CMS Issues Instructions for Prepayment Review of Claims
The Centers for Medicare & Medicaid Services (CMS) recently issued instructions for Medicare Administrative Contractors (MACs) on random reviews and…
New Interest Rate for Medicare Overpayments and Underpayments
The Centers for Medicare & Medicaid Services (CMS) recently announced new interest rates for Medicare overpayments and underpayments.ย Effective October…
Former Mental-Health Clinic Therapist Sentenced to 120 Months in Prison for Role in $55 Million Medicare Fraud Scheme.
A former therapist for Biscayne Milieu, a Florida mental-health clinic, was sentenced to prison for 120 months due to his…
Patient Broker Sentenced to 24 Months in Prison for Role in $67 Million Medicare Fraud Scheme.
A patient broker for a psychiatric facility in southern Florida was sentenced to serve 24 months in prison and ordered…
Johnson & Johnson Agrees to Pay More than $2.2 Billion for Off-label Use and Kickbacks.
Johnson & Johnson (J&J) and its subsidiaries have agreed to pay more than $2.2 billion to resolve criminal and civil…
CMS Issues Additional 2-Midnight Rule Guidance and FAQs.
The Centers for Medicare & Medicaid Services (CMS) has issued additional guidance, updated frequently asked questions (FAQs), and information for…
CMS Seeks Nominations for Advisory Panel on Hospital Outpatient Payment.
CMS is soliciting nominations to fill five vacancies on the Advisory Panel on Hospital Outpatient Payment (Panel), effective September 30,…
CMS Reminds Participants of Attestation Deadline for EHR Incentive Program
The Center for Medicare & Medicaid Services (CMS) recently reminded participants of the Electronic Health Record (EHR) Incentive Program that…
HHS Issues Notices of Privacy Practices Models
The Department of Health and Human Services Office for Civil Rights (OCR) and Office of the National Coordinator for Health…
CMS Clarifies Regulations on Hospital Inpatient Admission Orders and Certifications
The Centers for Medicare & Medicaid Services (CMS) released regulatory guidance on hospital inpatient admission orders and certifications. ย The guidance…
OIG Issues Report on Medicare Part A and B Redeterminations for 2008-2012.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report examining redeterminations processed from…
CMS Updates the FY 2014 IPPS/LTCH PPS Final Rule.
On October 3, 2013, the Centers for Medicare & Medicaid (CMS) released an interim final rule updating the Fiscal Year…