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12 May 2022, 6:59 am by Robert Liles
State and Federal Hospice Audit and Investigation Efforts are Expanding in 2022 (May 12, 2022): Hospice agencies are again the focus of both state and federal investigators and prosecutors around the country. [read post]
25 Mar 2020, 3:41 pm by admin
As of this date, Pennsylvania, Washington, and West Virginia have applied for Appendix K waivers and received approvals from CMS.[6] Medicaid Disaster State Plan Amendment Template Each Medicaid program has a state plan which describes the state’s rules related to eligibility, benefits and payments. [read post]
10 Dec 2018, 7:19 am by Robert Liles
Mobile Dentistry in Texas – An Overview of Regulatory Risk Areas to be Considered(December 7, 2018):  Each state sets their own licensure requirements, rules and regulations regarding the practice of dentistry, all of which are subject to change. [read post]
8 May 2023, 12:28 am by Christin Thompson
Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities (May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care programs.[2] While the… [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]
11 Nov 2020, 9:39 am by Robert Liles
” False Claims Act cases are prosecuted by the DOJ Civil Division in Washington, D.C. and by “Affirmative Civil Enforcement” (ACE) Coordinators appointed in each of the 94 U.S. [read post]