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30 Jan 2020, 1:37 pm
Further, in line with Goal 2, the Anti-Kickback Statute Safe Harbors and Stark Law Exceptions proposed by HHS’ Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS), respectively, aim to modernize these federal fraud and abuse law protections by removing barriers that currently thwart the efforts of health care providers to engage patients and coordinate care. [read post]
29 Jan 2020, 3:33 am
* * *In addition to the kickback allegations, the civil settlement with the United States resolves allegations relating to two intersecting Department of Health and Human Services (HHS) programs, one at the Office of the National Coordinator for Health Information Technology (ONC) that regulates the voluntary health IT certification program, and one at the Centers for Medicare & Medicaid Services that oversees EHR incentive programs. [read post]
28 Jan 2020, 9:58 pm
Health plans and their health plan records providers and other business associates should review and update their existing policies and practices concerning providing and charging individuals for access to protected health information in response to modifications in the Department of Health & Human Service (“HHS”) Office of Civil Rights (“OCR”) rules implementing the Health Insurance Portability & Accountability Act (“HIPAA”) requirements… [read post]
28 Jan 2020, 9:05 pm
Each year, the federal Centers for Medicare and Medicaid Services (CMS) adjusts this limit on out-of-pocket expenses for all households to reflect changes in the price of private health insurance. [read post]
28 Jan 2020, 10:12 am
The Centers for Medicare and Medicaid Services (CMS), an agency that oversees Medicare and Medicaid and works to identify and eliminate nursing home fraud and abuse, recently released a memorandum detailing their 2020 priorities. [read post]
27 Jan 2020, 5:38 pm
* * *The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid or TRICARE. [read post]
27 Jan 2020, 11:20 am
Medicare fraud can occur anywhere As long as there exists a financial incentive for doctors and healthcare administrators to fraudulently charge for services they never rendered, or falsely inflate the cost of services to receive more money from the government, Medicare and Medicaid fraud will unfortunately continue to happen. [read post]
27 Jan 2020, 8:18 am
The answer can be found in publicly available data supplied by the Centers for Medicare and Medicaid Services (CMS) Compare Tool that releases data on hospitals nationwide. [read post]
23 Jan 2020, 3:08 am
For 2018, Medicaid spending was at $597.4 billion, according to the Centers for Medicare and Medicaid Services. [read post]
17 Jan 2020, 12:21 pm
The notice impacts CMPs assessed by the Office of Inspector General, the Centers for Medicare & Medicaid Services, the Food and Drug Administration, the Office for Civil Rights, the Health Resources and Services Administration, the Agency for Healthcare Research and Quality, and the Administration for Children and Families. [read post]
17 Jan 2020, 12:20 pm
The Centers for Medicare & Medicaid Services (CMS) has released a Request for Information (RFI) on how the Medicaid program can incorporate out-of-state providers in coordinating care for children with certain medically complex conditions under Medicaid. [read post]
17 Jan 2020, 6:55 am
The Centers for Medicare and Medicaid Services (“CMS”) expanded its Targeted Probe and Educate (“TPE”) program on October 1, 2017. [read post]
16 Jan 2020, 3:27 pm
Given the Bookwalter court’s December turnabout and the uncertainty that remains concerning the volume or value standard, clear guidance from the Centers for Medicare & Medicaid Services (CMS) is needed now more than ever. [read post]
16 Jan 2020, 3:24 pm
The Anti-Kickback Statute prohibits payments – including the provision of free goods or services or any other type of remuneration – that are intended to induce the referral of services or items that are paid for by a federal healthcare program such as Medicare, Medicaid, or TRICARE. [read post]
9 Jan 2020, 9:08 am
According to a recent article in McKnight’s Long-Term Care News, the Centers for Medicare and Medicaid Services (CMS) has plans to update its “Nursing Home Compare” information to include an “abuse icon” that will alert potential patients and their families to dangerous histories of abuse and neglect. [read post]
9 Jan 2020, 9:08 am
According to a recent article in McKnight’s Long-Term Care News, the Centers for Medicare and Medicaid Services (CMS) has plans to update its “Nursing Home Compare” information to include an “abuse icon” that will alert potential patients and their families to dangerous histories of abuse and neglect. [read post]
3 Jan 2020, 10:06 am
The Centers for Medicare & Medicaid Services (CMS) is inviting suggestions for how it can eliminate Medicare regulations that (1) impose more stringent supervision requirements than existing state scope of practice laws, or (2) restrict health professionals from practicing at the top of their license. [read post]
3 Jan 2020, 8:47 am
The Centers for Medicare & Medicaid Services (CMS) has issued a “payment advisory” alerting approximately 1,400 clinicians who are Qualifying APM participants based on their 2017 performance that CMS does not have the participants’ banking information. [read post]
2 Jan 2020, 12:14 pm
This multi-defendant case involved a so-called expert services network: defendant Blaszczak was a political intelligence consultant, who provided clients with information about contemplated rule changes by the Centers for Medicare and Medicaid Services (CMS), a government agency. [read post]
1 Jan 2020, 10:35 am
While not topping this record, OCR during 2019 now has collected civil monetary penalties and resolution payments totaling more than $15 million from HIPAA Covered Entities and their business associates including: A $3 Million Resolution Payment from Cottage Health; A $3 Million Resolution Payment From A Tennessee Diagnostic Medical Imaging Services Company; A $100,000 Resolution Payment From An Indiana Medical Records Service Business Associate;… [read post]
