Florida Home Health Agencies Targeted by CMS for Pre-claim Review
By The Health Law Offices of Anthony C. Vitale |
Florida is one of five states that the Centers for Medicare & Medicaid Services (CMS) is targeting for a three-year ...
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Genetic testing latest scam targeting Tricare
By The Health Law Offices of Anthony C. Vitale |
The Tricare program is once again the target of fraudulent claims. The health insurance program for members of the U.S. ...
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Report: HHS OIG fraud recoveries on the rise
By The Health Law Offices of Anthony C. Vitale |
The Department of Health and Human Services Office of the Inspector General recently released its semi-annual Report to Congress outlining ...
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CMS looks to formalize six-year lookback period for Medicare self-referral disclosures
By The Health Law Offices of Anthony C. Vitale |
The Centers for Medicare and Medicaid recently published a notice proposing revisions to its self-referral disclosure protocol (SRDP). The SRDP ...
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Audit: HHS fails to accurately report and prevent improper payments
By The Health Law Offices of Anthony C. Vitale |
A recent audit of the Department of Health and Human Services (HHS) to determine if the agency is in compliance ...
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HIPAA Compliance Crackdown Requires Increased Vigilance
By The Health Law Offices of Anthony C. Vitale |
Last month, the U.S. Department of Health and Human Services Office for Civil Rights (OCR) announced two big settlements involving ...
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CMS unveils new Medicare payment proposal
By The Health Law Offices of Anthony C. Vitale |
On April 27, The Centers for Medicare and Medicaid (CMS) released, for public comment, proposed changes to how Medicare will ...
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SCOTUS Hears Arguments on Implied Certification Theory
By The Health Law Offices of Anthony C. Vitale |
Last month, the United States Supreme Court took up the issue of whether False Claims Act (FCA) cases may be ...
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States’ failure to implement NCCI edits cost Medicaid program billions annually
By The Health Law Offices of Anthony C. Vitale |
Improper payments to healthcare providers cost the Medicaid program approximately $17.5 billion in fiscal year 2014, according to a new ...
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CMS announces new payment model for primary care physicians
By The Health Law Offices of Anthony C. Vitale |
The Centers for Medicare and Medicaid Services (CMS) last week announced a new risk-based primary care initiative designed to “transform ...
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