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Physicians Beware! Groups Providing DME, Prosthetic Devices, and Other Medical Supplies to Their Medicare Patients Risk Violating the Strict Liability Stark Law Since the Expiration of COVID-19 Public Health Emergency

Health Law Advisor

2] Centers for Medicare & Medicaid Services, Spotlight: Physician-Owned Hospital Expansion Exception Requests – Changes Effective October 1, 2023 , available at [link] (last accessed August 2, 2023). [3] 9] See OIG Special Advisory Bulletin on Contractual Joint Ventures, April 2003, available at [link] (last accessed Aug.

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Proper Payments for Part B and Part D Drugs

Innovaare Compliance

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”). When a public health emergency (PHE) was in effect, CMS noticed that Part B versus Part D evaluation was omitted.

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Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

Health Populi

So only in America in the coronavirus pandemic have millions of people lost their health security just when folks would be most needful of access to health care services: during a public health crisis. Race matters for health insurance in America. Onward, health citizens.

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In U.S. Health Care, It’s Still the Prices, Stupid – But Transparency and Consumer Behavior Aren’t Working As Planned

Health Populi

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.

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HHS-OIG Excludes Theranos Founder and CEO from Federal Health Programs for 90 Years

HIPAA Journal

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.

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Part 2: Understanding How Payers Deny Claims

AIHC

trillion government-wide from fiscal years 2003 through 2019. trillion COVID-19 response legislation, and making recommendations about how to improve its effectiveness in dealing with public health issues and the economy. These are reimbursements that should not have been made or that were made in incorrect amounts.

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April-July 2022 State Regulatory Developments

New Jersey Healthcare Blog

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).