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 The leading web portal for pharmacy resources, news, education and careers April 17, 2014
Pharmacy Choice - News - Medicare & Medicaid - April 17, 2014

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 Medicare & Medicaid
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4/17/14 - 'Progress indeed' in the unusually high Medicare charges cases [Deseret News (UT)]
Last week, the Centers for Medicare& Medicaid Services, in a historic move, applied the transparency disinfectant to the ailing Medicare program by publishing comprehensive physician payment data for the first time in nearly 35 years. Release of this information is a boon for taxpayers, a treasure trove for researchers, and a nightmare for physicia
4/17/14 - Anchorage physician charged with Medicaid fraud of more than $300,000 [Anchorage Daily News :: ]
April 17 Authorities arrested an Anchorage physician Tuesday evening, alleging he billed Medicaid more than $300,000 for services he never provided. The state's Medicaid Fraud Control Unit was first alerted to Ghosh Psychiatric Services, 9138 Arlon St., by an employee who said there was a "large fraudulent Medicaid billing issue," charges said.
4/17/14 - Centers for Medicare & Medicaid Services Announces Extension of Submission Deadlines for Letters of Intent and Applications
WASHINGTON, April 17 The U.S. Department of Health and Human Services published the following notice in the Federal Register from the Centers for Medicare& Medicaid Services:. A Notice by the Centers for Medicare& Medicaid Services on 04/17/2014. Dates: Letter of Intent Submission Deadline: Interested large dialysis organizations must submit a no
4/17/14 - Guv still optimistic about Medicaid expansion plan [Deseret News (UT)]
Gary Herbert continued to be optimistic Wednesday that the federal government will sign off soon on his proposed alternative to Medicaid expansion following meetings in Washington, D.C., earlier this week. Herbert told reporters that federal approval should come in time for him to call a special session of the Utah Legislature this summer to accept
4/17/14 - Medicaid petition given to Howell [The Free Lance-Star, Fredericksburg, Va. :: ]
April 17 Lee Russell stood outside Virginia House Speaker Bill Howell's Falmouth office Wednesday with a petition asking the General Assembly to expand Medicaid. The petition was signed by 451 small-business leaders from across Virginia, and Russell was picked to deliver it to Howell. The General Assembly is currently at a stalemate to pass a bud
4/17/14 - Medicare Program; Comprehensive ESRD Care Initiative; Extension of the Submission Deadlines for the Letters of Intent and Applications
The letter of intent submission date for End-stage Renal Disease Seamless Care Organizations that include a dialysis facility from a large dialysis organization is June 23, 2014, and the submission deadline for the LDO application is June 23, 2014. The letter of intent submission date for ESCOs that include a non-LDO facility is September 15, 2014,
4/17/14 - Sen. Bill Nelson seeks local solution to expand Medicaid in Florida [The Miami Herald :: ]
April 17 TALLAHASSEE Expanding Medicaid to cover thousands of uninsured Floridians has mostly been ignored by Republicans during this year's legislative session, but U.S. Medicaid is a joint state-federal program, though most of the expansion called for under the Affordable Care Act would be funded by Washington. Politics might be an even bigge
4/17/14 - Tennessee Substance Abuse Treatment Facility Agrees to Resolve False Claims Act Allegations for $9.25 Million
The Department of Justice announced today that CRC Health Corp. has agreed to pay $9.25 million to the federal government and the State of Tennessee to settle allegations that CRC knowingly submitted false claims by providing substandard treatment to adult and adolescent Medicaid patients suffering from alcohol and drug addiction at its facility in
4/16/14 - Adding dental care contrasts with Mo. Legislature's opposition to Medicaid expansion [St. Louis Post-Dispatch :: ]
April 16 JEFFERSON CITY Republican opposition in the state Senate has dimmed hopes that Missouri will expand Medicaid this year to cover the working poor. There's a chance lawmakers will let elderly and disabled people stockpile small nest eggs without losing their Medicaid coverage, a change that could add 8,174 adults to the rolls. And libera
4/16/14 - Ambulance rides a costly chunk of Minnesota's Medicare payments [Pioneer Press, St. Paul, Minn. :: ]
April 15 The federal Medicare health insurance program winds up paying the fare for many of the ambulance rides provided by the city of St. Paul. Out of more than 19,000 health care providers during 2012 who cared for Medicare patients in Minnesota, the city's take of more than $2 million was the ninth largest individual sum. Health care experts
4/16/14 - American HealthTech Passes ICD-10 Medicare Billing 837i And Form CMS-UB04 Claim Test
American HealthTech, a Jackson, Mississippi- based leader in LTPAC EHR software, announces that it has passed the ICD-10 claim test for Medicare Billing 837 i and Form CMS-UB04, along with passing testing with all Medicare fiscal intermediaries, the private insurance companies that serve as the federal government's agents in the administration of t
4/16/14 - April Medicare Supplement Company Rankings, with help from CSG Actuarial, has ranked Medicare supplement companies across all states, plans, ages, genders, and ZIP Codes. Individuals turning 65 have numerous decisions to make when they become eligible for their Medicare benefits. Medicare supplement insurance policies help pay some of the healthcare costs that origina
4/16/14 - Bankruptcy-Inducing Bills From Out-of-Network Providers Plague Patients, Should Be Curbed, Public Citizen Report Shows
