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Double-billing Alleged Jersey City, N.J., physiatrist Monica Mehta, M.D., paid $2.25 million in a civil settlement agreement with the New Jersey U.S. Attorney’s Office to resolve allegations that she double-billed federal health care programs, U.S. Attorney Paul J. Fishman announced. The government is represented by Assistant U.S. Attorney Alex Kriegsman of the U.S. Attorney’s Office […]
Testimony of Daniel R. Levinson, Inspector General on March 9, 2011 before the United States Senate Committee on Homeland Security & Governmental Affairs, Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security on New Tools for Curbing Waste and Fraud in Medicare and Medicaid. Excerpt from the testimony: OIG Work Highlighting the […]
Thomaston Pediatrician Pleads Guilty to Medicaid Fraud Kathy Mansfield, a Thomaston pediatrician and owner of Pediatric Associates of Thomaston, Inc., pled guilty yesterday to one count of Medicaid Fraud for intentionally overbilling the Medicaid Program in the amount of approximately $537,428. From 2003 to 2007, Mansfield billed Medicaid for the Synagis, a drug used to prevent […]
Double-billing Alleged Jersey City, N.J., physiatrist Monica Mehta, M.D., paid $2.25 million in a civil settlement agreement with the New Jersey U.S. Attorney’s Office to resolve allegations that she double-billed federal health care programs, U.S. Attorney Paul J. Fishman announced. The government is represented by Assistant U.S. Attorney Alex Kriegsman of the U.S. Attorney’s Office […]
Proposed notices detail information insurance plans would have to give to consumers to justify rate increases over 10 percent Monday, the Centers for Medicare & Medicaid Services (CMS) published proposed consumer disclosure notices, required by the Affordable Care Act, that insurers would be required to complete and report electronically when they propose rate increases over […]
Proposed notices detail information insurance plans would have to give to consumers to justify rate increases over 10 percent Monday, the Centers for Medicare & Medicaid Services (CMS) published proposed consumer disclosure notices, required by the Affordable Care Act, that insurers would be required to complete and report electronically when they propose rate increases over […]
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-20 One-Time Notification Centers for Medicare & Medicaid Services (CMS) Transmittal 796 Date: October 29, 2010 Change Request 7142 SUBJECT: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services I. SUMMARY OF CHANGES: This Change Request […]
State Medicaid RACs At-A-Glance Section 6411 of the Affordable Care Act of 2010 required States and territories to establish Medicaid Recovery Audit Contractor (RAC) programs. Medicaid RACs are tasked with identifying and recovering Medicaid overpayments and identifying underpayments. As an initial step for establishing their RAC programs, jurisdictions are expected to submit a Medicaid State […]
MLN Matters Number: MM7141 Related Change Request (CR) #: 7141 Related CR Release Date: November 12, 2010 Effective Date: October 1, 2010 Related CR Transmittal #: R807OTN Implementation Date: April 4, 2011 [The following is copied directly from this MLN Matters posting by CMS.] Expansion of Inpatient Prospective Payment System (IPPS) Transfer Policy to Include […]
