American Medical Compliance

JANUARY 9, 2024

Through Medicare, Medicaid, and the Children’s Health Insurance Program, the federal government and state governments offer health care coverage to nearly 100 million individuals. trillion in 2015. This type of theft is just one example of healthcare fraud.

Fraud 52

Fraud Medicare Medicare Compliance 52

The Health Law Firm

NOVEMBER 24, 2014

Through the 2015 Office of the Inspector General (OIG) Work Plan, the agency has revealed how it plans to carry out its mission to ensure the Medicare and Medicaid programs run more efficiently in the 2015 fiscal year. Smith, R.R.T.,

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

HIPAA Journal

MARCH 6, 2023

The Department of Justice has announced one of its first prosecutions under the Medicare Access and CHIP Reauthorization Act of 2015 in a case involving the theft and sale of Medicare Beneficiary Identifiers.

Medicare 91

Medicare Medicare Fraud Medicaid 91

Bill of Health

FEBRUARY 23, 2022

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.

Medicaid 144

Medicaid Medicaid Medicare Medicare 144

Health Law Advisor

FEBRUARY 2, 2023

On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. million from non-extrapolated errors based for PYs 2011–2015, an estimated average of $8.2

Medicare 98

Medicare Medicare Overpayments Overpayment 98

The Health Law Firm

MAY 31, 2016

Board Certified by The Florida Bar in Health Law On May 9, 2016,Michael John Veit, 64, the former chief procurement officer for Arizona's state Medicaid program, was sentenced to 10 years in prison for his role in the fraud scheme that resulted in the theft of 5.9 Indest III, J.D., million dollars. The Original Fraud and Theft Charges.

Medicaid 40

Medicaid Medicaid Fraud 40

Bill of Health

APRIL 25, 2022

Anticipated efficiencies, real costs: Medicaid managed care organizations and the pharmacy benefit. US Food and Drug Administration-mandated postmarketing studies for high-risk cardiovascular devices approved 2015-2019. A full posting of abstracts/summaries of these articles may be found on our website. Bendicksen L, Kesselheim AS.

COVID-19 144

COVID-19 Medicaid Medicaid FDA 144

Bill of Health

NOVEMBER 17, 2022

Association Between US Drug Price and Measures of Efficacy for Oncology Drugs Approved by the US Food and Drug Administration From 2015 to 2020. Medicaid Spending on Antiretrovirals from 2007-2019. Miljkovic MD, Tuia JE, Olivier T, Haslam A, Prasad V. JAMA Intern Med. 2022 Oct 31. Epub ahead of print. Rand LZ, Kesselheim AS.

FDA 184

FDA World Health Medicaid Medicaid 184

MedTrainer

NOVEMBER 27, 2023

The Department of Community Health (DCH) serves as the lead agency for Medicaid and PeachCare for Kids® , and also oversees the State Health Benefit Plan , Healthcare Facility Regulation Division and State Office of Rural Health. The Medical Assistance Plans Division oversees Georgia’s Medicaid and PeachCare for Kids® programs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Hall Render

AUGUST 22, 2023

The Fourth Circuit recently held that providers may not defend a False Claims Act (“FCA”) lawsuit by arguing that eligibility requirements violate the Medicaid Act. the government alleged a clinical pharmacy manager for a Tennessee Walgreens falsified twelve different patients’ medical records between January 2015 and June 2016.

Medicaid 40

Medicaid Medicaid Governance Fraud 40

Healthcare Compliance Blog

FEBRUARY 8, 2022

The complaint alleges that an Alabama psychiatrist caused the submission to Medicare and Medicaid of false and fraudulent claims for the prescription drug Nuedexta. From 2015 through 2019, the pharmaceutical company that manufactures Nuedexta paid the Alabama psychiatrist more than $400,000 to make speeches about Nuedexta.

Nursing Homes 52

Nursing Homes Nurses Compliance Medicare 52

The Health Law Firm

NOVEMBER 21, 2014

This Work Plan is the general overview of how the OIG intends to carry out its mission to make the Medicare and Medicaid programs run more smoothly and efficiently in the following year. Smith, R.R.T., A large part of what the OIG does is review and investigate Medicare claims for overpayment.

