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 The leading web portal for pharmacy resources, news, education and careers February 12, 2016
Pharmacy Choice - News - Medicare & Medicaid - February 12, 2016

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
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2/12/16 - BRIEF: Dentist pleads guilty to Medicaid fraud [The Kansas City Star]
Feb. 12 An Independence dentist pleaded guilty Thursday in a $167,000 Medicaid fraud conspiracy. Federal prosecutors said 66- year-old James R. Dye admitted submitting more than 200 fraudulent Medicaid claims between 2010 and 2015 while working at dental clinics in southern Missouri. According to prosecutors, Dye and two co-conspirators bought...
2/12/16 - Christopher Flavelle: Republicans make the case for 'Obamacare'
The Republican presidential candidates are pitching President Barack Obama's health-care law. Marco Rubio wants to "ensure those with pre-existing health conditions can get access to affordable coverage." And it created pilot programs in Medicare to advance accountable-care organizations and bundled payments, exactly the ideas Kasich supports.
2/12/16 - Coloradans With Private Health Insurance Paying Significantly More Than Their Medicare Neighbors for the Same Procedure
DENVER, Feb. 12, 2016/ PRNewswire-USNewswire/ A new report from the Center for Improving Value in Health Care reveals significant variation in payments for hip and knee replacements between private health insurance payers and Medicare. Coloradans with private insurance in the northeast pay $55,000 more than their neighbors with Medicare while tho
2/12/16 - Federal Appeals Court rules review of Medicare petitions log jam [National Iraqi News Agency (Iraq)]
The RAC program's mission is to correct improper Medicare payments by identifying and collecting over- and-underpayments. Healthcare providers have the option of appealing recovery auditors' findings, and HHS' Office of Medicare Hearings and Appeals administers hearings concerning denied Medicare claims. In May 2014, the AHA, Baxter Regional Medica
2/12/16 - Former Las Cruces doctor pleads guilty to federal charges [Las Cruces Sun-News, N.M.]
Feb. 12 LAS CRUCES Pawankumar Jain, 63, a former doctor, entered a guilty plea Thursday in federal court in Las Cruces for illegally dispensing prescription pain killers and defrauding Medicare, resulting in the death of a woman. Jain was a licensed physician with a neurology subspecialty who operated a pain management medical practice in Las C
2/12/16 - Head of Twin Cities mental health agency ordered to cease serving clients [Star Tribune (Minneapolis)]
Feb. 12 The top executive of a large Twin Cities mental health agency, under investigation for defrauding the state Medicaid program of millions of dollars, has been ordered by state regulators to cease practicing as a social worker. The cease-and-desist order is the latest blow for CSS, a community-based mental health agency that faces allegatio
2/12/16 - Health and Human Services Department (HHS); Centers for Medicare & Medicaid Services (CMS) - Meeting
EVENT: Health and Human Services Department; Centers for Medicare& Medicaid Services holds a meeting of the Advisory Panel on Hospital Outpatient Payment to discuss FY2017 applications for add-on payments for new medical services and technologies under the hospital inpatient prospective payment system. LOCATION: Centers for Medicare and Medicaid...
2/12/16 - Iowa Senate votes to end Medicaid privatization [The Gazette, Cedar Rapids, Iowa]
Terry Branstad's plan to have private managed care companies deliver Medicaid services to 560,000 Iowans, saying the transition is too rushed and needs refining. "It isn't the right plan," said Senate President Pam Jochum, D- Dubuque, the bill's floor manager, who called for a "stop" for Medicaid privatization and a "restart" in crafting a new app
2/12/16 - Medicaid admin [TendersInfo (India)]
Expiration date: 06/30/2016 Contractor name: WASHINGTON COUNTY. Contractor address: 155 First Ave, MS44. Implementing agency: DHS- Department of Human Services,.
2/12/16 - Medicaid expansion talk on the table at last [Lewiston Tribune, Idaho]
Feb. 12 BOISE Idaho Gov. C.L. "Butch" Otter on Thursday came as close as he ever has to publicly saying the state should expand Medicaid. During a breakfast meeting organized by the Idaho Press Club, Otter said he was pleased by Senate Health and Welfare Committee Chairman Lee Heider's decision to hold a hearing on two Medicaid expansion bills
2/12/16 - Medicare Program; Reporting and Returning of Overpayments
SUMMARY: This final rule requires providers and suppliers receiving funds under the Medicare program to report and return overpayments by the later of the date that is 60 days after the date on which the overpayment was identified; or the date any corresponding cost report is due, if applicable. FOR FURTHER INFORMATION CONTACT: Joe Strazzire, 786-2
2/12/16 - Nielsen BioSciences' SPHERUSOL Valley Fever Test Incorporated into Medicare Payment for Coccidioidomycosis Skin Test
By a News Reporter-Staff News Editor at Insurance Weekly News Nielsen BioSciences announced that the Centers for Medicare& Medicaid Services updated the payment rate for the coccidioidomycosis skin test to recognize the cost of SPHERUSOL . "CMS' decision to update the reimbursement rate for the coccidioidomycosis skin test will support access
2/12/16 - Ohio Medicaid to help Butler County combat infant mortality [Journal-News, Hamilton, Ohio]
Feb. 12 BUTLER COUNTY Local community and political leaders, along with representatives from the five Medicaid managed care plans, joined Ohio Medicaid Director John McCarthy Thursday afternoon to discuss ways to combat high infant mortality rates in Butler County and across the state. The Journal-News reported in a three-part series last month
2/12/16 - Providence-led Research Finds Medicaid Expansion Increases Certain Cancer Screenings, Which Could Lead to Better Outcomes [Arab News (Saudi Arabia)]
-Research led by Providence Health& Services has found Medicaid coverage results in significantly higher rates of several common cancer screenings, especially among women. The study found having Medicaid coverage did result in people having several types of common cancer screenings, including for cervical cancer and colon cancer. However, Medicaid.
