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Zone 5 Program Integrity Contractor (ZPIC) for Medicare and Medicaid Programs is AdvanceMed

The Health Law Firm

AdvanceMed Corporation, an NCI company, was named the Zone 5 Program Integrity Contractor (ZPIC) for the Medicare and Medicaid programs, in December 16, 2009.

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What's ahead for health IT policy and legislation in 2023 

Healthcare IT News - Telehealth

Budget leaders have asked, "How do you really know what the impact on the Medicare population and the Medicare Trust Fund will be? We now have three years of data on the impact to the Medicare Trust Fund," he said. Creating standards synergy for 'Interoperability 3.0'

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Monthly Round-Up of What to Read on Pharma Law and Policy

Bill of Health

Medicaid Spending on Drugs Marketed Without US Food and Drug Administration Approval in 2020. Differences in Diabetic Prescription Drug Utilization and Costs Among Patients With Diabetes Enrolled in Colorado Marketplace and Medicaid Plans, 2014-2015. Epub ahead of print. Frank RG, Shahzad M, Kesselheim AS, Feldman W. Health Econ.

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What did the HIPAA Omnibus Rule Mandate?

HIPAA Journal

Although effective in March 2013 , some of the changes were already in force due to Interim Rules having been issued following the passage of the HITECH Act in 2009. The penalties have since further increased. The finalization of the Breach Notification Rule and the revised “harm” threshold.

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What is HIPAA?

HIPAA Journal

The preamble could give the impression that the Administrative Simplification provisions of HIPAA Title II will improve accessibility to and affordability of the Medicare and Medicaid programs, or that the development of a health information system would streamline the provision of healthcare between providers. being ordered to pay $2.25

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The History of Healthcare Compliance

MedTrainer

Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

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Halifax Whistleblower Claims Hospital Overbilled Medicare

The Health Law Firm

It claims that Halifax Health defrauded the federal government by submitting thousands of false claims for Medicare and Medicaid payments worth millions of dollars. By filing, the US Department of Justice hopes to recover millions of dollars in Medicare and Medicaid payments that it says were made in error to Halifax.