May 27 A Cleveland- area pain clinic is suing CareSource for $2.5 million, alleging breach of contract for failure to pay about two years of claims submitted to the downtown Dayton- based health insurer. CareSource, a nonprofit Medicaid managed care provider that contracts with various clinics and physicians' practices to provide medical services
Beginning June 9, join Frank Long, editorial director of Rehab Management and Physical Therapy Products, as he speaks with John Wallace, physical therapist, and chief executive officer of BMS Practice Solutions, Upland Calif.
OPKO Health, Inc. announces that Novitas Solutions has issued a draft local coverage determination for the 4 Kscore Test, the only blood test that accurately identifies an individual patient's risk for high-grade, aggressive prostate cancer. Novitas Solutions is a Medicare Administrative Contractor for Medicare jurisdictions L and H, with...
Tenders are invited for Recovery Audit Contractor The Wisconsin Department of Health Services, Office of the Inspector General through its Bureau of Strategic Sourcing has issued this solicitation to establish a contract for Medicaid Recovery Audit services. The Recovery Audit Contractor is intended to identify and recoup overpayments and identify.
Any vendor that believes it can provide this service can obtain a copy of the specifications attached to this advertisement prior to the due date stated below. Major organization: STATE UNIVERSITY OF NEW YORK Address: SUNY Upstate Medical University, Hospital Purchasing Department, 750 East Adams Street, Syracuse, NY 13210, Contact Person: Amy Clif
May 26 Two months into the $5 billion handover of the state-run Medicaid program to private managed care, several small providers in Cedar Rapids have run into snags affecting their bottom lines. Transportation services work a little differently than with other Medicaid providers. Under the state-run, fee-for-service Medicaid program, Iowa worked
Office Address: Department of Health and Human Services; Centers for Medicare& Medicaid Services; Office of Acquisition and Grants Management; 7500 Security Blvd.C2-21-15 Baltimore MD 21244-1850. Description: Department of Health and Human Services. Centers for Medicare& Medicaid Services.
By a News Reporter-Staff News Editor at Insurance Weekly News Although the number of Medicare telemedicine visits increased more than 25 percent a year for the past decade, in 2013, less than 1 percent of rural Medicare beneficiaries received a telemedicine visit, issue of JAMA. Medicare limits telemedicine reimbursement to select live video enco
By a News Reporter-Staff News Editor at Insurance Weekly News New research from North Carolina State University shows that implementation of Medicare Part D has increased the number of people taking their prescribed medications as directed- so-called "medication adherence"- and reduced the likelihood that newly covered beneficiaries develop high
By examining Medicare claims data, Harvard Medical School researchers found that the number of telemedicine visits provided to Medicare beneficiaries increased by 28 percent per year from 2004 to 2013 with 107,000 visits provided in 2013. However, Medicare has taken a more conservative approach and currently limits payment for telemedicine care to.
May 25 The U.S. Justice Department has joined a four-year-old whistleblower case against Prime Healthcare Services, adding significant weight to allegations of widespread Medicare overbilling at 14 of the company's hospitals in California. Federal court documents show that a judge granted the agency's request to join the case Tuesday, one day aft
May 26 Not only can it take months for the Brownback administration to process and approve Medicaid applications, but even applying for Medicaid can be an ordeal. No wonder there has been a drop in the number of Medicaid beneficiaries in Kansas. The state's expensive new online application system and reorganized processing clearinghouse were supp
Paul LePage is an avowed opponent of Medicaid expansion. Apparently, after signing a state budget early in his tenure as governor to cut back on Medicaid coverage for low-income adults without children, then nixing expansion bills that would restore coverage to that exact population, the governor still thinks Medicaid coverage is an option for chil
May 26 The U.S. Justice Department has joined a years-old whistleblower case against Prime Healthcare Services, adding substantial weight to allegations of widespread Medicare overbilling at 14 of the company's hospitals in California. Federal court documents show that a judge granted the agency's request to join the case Tuesday, one day after t
WASHINGTON, May 26, 2016/ PRNewswire-USNewswire/ The Partnership for Quality Home Healthcare a coalition of home health providers dedicated to improving the integrity, quality, and efficiency of home healthcare for our nation's seniors commended a bipartisan group of 116 lawmakers in the U.S. House of Representatives, led by Congressmen Tom
The U.S. Justice Department has joined a whistle-blower case against Prime Healthcare Services, adding significant weight to allegations of widespread Medicare overbilling at 14 of the companys hospitals in California. A Los Angeles magistrate judge granted the agencys request to intervene in the case Tuesday, one day after the government declared
Their proposal published in the May 5 American Journal of Public Health calls for the creation of a publicly financed, single-payer national health program to cover all Americans for all medically necessary care. They want a decisive break from the expensive and inefficient private insurance industry at the heart of the U.S. health-care system.
Contact: Aaron Fobes/ Julia Lawless 224-4515. Senate Republicans Press Administration on Impact of Latest Effort to Limit Health Savings Accounts. WASHINGTON- In a letter today, Senate Republicans, led by Finance Committee Chairman Orrin Hatch and Majority Leader Mitch McConnell, called on Centers for Medicare& Medicaid Services Acting Administrato
Questions asked after this time will not be answered. Major organization: GARRETT COUNTY Address: Purchasing Department, 313 East Alder Street, Room 104 Oakland, Maryland 21550 Contact Person: Brian Bowers Country: United States Email: email@example.com Tender notice number: 16-0607 Notice type: Tender Notice Open date: 2016-06-07.
The Latest on the ethics trial of Alabama House Speaker Mike Hubbard:. State Medicaid officials say they opposed Medicaid language temporarily inserted in the 2013 budget that could have benefited a client of House Speaker Mike Hubbard. Medicaid Commissioner Stephanie Azar testified Thursday that Medicaid officials were caught off guard by langu
Prem Reddy; and 14 Prime hospitals in California that alleges Emergency Departments at Prime facilities improperly admitted patients to the hospitals and submitted false claims to Medicare, the Justice Department announced today. As a result of these medically unnecessary admissions from the Emergency Departments, Prime hospitals allegedly submitte
May 26 A Western New York- based online pharmacy has agreed to pay nearly $500,000 in restitution and damages to the state for improperly billing Medicaid for prescriptions written by a doctor who had been excluded from the government program. "When Medicaid payment is obtained for prescriptions ordered by an excluded Medicaid provider, New York
LINTHICUM, Md. Aetna announced today that it filed an application earlier this year with the State of Maryland to participate as a Medicaid managed care organization, Aetna Better Health of Maryland. We are excited for this new prospect of building on our 30- year track record of successfully working with Medicaid recipients, said Deb Bac
-The number of health insurance policies sold directly to consumers for 2016 increased by 9.3 million people, or 10% over last year, according to data in the forthcoming AISs Directory of Health Plans: 2016. AIS data show that the biggest hikes were in the number of Medicaid enrollees, number enrolled via public exchanges, and number in Medicare-Me