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14 May 2024, 5:00 am
OIG also asserted that CMS and whistleblower fraud investigations have identified these surgeries as vulnerable to improper payments. [read post]
10 May 2024, 2:31 am
All of this is deeply complicated for employers of all types, but in the healthcare world, it can be particularly cumbersome to try to mesh competing agency expectations and demands—from the Centers for Medicare and Medicaid Services (CMS) to the NLRB. [read post]
8 May 2024, 10:20 am
Medical records should always be consulted. [read post]
2 May 2024, 5:54 am
This morning, CMS published a 700-page proposed rule to revise the Medicare hospital inpatient prospective payment systems. [read post]
25 Apr 2024, 9:30 pm
CMS stated that these requirements will “reduce the risk of unsafe and low-quality care for residents across all LTC facilities. [read post]
23 Apr 2024, 11:05 am
After the medical record review is complete, CMS then calculates any overpayment amounts and submits an audit report to the MA plan. [read post]
15 Apr 2024, 10:00 pm
Gain insight into how the Centers for Medicare & Medicaid Services (CMS) applies the law via CMS’s commentary regarding AKS safe harbors. [read post]
11 Apr 2024, 5:00 am
NAACOS discovered that ten medical device companies went from billing 15 patients for catheters to over 500,000 patients for catheters within a period of two years. [read post]
10 Apr 2024, 3:45 pm
This bibliography comprises scholarly books, book chapters, and journal articles published or accepted for publication by full-time, emeritus, and retired faculty of the Sandra Day O’Connor College of Law between January 1, 2024 and March 31, 2024. [read post]
8 Apr 2024, 8:03 pm
” Similarly, the MRAP could assess the feasibility of metrics for “other medical products, including, medical devices. [read post]
2 Apr 2024, 12:03 pm
The new guidance was announced in a 4/1/2024 “Letter to the nation’s teaching hospitals and medical schools. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
20 Mar 2024, 10:00 pm
Part B covers certain physician services, outpatient care, medical supplies, and preventive services. [read post]
17 Mar 2024, 5:42 pm
., As UHG has worked to recover from the Choice Health attack, the resulting shutdown and disruption to electronic payment and medical claims systems incorporating the compromised Change Healthcare tools create various legal and operational headaches for many health plans and other health care payers by preventing or obstructing the submission and processing of health care claims and other transactions between health care providers and health plans. [read post]
13 Mar 2024, 10:43 am
Some patients are being forced to pay out of pocket for medications. [read post]
12 Mar 2024, 9:01 pm
Focusing on the Hippocratic Oath, Commissioner Bedoya argued that physicians and medical professionals, not PE firms, should own health care facilities. [read post]
