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31 Mar 2020, 8:38 am
Liles Parker has published a series of articles highlighting the waivers and other actions taken by the Centers for Medicare & Medicaid Services and other Federal and State agencies to ease the burden on healthcare providers during the COVID-19 public health emergency.[2] This article is the first in a two-part series that will highlight some of the more significant provisions of the Cares Act. [read post]
3 Mar 2020, 11:07 am
§ 3729-3733(1)(A)-(D), the government can use a Civil Investigative Demand to require a person: (A) to produce such documentary material inspection and copying, (B) to answer in writing written interrogatories with respect to such documentary material or information, (C) to give oral testimony concerning such documentary material or information, or (D) to furnish any combination of such material, answers, or testimony. [read post]
3 May 2022, 11:34 am
” Moreover, the government noted that “[b]y and large, their patients were legitimate patients. [read post]
24 May 2022, 11:28 pm
B. [read post]
26 Jan 2021, 1:33 pm
Under the Anti-Kickback Statute, a health care provider may be liable if he or she is found to be: (b) Illegal remunerations (1) Whoever knowingly and willfully solicits or receives any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind— (A) in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole… [read post]
12 Sep 2020, 11:46 am
§ 1320a-7b(b)(1)(A).[11]: Generally, sober home and recovery residences do not qualify as health care providers or suppliers and are unable to be credentialed and participate in health benefits programs. [read post]
15 Aug 2007, 11:16 am
We affirm the first ruling of the trial court denying Bosley permission to file a belated direct appeal.In James Lile d/b/a Lile's Body Shop and Trailer Sales v. [read post]
10 Dec 2018, 7:19 am
These rules require among other things, that before beginning a session a mobile dental practice operator must arrange for:“(A) access to a properly functioning sterilization system; (B) ready access to an adequate supply of potable water; and (C) ready access to toilet facilities. [read post]
9 Jan 2019, 1:39 pm
Texas Prosecutors are Aggressively Targeting Criminal Home Health Fraud (January 9, 2019): Despite real progress being made with respect to regulatory compliance, home health agencies, their owners, and affiliated health care professionals (such as referring / supervising physicians, therapists and staff) remain under strict government scrutiny. [read post]
3 Jan 2021, 3:07 pm
Audits of Respiratory (CPT Code 87633) / Gastro (CPT Code 87507) Panels are Ongoing. [read post]
16 Jul 2018, 12:47 pm
Medicare UPIC Audits of Transcranial Magnetic Stimulation Services are Ongoing. [read post]
30 Mar 2020, 3:07 pm
”[15] B. [read post]
29 May 2023, 10:00 am
Slightly more than one-half[2] of the 59.82 million Medicare beneficiaries now eligible for coverage have signed up for one of the 5,261 Medicare Advantage payor plan options offered by 182[3] private plans around the country.[4] There are a number of reasons why Medicare Advantage plans have consistently grown 2-4% every year for the past 15 years, rising from 22% in 2008 to almost 51% in 2023.[5] Several of these reasons include: Coverage: Beneficiaries enrolling in Medicare Part C typically have… [read post]
30 Mar 2023, 7:10 am
B. [read post]
30 Mar 2023, 7:10 am
Liles Parker attorneys have [read post]
8 Feb 2019, 6:00 am
Medicare Coverage and Payment Requirements Medicare Part B covers Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), including orthotic braces. [read post]
8 Feb 2019, 6:00 am
Medicare Coverage and Payment Requirements Medicare Part B covers Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), including orthotic braces. [read post]
12 Apr 2018, 8:48 am
At last count, more than 6,000 qualified DME suppliers billed Medicare Part B for spinal orthoses under one of the six HCPCS codes outlined above. [read post]
25 Mar 2020, 10:00 am
B. [read post]
16 Jul 2018, 12:47 pm
Medicare UPIC Audits of Transcranial Magnetic Stimulation Services are Ongoing. [read post]
