AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Verisys

DECEMBER 29, 2024

Organizations that manage healthcare facilities or supplier networks also need to obtain an NPI to ensure compliance with HIPAA regulations. The NPI Final Rule, published on January 23, 2004, mandated the use of NPIs as the standard provider identifier. What Are the Two Types of NPI Providers? When Did NPI Numbers Begin?

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HIPAA Fraud Health Insurance Medicare 52

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

FEBRUARY 13, 2023

This topic always involves a legal angle, such as Stark Law or Anti-Kickback compliance, or state fraud and abuse law considerations. C-02-1786 JSW (EMC), 245, 248, 2004 U.S. 23, 2004). [4] For example, consider physician compensation. However, it almost always involves a business angle too. Are bonuses involved?

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Compliance Fraud Governance 52

Drug & Device Law

MAY 4, 2023

Ohio is one of several states, with New Jersey being the most notable , with statutes precluding punitive damages in product liability cases based on FDA approval or compliance. This was seen most starkly in the non-precedential affirmance of a bad decision on the Michigan statute’s exception in Desiano v. Warner-Lambert & Co. ,

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Drug & Device Law

MAY 5, 2022

But state-law claims that rest on alleged fraud on the FDA are contrary to Buckman Co. 341 (2001), which concluded that fraud-on-the-FDA claims are impliedly preempted because they “inevitably conflict” with the FDA’s regulatory discretion under. 2022 WL 1261318, at *1 (quoting N.J. Plaintiffs’ Legal Committee , 531 U.S. 21 U.S.C. §

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Compliance FDA Fraud 52