2007 and Medicare - Health Care Compliance Brief

Everything You Need To Know About NPI Numbers

Verisys

NOVEMBER 8, 2023

The NPI improves the Medicare and Medicaid programs, other federal and private health programs, and the overall effectiveness and efficiency of the healthcare industry by simplifying administration and enabling the efficient electronic transmission of health information. Providers also need an NPI to enroll in Medicare.

Fraud

Fraud HIPAA Medicare Medicare

Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Medicare Advantage plans accept a set fee from the government for covering a person’s health care.

Medicare

Medicare Medicare Governance Overpayments

Medicare Guidelines for Laser-Assisted Cataract Surgery Billing

Medisys Compliance

JULY 29, 2022

We are sharing Medicare guidelines for laser-assisted cataract surgery billing from a last updated CMS document. Medicare Policy Regarding Non-Covered Services. Under either method, Medicare will cover and pay for the cataract removal and insertion of a conventional intraocular lens.

Medicare

Medicare Medicare Medical Billing Medical Billing Outsourcing

Everything You Need To Know About NPI Numbers

Verisys

FEBRUARY 1, 2022

Providers also need an NPI prior to enrolling in Medicare. In July 1993, the Centers for Medicare and Medicaid Services ( CMS ) undertook a project to develop a healthcare provider identification system to meet the needs of the Medicare and Medicaid programs and the needs of a national identification system for all providers.

Fraud

Fraud Medicare Medicare HIPAA

Florida Woman Lands Herself 6.5 Years in Prison, Owes $45 Million for Medicare Fraud Scheme

Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. Prior to her guilty plea, she was accused of Medicare fraud and Anti-Kickback Statute violations allegedly through paying patients. By George F. Indest III, J.D.,

Fraud

Fraud Medicare Medicare Governance

Food Insecurity, Energy Prices, and Medical Debt Spike in February 2022

Jane Sarashon

FEBRUARY 28, 2022

I started the Health Populi blog in September 2007 with a post titled “Health Care is the #1 Line Item in Our National Economy… and Taking More Out of Your Pocket,” displaying this sign from Tom’s Shell gas station comparing the price of gas to an “Arm, Leg, or your First Born” posted on their sign in 2007.

COVID-19

COVID-19 Health Insurance Medicaid Medicaid

US Rep. Gaetz’s Diagnosis of What’s Driving Insulin Costs Misses the Root Cause

Kaiser Health News

APRIL 22, 2022

tweeted about why he voted against the legislation. These patients make up about a tenth of the total number of people with diabetes in the country. According to data from the Centers for Disease Control and Prevention, about 12 million Americans were diagnosed with diabetes in 2000. Matt Gaetz on Twitter, March 31, 2022.

Pharmaceutical Industry

Pharmaceutical Industry ACA Health Care Reform Medicare

The Supreme Court’s Ruling Narrows Available FCA Scienter Defenses

Health Care Law Brief

JUNE 20, 2023

The District and the Seventh Circuit Endorsed a Pure Objective Reasonableness Standard for FCA Scienter In this case, the relator alleged that certain pharmacies, among other things, misreported their pricing of certain drugs covered by Medicare and Medicaid. See Safeco Ins. of America v. Burr , 551 U.S.

Fraud

Fraud Medicaid Medicaid Medicare

Will Consumers Cross the Cost-and-Trust Chasm Between Prescription Drugs and Hospitals?

Health Populi

OCTOBER 28, 2019

84% of Americans told the Foundation that they were concerned about how much health care costs will affect them in the future, with 42% of patients saying they couldn’t afford to pay over $500 for an unexpected medical bill. … over a trillion dollars a year,” which is about one-third of national health spending.

Hospitals

Hospitals Prescription Drug Pricing Pharmaceutical Industry Medical Billing

The Health Consumer in 2024 – The Health Populi TrendCast

Jane Sarashon

DECEMBER 20, 2023

appear to have a “YOLO” attitude about spending – that is, in the profligate spending style of “You Only Live Once.” This attribute covers about 1 in 4 U.S. In what the Federal Reserve Bank of New York sees as an “only-in-the-U.S.” In contrast, residents of the U.S. Ironically, CivicScience recently called out a cadre of U.S.

Prescription Drug Pricing

Prescription Drug Pricing Medical Billing Health Insurance Public Health

Job #1 for Next President: Reduce Health Care Costs – Commonwealth Fund & NBC News Poll

Health Populi

MARCH 2, 2020

In the short run, looking into the next 12 months, one-third of Americans are worried about the amount they will pay for health insurance premiums and deductibles. Across the various types of personal health care spending, more Hispanic people and people earning less than $50,000 a year are concerned about medical costs.

Health Insurance

Health Insurance Medical Billing Medicare Medicare

Federal Officer Removal Fails In California

Drug & Device Law

JANUARY 25, 2024

142 (2007), mere regulation of the product or conduct at issue—the medical walker is a non-prescription, Class I medical device with general controls only—is not a basis for removal under this statute. That is how plaintiff bought his medical walker and why we are talking about federal officer removal. Philip Morris Cos. ,

Medicare

Medicare Medicare FDA Regulatory Compliance

Health Care Compliance Brief

Everything You Need To Know About NPI Numbers

Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Trending Sources

Medicare Guidelines for Laser-Assisted Cataract Surgery Billing

Everything You Need To Know About NPI Numbers

Florida Woman Lands Herself 6.5 Years in Prison, Owes $45 Million for Medicare Fraud Scheme

Food Insecurity, Energy Prices, and Medical Debt Spike in February 2022

US Rep. Gaetz’s Diagnosis of What’s Driving Insulin Costs Misses the Root Cause

The Supreme Court’s Ruling Narrows Available FCA Scienter Defenses

Will Consumers Cross the Cost-and-Trust Chasm Between Prescription Drugs and Hospitals?

The Health Consumer in 2024 – The Health Populi TrendCast

Job #1 for Next President: Reduce Health Care Costs – Commonwealth Fund & NBC News Poll

Federal Officer Removal Fails In California

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