Congress and the states should take steps to protect patients from large, unexpected medical bills from out-of-network providers, Public Citizen said today. Providers that are not members of patients' insurance networks have charged patients as much as 9,000 percent of what Medicare would have paid for the same procedure. Medical bills are the lead
4/16/14 - Cancer doctor and clinic agree to pay $2.9 million to settle federal whistleblower lawsuit [The Kansas City Star :: ]
April 16 As a cancer specialist, Raj Sadasivan did some of his most lucrative work altering medical records with a paper cutter and scissors, some of his former employees contend. It was those records at the Hope Cancer Institute in Kansas City, Kan., that became the key to an alleged fraud to bilk Medicare and other government programs out of mi
4/16/14 - Doctors say high Medicare reimbursements misleading [Montgomery Advertiser, Ala. :: ]
April 16 On Monday, a rather typical day at the Montgomery Cancer Center, oncologist Stephen Davidson visited with more than 50 cancer patients and had more than 40 patients scheduled that day for chemotherapy treatments. Not overall, and certainly not from Medicare payments alone. This is the complaint of most all the doctors who have found them
4/16/14 - EDITORIAL: Medicare database provides important, but limited, information [The Island Packet (Hilton Head Island, S.C.) :: ]
The database provided some startling revelations, specifically that a small percentage of the country's physicians collected billions of dollars from Medicare in 2012. In fact, about 2 percent of doctors collected about a quarter of the $77 billion in payments in 2012. That includes a West Palm Beach, Fla. opthamologist who topped the list, bringin
4/16/14 - General Dynamics to Supply Support for Centers for Medicare & Medicaid Services Virtual Research Data Center [Professional Services Close - Up]
General Dynamics Information Technology, a business unit of General Dynamics, announced it is supporting the Centers for Medicare& Medicaid Services' new Virtual Research Data Center, which launched in November 2013. According to a release, the VRDC is a remotely accessible analytics environment that provides researchers with electronic access to t
4/16/14 - Governor Susana Martinez and NM Aging Department Encourage Low-Income Seniors to Access Additional Medicare Benefits
Governor Susana Martinez and New Mexico's Aging and Long-Term Services Department are encouraging low-income New Mexico seniors, and their family members and advocates, to access help with prescription medication costs by calling New Mexico's Aging and Disability Resource Center at 1-800-432-2080. The ADRC is a one-stop shop in New Mexico that help
4/16/14 - Hospitals sue Medicare over 'two-nights' rule [The Philadelphia Inquirer :: ]
April 16 The Einstein Healthcare Network joined in two civil lawsuits against Medicare administrators alleging that a new rule on what qualifies as an inpatient hospital admission is arbitrary and should be dropped and that a related 0.2 percent cut in Medicare payments to hospitals should be revoked. The rule, adopted in August by the Centers fo
4/16/14 - Louisiana Dems: Louisianians Fighting to Close the Jindal Gap, Protect Louisiana Hospitals
Gary Wiltz of the Teche Action Clinic in Houma and Robert Reed, a Louisianian who is stuck in the "Jindal gap," about more than 240,000 uninsured Louisianians who are being left behind because Gov. "These are working families who earn too much for Medicaid and not enough for subsidies on the Health Insurance Marketplace. It's also important for th
4/16/14 - Lowcountry doctors collected more than $42 million in Medicare payments, federal records show [The Island Packet (Hilton Head Island, S.C.) :: ]
April 16 Four doctors in Beaufort County received more than $1 million in payments from Medicare in 2012 and 15 physicians collected more than $500,000, according to data released by the federal government for the first time. Medicare officials said disclosing physician payment data marks an unprecedented opportunity to make the nation's health c
4/16/14 - Medicare and Medicaid Programs; Fire Safety Requirements for Certain Health Care Facilities
CFR Part: "42 CFR Parts 403, 416, 418, 460, 482, 483, and 485". SUMMARY: This proposed rule would amend the fire safety standards for Medicare and Medicaid participating hospitals, critical access hospitals, long-term care facilities, intermediate care facilities for individuals with intellectual disabilities, ambulatory surgery centers, hospices w
4/16/14 - Partnerships Can Relieve a Significant Burden on Payers when Attempting to Handle CMS Administrative Requirements in the Medicare Advantage Market
Insight and recommendations are provided by TMG Health's operational subject matter experts; as well as Denyse Wise, founder and CEO of Colorado- based Medicare Consulting Firm, Madena; and Jessica Vander Zanden, Director of Medicare Compliance and Star Quality for Network Health, a Wisconsin- based health plan. TMG Health is the leading national p
4/16/14 - Rep. Sinema Introduces Bill to Improve Medicare Advantage Special Needs Plans
Christopher P. Gibson, R- N.Y., Ron Barber, D- Ariz., Gus M. Bilirakis, R- Fla., and Patrick Murphy, D- Fla.. For more information about congressional legislation and services offered by Targeted News Service to track issues, key words or members of Congress who introduce or co-sponsor legislation, please contact or call 703
4/16/14 - SCAN Health Plan Exhibits Highly Acclaimed PALS Program at Capitol Hill Health Expo Highlighting Private Sector Innovation
SCAN Health Plan s Personal Assistance Line, an innovative program that helps dual-eligible members navigate the complex web of Medicare and Medi-Cal services, was showcased at the annual Healthcare Innovations Expo on Capitol Hill. More than 100 members of Congress and an equal number of staff members attended the yearly event sponsored by the
Articles(s): 1 - 25 of 159     Next >>     Go To Page:

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