Search for: "Medicare, Medicaid & Medical Suppliers"
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17 Apr 2014, 12:15 pm
The Centers for Medicare & Medicaid Services (CMS) has begun implementation of fingerprint-based background checks for designated Medicare suppliers and providers. [read post]
17 Apr 2014, 12:15 pm
The Centers for Medicare & Medicaid Services (CMS) has begun implementation of fingerprint-based background checks for designated Medicare suppliers and providers. [read post]
18 Feb 2019, 12:59 pm
Medicare-enrolled ambulance service suppliers and hospital-owned ambulance providers will participate in the model. [read post]
26 Mar 2019, 1:34 pm
” This summary focuses on the major Medicare and Medicaid proposals most directly impacting providers and suppliers; note that we discuss the Administration’s proposed prescription drug reimbursement provisions in a separate blog post. [read post]
21 Sep 2011, 7:45 am
However, recently, the Centers for Medicare and Medicaid Services ("CMS") began conducting a pilot program--the Electronic Submission of Medical Documentation ("esMD") pilot--which allows providers and suppliers to send their records to review contractors electronically. [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
29 Feb 2016, 7:16 am
On March 1, 2016, CMS is publishing a proposed rule that would make a variety of changes to the Medicare, Medicaid, and CHIP provider and supplier enrollment requirements. [read post]
6 Dec 2011, 4:19 pm
Final Rules Make Direct Access To Data By All But Most Sophisticated Impossible The Centers For Medicare & Medicaid Services (“CMS”) says disclosures of certain Medicare provider and supplier claims performance data scheduled to begin in January will empower employers, health plans and consumers to better evaluate the quality of these health care providers and suppliers. [read post]
30 Oct 2015, 1:02 pm
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have finalized a rule designed to “remove legal and regulatory barriers that can impede care coordination in furtherance of the Shared Savings Program” and “reduce burden on ACOs, ACO participants, and ACO providers/suppliers. [read post]
3 Oct 2012, 10:00 am
Durable Medical Equipment Suppliers (DMES) protested the program because it requires the permission of a Medicare Administrative Contractor (MAC) prior to the delivery of a power wheelchair to the consumer. [read post]
18 May 2016, 1:13 pm
These free services were supposedly given to durable medical equipment (DME) suppliers who bought sleep apnea masks from the Pennsylvania company during the period from April 2012 to November 2015. [read post]
7 Nov 2018, 3:09 pm
The Centers for Medicare & Medicaid Services has confirmed that it expects to have a “temporary gap” in the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program (CBP) during calendar years 2010-2020. [read post]
16 Aug 2023, 11:52 am
JEFFREY NEWMAN IS A WHISTLEBLOWER LAWYER WHO HANDLES MEDICARE CASES UNDER THE FALSE CLAIMS ACT (QUI TAM LAW) HE CAN BE REACHED AT 617-823-3217 OR AT JEFF@JEFFNEWMANLAW.COM The post Florida business owner sentenced to five years for over $11 million Medicaid fraud of durable medical goods appeared first on Jeff Newman Law. [read post]
9 Nov 2010, 9:00 am
Therefore, Medicaid providers and suppliers should begin to prepare for yet another layer of auditing activity. [read post]
21 Sep 2012, 12:25 pm
Zone Program Integrity Contractors (ZPICs) are charged with detecting fraud, waste and abuse in Medicare Parts A, B, C, D, Durable Medical Equipment, Prosthetics, and Orthotics Suppliers (DMEPOS), Home Health and Hospice agencies (HH+H), and Medi-Medi (a partnership between Medicaid and Medicare designed to enhance collaboration between the two programs to reduce fraud, waste and abuse). [read post]
30 Jun 2015, 1:25 pm
Recently, on June 1, the Center for Medicare & Medicaid Services (CMS) published its long anticipated Medicaid managed care proposed rules. [read post]
30 Dec 2011, 8:42 am
As a result of its Report, the OIG made recommendations to the Centers for Medicare and Medicaid Services ("CMS") to account for inefficiencies in its reimbursement of portable x-ray suppliers. [read post]
4 Jul 2016, 8:30 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2017. [read post]
13 Mar 2013, 6:14 am
“As providers and suppliers race to the bottom by offering increasingly valuable goods or services, the incentive to offset the cost of these inducements by cheating on the quality of the Medicare or Medicaid item or service increases proportionately. [read post]
19 Jul 2016, 8:42 am
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare physician fee schedule (MPFS) for calendar year (CY) 2017. [read post]
