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CY 2019 Medicare Part C and D policy changes and updates finalized
April 18, 2018 By Harold Bishop Leave a Comment
CMS has issued a Final rule making revisions to the Medicare Advantage (MA) (Part C) and prescription drug benefit (Part D) programs based on its continued experience in the administration of these programs and to implement certain provisions of the … [Read More...]
Kusserow on Compliance: CMS and Veterans Affairs partnering to address fraud and abuse
April 16, 2018 By Richard Kusserow Leave a Comment
The Department of Veterans Affairs (VA) and CMS announced a partnership to share data, data analytics tools, and best practices for identifying and preventing fraud, waste, and abuse. The Veterans Health Administration is a large integrated health … [Read More...]
Kusserow on Compliance: CMS improperly paid $367M for outpatient physical therapy
April 9, 2018 By Richard Kusserow Leave a Comment
The OIG issued an audit report that found sixty-one percent of Medicare claims for outpatient physical therapy services reviewed did not comply with Medicare medical necessity, coding, or documentation requirements, resulting in an estimated … [Read More...]
Recently on Law & Health
- CY 2019 Medicare Part C and D policy changes and updates finalized
- Kusserow on Compliance: CMS and Veterans Affairs partnering to address fraud and abuse
- Kusserow on Compliance: CMS improperly paid $367M for outpatient physical therapy
- Kusserow on Compliance: Stark Law continues to be questioned
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- Kusserow on Compliance: Measuring the compliance culture
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- CBO, JCT share methods for analyzing legislative proposals impacting health insurance coverage
- Kusserow on Compliance: Ongoing auditing and monitoring of high risk areas—16 tips for compliance officers
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