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...
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.
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
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
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...
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
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
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
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
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
-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.
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
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
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
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
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.
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
-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
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
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
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.
Feb. 10 A new dental clinic focused on serving patients who are either uninsured or on Medicaid is expected to open in Niles before the end of the year. During the meeting, Middleton discussed what CFCN is, what it does for the Niles community and its plans for the future. "We are here to stay and we are committed to taking care of people in the
SPRINGFIELD, Mo. Tammy Dickinson, United States Attorney for the Western District of Missouri, announced that an Independence, Mo., dentist who formerly practiced at clinics in Springfield, Mo., and Mountain Grove, Mo., pleaded guilty in federal court today to his role in a conspiracy to collect more than $167,000 in fraudulent Medicaid payments
Especially in South Florida's Medicare rackets. They're accused of receiving kickbacks of $150 a patient on average in exchange for referrals to numerous Miami-Dade healthcare agencies that filed tens of millions of dollars in false claims with the taxpayer-funded Medicare program. Medicare, which still struggles with lax oversight after years of..
Kentucky's two most recent governors went to war over the state's health care system Thursday, raising the stakes in a battle that could tarnish the legacy of the Obama administration's health care law. Matt Bevin's plans to make fewer people eligible for Medicaid and to dismantle a state program where some can purchase private insurance plans a