Overpayments 40

Overpayments Overpayment Medicare Medicare 40

Compliancy Group

NOVEMBER 16, 2022

In 2015, legislation known as the Medicare Access and CHIP Reauthorization Act (MACRA) was enacted. Under MACRA, the Centers for Medicare and Medicaid Services created regulations for healthcare providers’ use of health information technology. healthcare system since 2010’s Affordable Care Act.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Healthcare IT News - Telehealth

JULY 1, 2020

The VUC system had been in place since 2015, explained the team in the manuscript, with the goal of providing rapid access to care for low-risk clinical conditions.

COVID-19 207

COVID-19 Medicaid Medicaid Medicare 207

CMS.gov

MARCH 2, 2018

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program. Jeremy.Booth@c…. Fri, 03/02/2018 - 16:30. Kate Goodrich, M.D., Director, CMS Center for Clinical Standards and Quality & CMS Chief Medical Officer. Billing & payments. Initiatives. Leadership. Legislation.

Medicare 20

Medicare Medicare Patient Advocacy Medicaid 20

The Health Law Firm

NOVEMBER 17, 2015

The United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) released its 2016 Annual Work Plan (Work Plan) on November 2, 2015, with an effective date of October 1, 2015.

Fraud 40

Fraud Medicaid Medicaid Medicare 40

MedTrainer

JANUARY 12, 2024

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).

Compliance 52

Compliance HIPAA ACA Telemedicine 52

Provider Trust

JULY 26, 2023

The Centers for Medicare and Medicaid Services (CMS) conducted multiple reviews of Medicaid Advantage provider directories between February 2016 and July 2018. However, Medicaid Advantage plans aren’t alone in this problem. Unfortunately, provider directories are often riddled with inaccuracies.

Medicaid 52

Medicaid Medicaid Compliance Medicare 52

Healthcare IT Today

JULY 19, 2022

Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. . Founded in 2015, Canvas is reimagining the EMR for the future of healthcare. About Canvas Medical.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Compliancy Group

OCTOBER 5, 2023

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law to improve patient healthcare outcomes. Under MACRA, the Centers for Medicare and Medicaid Services (CMS) created regulations to encourage healthcare providers to use secure health information technology.

HIPAA 52

HIPAA Compliance Medicare Medicare 52

Healthcare IT Today

MAY 15, 2023

“Apixio has been a trusted business partner since our relationship began in 2015,” said Sarah M. With a patented data science infrastructure, Apixio analyzes structured and unstructured data to develop high-fidelity patient health profiles and support value-based care programs. London , Chief Executive Officer at Centene.

Medicare 78

Medicare Medicare Governance Health Insurance 78

HIT Consultant

JULY 18, 2022

Founded in 2015, Canvas Medical provides the digital infrastructure for care delivery companies. Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. Strategic Plans & Milestones.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT News - Telehealth

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. Virtual visits were selected five times more often for anxiety and depression complaints than in-person – and this was for pre-pandemic encounters between 2015 and 2017.

Medicaid 199

Medicaid Medicaid COVID-19 Telemedicine 199

HIT Consultant

NOVEMBER 11, 2021

Founded in 2015, AppliedVR provides virtual reality-based treatments aimed at comprehensively treating chronic pain. The research, published in the Journal for Medical of Internet Research (JMIR), studied how VR could be used for pain management in safety-net settings for vulnerable populations like Medicaid patients.

FDA 98

FDA COVID-19 Medicaid Medicaid 98

The Health Law Firm

SEPTEMBER 12, 2016

In 2015, the Centers for Medicare and Medicaid Services (CMS) estimated that nearly $60 billion in taxpayer money was lost to fraud, abuse, waste, and improper payments. Medicare Strike Force Enhanced to Reduce Billion-Dollar Losses.

