Medicare and medicaid

Baton Rouge Lab Owner and Florida Woman Charged with Plan to Pay and Receive Health Care Bribes in National Enforcement Action | USAO-MDLA

The Medicare Fraud Strike Force (“MFSF”) is part of a joint initiative between the United States Department of Justice, the United States Department of Health and Human Services and state Medicaid fraud control units to reduce and prevent Medicare and Medicaid fraud through enhanced interagency cooperation. Its aim is to …

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Centers for Medicare & Medicaid Extends Open Registration Period, Launches Initiatives to Expand Access to Health Coverage Nationwide

Baltimore, Maryland, September 18 – The US Department of Health and Social service centers for Medicare and Medicaid services issued the following press release on September 17, 2021: The Biden-Harris administration, through the Medicare and Medicaid Service Centers (CMS), is taking a number of steps that will make it easier …

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Medicare, Medicaid Institutions Warn: Employees Must Be Immunized | Akerman LLP – Rx Health Law

Medicare and Medicaid-certified establishments will be required to ensure their employees are vaccinated against COVID-19, the Centers for Medicare & Medicaid Services (CMS) announced on September 9, 2021. Healthcare providers with 100 employees or more may also be subject to an upcoming Emergency Temporary Standard (“ETS”) from the Occupational Safety …

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Ascension Michigan agrees to pay $ 2.8 million after doctor performs unnecessary hysterectomies

item SOUTHFIELD, Michigan. – A Michigan health care provider has agreed to pay the federal government $ 2.8 million to address claims a doctor performed unnecessary hysterectomies and other services, officials said Thursday. The agreement settles false billing claims made by Ascension Michigan against Medicare, Medicaid and another federal insurance …

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Health Affairs Policy Spotlight: The Biden Health Program with Chiquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services, US Department of Health and Human Services

Event August 12, 2021 Overview Brief description A Health Affairs virtual event series featuring in-depth conversations with influential health policy experts in Washington and across the country. register here Face-to-face with Chiquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services, US Department of Health and Human Services On Thursday August …

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Cerus Corporation Announces CMS Granted New Technology Top-Up Payment for INTERCEPT Fibrinogen Complex

CONCORD, Calif .– (COMMERCIAL THREAD) – Cerus Corporation (Nasdaq: CERS) today announced that the United States Centers for Medicare & Medicaid Services (CMS) has granted a new Technology Top-Up Payment (NTAP) for INTERCEPT Fibrinogen Complex under Medicare Hospital Inpatient Prospective Payment System (IPPS)). The NTAP was granted as part of …

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Home care agencies push for funding for Medicaid caregivers as association pushes to end Medicare sequestration – Home Care Daily News

As home care helps drive Congress to understand the need for increased funding for Medicaid, providers on Thursday made two key Medicare-related demands. They called on Senate leaders to oppose an extension of mandatory Medicare sequestration as a payment in any infrastructure package and to block the use of Medicare …

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PACE in great place for growth but faces political challenges, program officials say – Home Care Daily News

All Inclusive Care for the Elderly (PACE) programs are enjoying a moment in the limelight, as the Biden administration and Congressional Democrats scramble to expand home and community services. But during a webinar on Wednesday sponsored by healthcare advocacy group Altarum, administrators at PACE said accessibility and policy changes needed …

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Executives say reporting COVID vaccination data to CMS would be ‘cumbersome’, ‘redundant’ for assisted living

To require assisted living providers to report weekly COVID-19 vaccination data to the federal government would be asking too much of operators already grappling with the effects of the pandemic and could even prevent some operators from continuing to operate. providing services to Medicaid recipients, according to representatives of several …

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Qualified Nursing Facility Operator Resolves False Claims Case Involving Allegations Company Failed to Report and Refund Overpayments | Bricker & Eckler srl

On June 29, 2021, the Department of Justice (DOJ) ad a settlement with the operator of a qualified nursing facility in California Plum Healthcare Group LLC and the Azalea Holdings LLC dba McKinley Park Care Center (Plum) to resolve allegations that Plum violated the false claims law . The regulation …

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Report: MSP, Lionheart SPAC in talks

MSP recovery, which recovers Medicare and Medicaid secondary payments for patients, is in talks to go public through a merger with Lionheart Acquisition Corp. II, an ad hoc acquisition company (SPAC), Bloomberg reported. A deal could be announced in the coming weeks to set up a company valued at more …

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ALJ backlog update for Medicare appeals

For most of the 2010s, Medicare’s appeal process had become severely overdue. The Office of Medicare Hearings and Appeals (“OMHA”) is responsible for administering the Administrative Law Judges (“ALJ”) hearing program for appeals arising from Medicare claims and disputes. Pursuant to 42 USC § 1395ff (d) (1) (A), an ALJ …

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Ann Arbor-based Altarum appoints new CEO

He currently serves as special advisor to Monson during the transition process. In his new role, Monson, 49, will oversee the next stage of Altarum’s growth, expanding the scale and impact of his work to advance health equity; public health technology; and Medicaid, Medicare, and exchange programs through continued collaboration …

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Phone scammers spoof local hospitals and utilities to steal personal information, threatening to end Medicare benefits

BALTIMORE, MD — Maryland’s Consumer Protection Division Warns Residents Scammers ‘Spoof’ Phone Numbers of Local Hospitals and Utilities in an attempt to steal personal and medical information, such as Medicare numbers , Medicaid and / or Social Security, by phone. Some of the scammers are threatening to end Medicare benefits …

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Health Insurance Transportation Services, Health Equity Liaison, Among Bills Signed By Governor DeSantis – State Reform

Nicole Pasia | June 17, 2021 Governor Ron DeSantis signed a number of health bills this week, including changes to Florida’s stand-alone emergency services, Medicare-covered transportation services, and the implementation of a binding for health equity. Get the latest information on state-specific policies for the healthcare industry delivered to your …

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Cano Health Acquires University Health Care For $ 600 Million, Increases Adjusted EBITDA For 2021 To Over $ 100 Million

MIAMI, June 14, 2021 / PRNewswire / – Cano Health, Inc. (“Cano Health”) (NYSE: CANO), a leading value-driven primary care provider for seniors and underserved communities, and University Health Care and its affiliates (“University”), a provider private medical center dedicated to comprehensive and reliable medical services in local communities, today …

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