Search for: "Children's Health Care v. Centers for Medicare and Medicaid Services"
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25 Apr 2017, 3:21 pm
Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits,… [read post]
23 Apr 2018, 7:09 am
Centers for Medicare & Medicaid Services (CMS) is a division of the Department of Health and Human Services (HHS). [read post]
16 Oct 2012, 11:21 am
To further stress the programs, less employers offer health care retirement packages, leaving more employees dependent on Medicare and Medicaid, and health care costs are rising in America. [read post]
16 Mar 2010, 7:34 pm
Part V concludes by urging hospitals and the government to start taking serious steps to fix this problem because hospital closures may have a devastating effect on the ability of Americans to access health care. [read post]
10 May 2017, 10:20 am
Her day-to-day work encompasses both labor and employment issues, as well as independent contractor, outsourcing, employee leasing, management services and other nontraditional service relationships. [read post]
13 Aug 2019, 1:28 pm
While the Centers for Medicare and Medicaid Services (CMS) has been fairly progressive in approving the coverage of certain genetic tests for diagnostic purposes, it has been slow to authorize the coverage of genetic screening tests. [read post]
2 Apr 2018, 7:37 am
At last estimate, Medicare Administrative Contractors (MACs) processed an estimated 1.2 billion claims on behalf of America’s seniors.[2] As the Medicare program has grown, the Centers for Medicare and Medicaid Services (CMS) has employed a variety of different claims audit mechanisms to better ensure that the Medicare Trust Fund is protected from waste, fraud and abuse. [read post]
3 Jan 2011, 9:45 pm
Medicaid Services: CUTS IN MEDICAID HOME SERVICES WILL HURT LOUISIANA, SUIT SAYS, Pitts v. [read post]
21 Sep 2011, 3:05 pm
Stat. 764h(a), requires health insurers to cover the behavioral analysis services provided by private schools to children with autism spectrum disorders.Billing Fraud: DOCTORS, PHARMACISTS AMONG 26 CHARGED IN $37 MILLION BILLING FRAUD SCHEME, United States v. [read post]
23 Jun 2022, 5:00 pm
Applicable Dollar Amount The “applicable dollar amount” is adjusted and published annually by the IRS to reflect inflation in National Health Expenditures, as determined by the Secretary of Health and Human Services. [read post]
23 Feb 2022, 4:27 am
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]
11 Aug 2008, 3:14 pm
MIPPA delays and reforms the Centers for Medicare & Medicaid Services’ (“CMS”) competitive bidding program for certain categories of durable medical equipment, prosthetics, orthotics and supplies (“DMEPOS”). [read post]
19 Apr 2022, 5:05 am
United States v. [read post]
2 May 2022, 2:12 pm
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]
4 Aug 2023, 5:55 pm
Effective August 3, 2023, the Departments of Health and Human Services Centers for Medicare and Medicaid Services, Department of Labor Employee Benefit Security Administration and Department of Treasury (“Departments”) temporarily suspended the Federal Independent Dispute Resolution (IDR) medical claims review process including the ability to initiate new disputes and directed certified IDR entities to pause all IDR-related activities… [read post]
28 Jan 2020, 9:58 pm
Accordingly, Coix filed the Coix Health, LLC v. [read post]
26 Jan 2011, 1:31 am
Health care fraud that affects the health, safety, and well-being of Medicare and Medicaid beneficiaries is of paramount concern to the Department. [read post]
16 Oct 2019, 2:33 pm
” [7] With the passage of the Affordable Care Act[8] in 2010, dental practices and other health care providers participating in Federal health benefits programs were now required to establish a compliance program as a condition of their enrollment in the Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) payor plans. [read post]
1 Apr 2011, 8:03 am
Before her death, the plaintiff’s mother’s medical care was paid for by Medicare, a federal program administered by the Centers for Medicare and Medicaid Services (“CMS”) of the Department of Health and Human Services (“HHS”). [read post]
14 Jun 2023, 8:02 am
V. [read post]