Medicare 40

Medicare Medicare Fraud Medicaid 40

Healthcare IT Today

DECEMBER 17, 2023

Though this is a significant increase from 2012, numbers haven’t budged much since 2015. Pair Team expanded into seven more California counties ; the company provides virtual primary care for Medicaid beneficiaries. Home care EMR software maker Smartcare Software rebranded as Aaniie.

Hospitals 93

Hospitals Nurses Compliance Regulatory Compliance 93

The Health Law Firm

MARCH 8, 2016

Board Certified by The Florida Bar in Health Law On February 26, 2016, The Centers for Medicare & Medicaid Services (CMS) extended the deadline for eligible hospitals/professionals and critical access hospitals to apply for a hardship exception from the 2015 Medicare Electronic Health Records Incentive Program. Indest III, J.D.,

Medicare 40

Medicare Medicare Medicaid Medicaid 40

The Health Law Firm

NOVEMBER 4, 2015

entered into a settlement with the Department of Justice (DOJ) on Monday, October 19, 2015, agreeing to pay $256 million to resolve allegations of False Claims Act (FCA) violations. Indest III, J.D., Board Certified by The Florida Bar in Health Law Millennium Health (Millennium), formerly Millennium Laboratories, Inc.,

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Med-Net Compliance

SEPTEMBER 20, 2022

According to court documents and evidence presented at trial, the podiatrist was revoked from participating in the Medicare program in January 2015. Shortly thereafter, he convinced his then-partner to enroll in Medicare and assist in opening a new clinic. OIG maintains a list of all currently excluded individuals and entities called the?

Fraud 59

Fraud US Department of Health and Human Services Medicare Medicare 59

Healthcare IT Today

AUGUST 13, 2023

CitiusTech and Radical Imaging are partnering to support projects built on the Open Health Imaging Foundation Development platform, which was founded in 2015 to create an open-source web-based medical imaging platform. New York City-based Best Medical Care PC selected eClinicalWorks Cloud.

US Department of Health and Human Services 84

US Department of Health and Human Services Doctors Payment Systems Telemedicine 84

Verisys

NOVEMBER 14, 2023

If your organization is ready to streamline and shorten your credentialing timeline, reach out today.

Licensing 52

Licensing Medicaid Medicaid Governance 52

Healthcare Law Today

JANUARY 2, 2023

For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question. For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question. ” United States ex rel. Healthfirst, Inc. , 3d 370, 389 (S.D.

Overpayments 52

Overpayments Overpayment ACA Medicare 52

The Health Law Firm

JUNE 6, 2014

Under a rule finalized by the Centers for Medicare and Medicaid Services (CMS) on May 19, 2014, doctors and other health care professionals will be required to enroll in the Medicare program, or have a valid opt-out affidavit on file, for prescriptions to be covered under Part D. The new requirement takes effect on June 1, 2015.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

The Health Law Firm

JUNE 4, 2014

The Health Law Firm On June 1, 2015, doctors and other health care providers will be under tighter restrictions when prescribing to Medicare Part D patients. By Lance O. Leider, J.D.,

Medicare 40

Medicare Medicare Medicaid Medicaid 40

HIT Consultant

APRIL 12, 2022

Second, the number of unpaid family caregivers in the United States increased by nearly 10 million people between 2015 and 2020 to 54 million. These problems will only continue to accelerate as the older adult demographic grows. The company plans to announce additional partnerships in 2022.

Medicare 52

Medicare Medicare COVID-19 Health Insurance 52

AIHC

NOVEMBER 6, 2023

Consequences can include public disclosure of the provider’s violation, administrative reprimands, and termination of Medicare and Medicaid billing privileges by being listed on the Office of Inspector General (OIG) Exclusions List. OCR can impose civil money penalties up to $1.5

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

Healthcare Blog

AUGUST 23, 2023

Resources Available to Help Healthcare Organizations Promote Ethical Behavior The Centers for Medicare and Medicaid Services has many policies, procedures, and legislation on ethical standards in healthcare. link] Centers for Medicare & Medicaid Services. Retrieved July 16, 2023, from [link] Castel, E.S., Ginsburg, L.R.,

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Compliance Nurses Regulatory Compliance Medicaid 56