Health Law Advisor

AUGUST 14, 2023

2] This means, in most cases, that Medicare beneficiaries must now come to a physician practice’s office location to pick up their DME – including IUCs – when the DME items are furnished and billed by physicians or their practices. The IOAS exception does NOT apply.

COVID-19 52

COVID-19 Medicare Medicare Public Health 52

Innovaare Compliance

MARCH 4, 2024

Until the enactment of the Medicare Modernization Act (MMA) in 2006 [1] , the Centers for Medicare & Medicaid Services does not cover most outpatient prescription drugs under Part B (“Part B drugs”). However, some drugs self-administered by Medicare beneficiaries at home are Part B eligible.

Medicare 52

Medicare Medicare Nurses Medicaid 52

Health Populi

JANUARY 18, 2019

He co-wrote the first “It’s The Prices Stupid” research article in Health Affairs with Gerard Anderson et. back in 2003 — so we’ve known for over 16 years that in the U.S., higher-than-world-average health care spending is mostly about how services are priced, versus whether Americans use more healthcare.

Prescription Drug Pricing 64

Prescription Drug Pricing Health Insurance Doctors Medicare 64

HIPAA Journal

JANUARY 23, 2024

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has added the founder and CEO of the health technology firm Theranos, Inc. to the OIG exclusion list , which means Elizabeth Holmes is prohibited from participation in Federal health care programs for 90 years.

Fraud 70

Fraud FDA Medicaid Medicaid 70

AIHC

MARCH 28, 2022

The complex Medicare appeals process is used to demonstrate the importance of appealing claims denied in an audit. The learning objective of this lesson is to help you become familiar with the Medicare Claims Review Program (MCRP). Other payers mirror Medicare’s program. Audited by a payer? What is an “improper” payment?

Medicare 52

Medicare Medicare Compliance Governance 52

New Jersey Healthcare Blog

JULY 22, 2022

509(a), Governor Murphy issued an Executive Order updating and clarifying timeframes for requiring covered workers at health care facilities and high-risk congregate settings to be up-to-date with their COVID-19 vaccinations, including having received a booster shot. On April 4, 2022, at 54 N.J.R. See Executive Order No. 290 (2022).

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Health Populi

DECEMBER 6, 2018

This sentiment has been relatively stable since 2000 except for two big outlying years: a spike of 69% in 2006, and a low-point in 2003 of 42%. In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. Most people in the U.S.

Governance 71

Governance Medical Billing Medicaid Medicaid 71