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25 Mar 2020, 3:41 pm by admin
CMS created a Disaster State Plan Amendment (SPA) template to allow states to submit one combined request for all temporary changes that states may wish to make to their programs. [read post]
23 Mar 2020, 1:28 pm by Michael Cook
  Services must be provided by individuals licensed by the state to provide personal care services, or in a manner that is otherwise consistent with state requirements. [read post]
9 Mar 2020, 10:26 am by Robert Liles
Under 42 CFR Sec. 424.535(a) (12), CMS can revoke Medicare billing privileges if a provider or supplier is terminated, revoked or otherwise barred from participation in a State Medicaid program or any other Federal health care program. [read post]
9 Mar 2020, 10:26 am by Robert Liles
CMS can revoke Medicare billing privileges if a provider or supplier is terminated, revoked or otherwise barred from participation in a State Medicaid program or any other Federal health care program. [read post]
3 Mar 2020, 11:07 am by Robert Liles
With the passage of the “False Claims Amendments of 1986,” [5] the Attorney General of the United States was given the authority to issue Civil Investigative Demands in connection with the investigation of civil False Claims Act matters. [read post]
17 Feb 2020, 9:01 am by Robert Liles
  The proceeds of the fraudulent scheme were allegedly laundered through international shell corporations and used to purchase exotic automobiles, yachts and luxury real estate in the United States and abroad. [read post]
16 Oct 2019, 2:33 pm by Robert Liles
  Despite the fact that the defendants supposedly learned of the State’s ongoing investigation, they allegedly: Directed employees to continue to bill for work that had not been performed. [read post]
8 Oct 2019, 2:00 pm by Salma Mokbel
Additionally, the notice letter is supposed to provide information advising the individual or entity of their right to appeal their inclusion on the list.[7] V. [read post]
30 Sep 2019, 2:08 pm by Robert Liles
The 87 High-Risk Home Health Agencies’ Error Rate Compared With the Home Health Agency National Error Rate V. [read post]
18 Sep 2019, 2:08 pm by admin
CMS states in the new Final Rule that it will publish further rulemaking to expand this reporting requirement after assessing the progress of its initial phased-in approach. [read post]
18 Sep 2019, 2:08 pm by Robert Liles
CMS states in the new Final Rule that it will publish further rulemaking to expand this reporting requirement after assessing the progress of its initial phased-in approach. [read post]
17 Sep 2019, 1:21 pm by Robert Liles
  This directive also permitted the Assistant Attorney General for the Civil Division to redelegate the authority to issue Civil Investigative Demands to other DOJ Officials, including United States Attorneys.[5] From a practical standpoint, the redelegation of authority to issue Civil Investigative Demands from the Office of the Attorney General to the 94 United States Attorneys Offices has greatly expanded the issuance of Civil Investigative Demands around the country. [read post]
13 Aug 2019, 1:28 pm by Robert Liles
This effectively opened the door for patients to readily participate in genetic testing without the fear of losing their insurance due to the presence of a preexisting illness or disease.[5] V. [read post]
27 Dec 2018, 2:00 pm by Robert Liles
  Moreover, DOJ components should clearly state that noncompliance with these “voluntary standards will not, in itself, result in any enforcement action. [read post]