2/12/16 - Reports Summarize Medicare and Medicaid Study Results from Harvard University (Medicaid prescription limits: policy trends and comparative impact on...
By a News Reporter-Staff News Editor at Insurance Weekly News A new study on Medicare and Medicaid is now available. According to news reporting originating from Boston, Massachusetts, by VerticalNews correspondents, research stated, " Medicaid programs face growing pressure to control spending. Our news editors obtained a quote from the research
2/12/16 - Researchers at RAND Report New Data on Colon Cancer (Colorectal Cancer Screening and State Health Insurance Mandates)
We present difference-in-difference-in-differences estimates that compare insured individuals age 51 to 64 to Medicare age-eligible individuals in mandate and non-mandate states over time. Our DDD estimates suggest endoscopic screening among men increased by 2 to 3 percentage points under mandated coverage among 51 to 64 year olds relative to their
2/12/16 - SI-BONE, Inc. Announces Medicare Administrative Contractor National Government Services, Inc. Establishes Positive Coverage for MIS SI Joint Fusion Effective April 1st, 2016
There are a total of 8 MACs responsible for over 50 million Medicare lives across the United States and NGS becomes the 7 th MAC to provide coverage for MIS SI joint fusion, adding 9.5 million Medicare beneficiaries who will have access to iFuse. "The decision by NGS is a positive step forward for Medicare beneficiaries in the NGS service area who
2/12/16 - Studies from Albert Einstein College of Medicine Have Provided New Information about Breastfeeding (Medicaid IBCLC Service Coverage following the...
Our news editors obtained a quote from the research from the Albert Einstein College of Medicine, "To explore US states' Medicaid coverage of IBCLC services following January 2014 legislative expansions of coverage for preventive health services. To assess IBCLC reimbursement practices, 20 states, stratified by Medicaid expansion and 3- month exclu
2/12/16 - Studies from East Carolina University Have Provided New Information about Medicare and Medicaid (Impact of Outpatient Rehabilitation Medicare...
Studies from East Carolina University Have Provided New Information about Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Fresh data on Medicare and Medicaid are presented in a new report. The news correspondents obtained a quote from the research from East Carolina University, " Medicare reimbursement system.
2/12/16 - Tower MSA Partners' New MSP Automation Suite Proactively Drives MSP Compliance and MSA Preparation, from S 111 Reporting through CMS Approval of an...
Tower MSA Partners' New MSP Automation Suite Proactively Drives MSP Compliance and MSA Preparation, from S 111 Reporting through CMS Approval of an MSA. By a News Reporter-Staff News Editor at Insurance Weekly News Tower MSA Partners has rolled out its comprehensive MSP Automation Suite. The MSP Automation Suite can track a claim from Medicare be
2/12/16 - Turn-Key Health Partners with Trinity Health Systems Palliative Care Team and Medicare Advantage Plan [Cyprus Mail]
-Turn-Key Health is partnering with Trinity Health, its affiliated Medicare Advantage plan and Mount Carmel Hospice and Palliative Care to deliver an innovative community-based advanced illness management/ palliative care population health solution. In excess of $20 billion is spent annually for Medicare beneficiaries during the last year of life t
2/12/16 - U.S. Attorneys Office Files Civil Lawsuit Against New Jersey Doctor, Two Companies For Submitting Bogus Claims To Federal Health Care Programs [FARS News Agency]
NEWARK, N.J. U.S. Attorney Paul J. Fishman announced today that the government has filed a complaint against a Union County, New Jersey, doctor and his medical practice companies for knowingly submitting millions of dollars in false claims to Medicare and Medicaid for thousands of diagnostic tests that were never performed and for physical therapy
2/11/16 - "Interactive and Iterative Behavioral Model, System, and Method for Detecting Fraud, Waste, and Abuse" in Patent Application Approval Process (USPTO...
By a News Reporter-Staff News Editor at Politics& Government Week A patent application by the inventor Busch, Rebecca S., filed on July 20, 2015, was made available online on January 28, 2016, according to news reporting originating from Washington, D.C., by VerticalNews correspondents. Illustrative examples: Medicare paid $25 million to deceased
2/11/16 - Americans for Prosperity mailers sent to Becker, McGinn constituents; focus is legislators' views on Medicaid expansion [The Hutchinson News, Kan.]
Carolyn McGinn, R- Sedgwick, about their positions on Medicaid expansion. The Democratic presidential hopeful has called on Kansas to expand Medicaid under the Affordable Care Act. Currently, there are bills in the Legislature that would expand Medicaid, a move that potentially would affect more than 150,000 Kansans without health insurance coverag
2/11/16 - An Antidote to the COBRA Trap
Medicare has strict rules for enrollment. Most seniors are automatically signed up for Medicare Part A, the portion of the program that covers hospital care, when they turn 65.. Another is a cancer survivor who, having met her deductible under her employer-sponsored plan, wanted to complete her chemotherapy regimen before switching to Medicare.
Articles(s): 1 - 25 of 141     Next >>     Go To Page:

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