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Report on Medicare Compliance Volume 30, Number 17. News Briefs: May 2021 | Health Care Compliance Association (HCCA)

[1] the HHS Office of Inspector General (OIG) said Visiting Nurse Association of Maryland (VNA) received overpayments of $2.1 million in 2015 and 2016. OIG audited a stratified random sample of 100 claims and found errors on 19 of them. As a result, VNA received overpayments of $25,295 for services provided in 2015 and 2016. “On the basis of our sample results, we estimated that VNA received overpayments of at least $2.1 million for the audit period,” according to OIG, which noted all the ...
United States Amyj Frontz Medicare Program Office Of Inspector Nurse Association Of Maryland Public Health Emergency

Washington Healthcare Update - May 2021 #1 | McGuireWoods Consulting

House Energy and Commerce to Hold Hearing on Drug Pricing Legislation Senate Senators Thune and Carper Reintroduce Bill on Chronic Disease Management Administration Biden Administration to Divert Raw Materials for COVID-19 Vaccine and Provide Other Supplies to India CDC Issues New Guidance for Vaccinated Americans FDA Panel Votes to Keep Tecentriq on the Market FDA to Propose Menthol Ban in Next Year HHS Will Distribute $1 Billion for Community Health Centers HHS Removes Some Prescribing Barri...
United States White House District Of Columbia Merck Keytruda Bristol Myers Squibb Opdivo Elijahe Cummings

Alston & Bird Health Care Week in Review - April 2021 #4 | Alston & Bird

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news. Week in Review Highlight of the Week: This week, HHS announced it is providing $150 million to community-based health care providers to aid their response to COVID-19. Read more about this funding and other news below. I. Regulati...
United States Candice Wright Michael Lauer Elisa Aguirre Gary Cantrell National Vaccine Injury Compensation Program

Washington Healthcare Update - April 2021 #3 | McGuireWoods Consulting

Examining Our COVID-19 Response: Using Lessons Learned to Address Mental Health and Substance Use Disorders” 10:00 a.m. Senate Appropriations Committee Subcommittee on the Interior, Environment, and Related Agencies Hearing: “Addressing Health Disparities in Indian Country: Review of the Indian Health Service’s COVID Response and Future Needs” 10:00 a.m. Senate Appropriations Committee Subcommittee on Military Construction, Veterans Affairs, and Related Agencies Hearing: “VA Telehea...
United States District Of Columbia White House Ed Markey Richard Neal Young Invicibles

Washington Healthcare Update - April 2021 #2 | McGuireWoods Consulting

House Passes Eight Health Care Bills House Members Divided on Fentanyl Analogue Scheduling Rep. Kevin Brady to Retire Senate Bipartisan Bill Would Require Cost-Free Breast Cancer Diagnostic Tests Senators Ask HHS Secretary Becerra to Enforce Hospital Price Transparency Rule Administration HHS Secretary Becerra Approves Illinois Waiver for One-Year Postpartum Coverage HHS to Roll Back Title X “Gag Rule” HHS Secretary Becerra Confirms That Department Will Have Feedback Process on Surprise Bil...
South Africa United States Cathy Mcmorris Rodgers Diana Degette John Lewis Xavier Becerra

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Demetrios Kouzoukas, Former Director of the Center for Medicare and Principal Deputy ...

Press release content from Globe Newswire. The AP news staff was not involved in its creation. Demetrios Kouzoukas, Former Director of the Center for Medicare and Principal Deputy ... Clover Health Investments, Corp.April 15, 2021 GMT NASHVILLE, Tenn., April 15, 2021 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover”), an innovative technology company improving health outcomes for America’s seniors, today announced Demetrios L. Kouzakas has joined its Board of D...
United States Hong Kong San Francisco Demetriosl Kouzakas Vivek Garipalli Demetriosl Kouzoukas
Source: apnews.com

Report on Medicare Compliance Volume 30, Number 14. News Briefs: April 2021 #2 | Health Care Compliance Association (HCCA)

◆ Doctors Care P.A., the largest urgent care provider network in South Carolina, and its management company, UCI Medical Affiliates of South Carolina Inc., will pay $22.5 million to settle false claims allegations, the U.S. Attorney’s Office for the District of South Carolina said April 8. [1] Doctors Care and UCI allegedly falsely certified that some urgent care visits were performed by providers who were credentialed to bill Medicare, Medicaid and TRICARE, which means the services weren�...
South Carolina United States Management Company To Pay Department Of Justice Quality Reporting Program Medicare Program

Owner of Southern Arizona Health Care Equipment Company Sentenced to 36 Months for Defrauding Medicare

Owner of Southern Arizona Health Care Equipment Company Sentenced to 36 Months for Defrauding Medicare Published: 13 April 2021 13 April 2021 Tucson, Arizona - On Friday, Frances Jones, 52, of Chandler, Arizona, was sentenced to 36 months in prison by U.S. District Court Judge John C. Hinderaker. Jones previously pleaded guilty to health care fraud. Jones, a licensed Medicare provider of durable medical equipment and the owner and operator of Oxicheck Northwest, admitted that she fraudulen...
United States Johnc Hinderaker Frances Jones Timothyb Defrancesca Us Department Of Health Human Services

Why Have No House Republicans Signed On To Stop Medicare Cuts?

The House of Representatives will vote this week on a bill to stop billions in automatic cuts to Medicare. GOP lawmakers who previously railed against the cuts are now silent on whether theyll back the legislative fix. The bill is authored and co-sponsored by Democratic House committee chairs: Budget Committee Chair John Yarmuth, Agriculture Committee Chair David Scott, Energy and Commerce Committee Chair Frank Pallone, and Ways and Means Committee Chair Richard Neal. Not a single Republican ha...
United States Drew Ferguson Jeff Duncan Vern Buchanan Marjorie Taylor Greene Buddy Carter

Joint Commission's Improved Telemedicine Accreditation Rules

The Joint Commission has changed accreditation rules to enable more hospitals and telemedicine companies to use the streamlined credentialing by proxy process. The distant site telemedicine entity must be accredited with The Joint Commission or enrolled in the Medicare program.
Joint Commission Comprehensive Accreditation Manual Critical Access Hospitals Medicare Conditions Site Telemedicine Entity Health Care

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