16 Nov 2012, 7:57 am
The report also contains findings by the OIG relating to ALJ appeal participation by the Centers for Medicare and Medicaid Services (CMS). [read post]
15 Nov 2012, 11:48 am
If excluded from the Medicare Program and placed on the LIEI, this automatically places the professional on the General Services Administration (GSA) list of persons debarred from contracting with the U.S. government. [read post]
11 Nov 2012, 10:21 pm
The National Journal reported what regulatory professionals expected: Many sources close to the Centers for Medicare and Medicaid Services told National Journal that the administration had a number of important health rules ready to go but was holding them back until after the election to avoid a political backlash. [read post]
9 Nov 2012, 6:44 am
The attorneys of The Health Law Firm provide legal representation to physicians, nurses, nurse practitioners, CRNAs, dentists, pharmacists, psychologists and other health providers in Department of Health (DOH) investigations, Drug Enforcement Administration (DEA) investigations, FBI investigations, Medicare investigations, Medicaid investigations and other types of investigations of health professionals and providers. [read post]
