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 40

Fraud Medicare Medicare Governance 40

The Health Law Firm

OCTOBER 9, 2012

In September 2012, the Centers for Medicare and Medicaid Services (CMS) made the decision to allow Recovery Audit Contractors (RACs) to begin reviewing the billing codes for office visits for healthcare providers. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law. Connolly, Inc.,

Medicaid 40

Medicaid Medicaid Doctors Medicare 40

CMS.gov

SEPTEMBER 22, 2020

Want to know the percentage of people who have a Medicare Advantage plan compared to all people with Medicare in Maryland from 2007 to 2011? Or perhaps the top 10 Healthcare Common Procedure Coding System (HCPCS) codes for services provided in 2008?

Medicare 20

Medicare Medicare 20

Health Populi

JUNE 13, 2018

Here is the first “good news” line chart, showing declining medical trend from 2007 to next year in 2019. That’s one-half the high point at nearly 12% in 2007. The 6% trend is equal to that of 2018, illustrating a flat scenario, roughly the same trend seen in 2016 at 6.2%. economy by 2026.

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

Jane Sarashon

FEBRUARY 28, 2022

is taking shape as a consumer service or good, competing with — potentially crowding out — other household line items like food and increasingly costly petrol to fill gas tanks. This further underscores the reality that medical spending in the U.S. across the U.S.; more granularly, $4.83 in California, and $3.85 in Arkansas.

COVID-19 56

COVID-19 Health Insurance Medicaid Medicaid 56

Verisys

FEBRUARY 1, 2022

Whether you are a HIPAA-covered provider, a healthcare provider, or supplier who bills federally funded programs for your services, you must have an NPI. Providers also need an NPI prior to enrolling in Medicare. This is a free service open to anyone. What Are the Two Types of NPI Providers? When Did NPI Numbers Begin?

Fraud 52

Fraud Medicare Medicare HIPAA 52

The Health Law Firm

SEPTEMBER 23, 2013

Board Certified by The Florida Bar in Health Law A group of Florida radiation oncology service providers settled a whistleblower or qui tam lawsuit for $3.5 The providers were accused of defrauding Medicare, Medicaid and TRICARE by performing unnecessary and improperly supervised procedures from 2007 until 2011. Indest III, J.D.,

Fraud 40

Fraud Medicaid Medicaid Medicare 40

Innovaare Compliance

FEBRUARY 9, 2021

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. The CMS star ratings challenge.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Health Populi

OCTOBER 28, 2019

rank prescription drugs, lab tests, emergency room visits, dental and vision care, preventive services, chronic disease management and mental health care as the “most essential” health care services, according to the 2019 Survey of America’s Patients conducted by The Physicians Foundation. People in the U.S.

Hospitals 54

Hospitals Prescription Drug Pricing Pharmaceutical Industry Medical Billing 54

New Jersey Healthcare Blog

JANUARY 12, 2022

1783(a), the Department of Human Services, Division of Medical Assistance and Health Services adopted new rules regarding nursing facility patient care ratio requirements. 1788(a), the Department of Human Services, Division of Medical Assistance and Health Services readopted a rule regarding chiropractic services.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Health Populi

FEBRUARY 21, 2019

every year from 2020 to 2027, the actuaries at the Centers for Medicare and Medicaid Services forecast in their report, National Health Expenditure Projections, 2018-2927: Economic And Demographic Trends Drive Spending And Enrollment Growth , published yesterday by Health Affairs. recorded in 1990-2007.

Medicare 91

Medicare Medicare Medicaid Medicaid 91

Healthcare Law Blog

MAY 25, 2022

She filed suit under Section 504 of the Rehabilitation Act (“Rehab Act”) and Section 1557 of the Affordable Care Act (“ACA”), two federal statutes that prohibit recipients of federal funding from discriminating in the delivery of services based on disability. The Supreme Court communicated its intent to limit enforcement in several ways.

ACA 52

ACA Governance Medicaid Medicaid 52

Jane Sarashon

DECEMBER 20, 2023

Dr. Robert Pearl has recently written about this, and the phenomenon has been a major recurring theme in this Health Populi blog since its inception in 2007 – when I launched this site in the midst of The Great Recession. health care ecosystem, basing shoppable services on price and convenience. consumer sentiment on the steep decline.

Prescription Drug Pricing 67

Prescription Drug Pricing Medical Billing Health Insurance Public Health 67

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. The UHC entities offered a number of arguments that involve details of Medicare Part C that we will leave to others.

Medicare 52

Medicare Medicare FDA Regulatory Compliance 52