Whistleblower lawsuitsare on the rise as citizens help disclose cases of fraud against the government – and reap large rewards for their efforts. Among the more prevalent cases are those involving Medicare and Medicaid fraud. Since whistleblower lawsuits can be complex, it is helpful to get repr...
Centers for Medicare and Medicaid Services that allows an increased use of independent contractor physicians. The rule requires physician reassignment to employers, clinics and under specific reciprocal billing and locum tenens arrangements. It is said that the rules were mandated by the U.S. Congress...
at good quality equipment rates to make profits or sometimes bill Medicare for equipment never provided. To crack down, on this fraud, the Centers forMedicare & Medicaid Services(CMS) issued new rules catering toward reducing needless consumption and aberrant billing amongst DME and supply companies...
patients, and others who pretend to be one of these parties. Medicare or Medicaid fraud can include billing for services that weren't provided, performing unnecessary tests, and receiving benefits when you're not eligible. Combined, Medicare and Medicare fraud cost taxpayers more than $146.5 ...
Centers for Medicare and Medicaid Services as of January 2016 that will affect payment for caloric vestibular evaluation and for services provided by speech-language pathologists in a physician's office. The impact of the final 2016 outpatient therapy rules on keeping reimbursement stable, extending ...
While Medicare and Medicaid are similar programs, there are different challenges when it comes to reimbursement.
The prior authorization changes, announced this week, are part of the Centers for Medicare & Medicaid Services' (CMS') 2024 update of policy changes for Medicare Advantage and Part D pharmacy plans Medicare Advantage plans' business practices have raised significant concerns in recent years. More ...
wish to know that if I travelled and stayed in my country I could be reimbursed with Medical expenses, like Philippines? What is the best thing to do. member of Humana HMO, dual Medicare, Medicaid plan Reply Jagger Esch says: April 5, 2021 at 1:30 pm Hi Isidro! Unfortunately, Medicar...
Republicans in the House and Senate voted for budgets based on much-needed changes to Medicare and Medicaid. That was only a symbolic step with Obama in the White House, to be sure, but the presumption was that actual reform would be possible if Republicans controlled both the White House an...
No, registering with PECOS isn’t mandatory. CMS still accepts paper applications. However, PECOS is highly recommended, as it’s paperless and speeds up the application process. What Is the CMS? The CMS is the Center for Medicare & Medicaid Services. It administersMedicare,Medicaid, and the...