2004 Medicaid Medicare 
Bill of Health
MARCH 24, 2023
The selections feature topics ranging from an analysis of the approval and marketing of biosimilars with a skinny label and their associated Medicare savings, to a discussion of the Philips Respironics recall and the need for reforms to U.S. Characteristics of Prior Authorization Policies for New Drugs in Medicare Part D. 2023 Feb 23.
HIPAA Journal
JUNE 9, 2023
Prior to the Supreme Court ruling, there was no distinction between an identity thief stealing an individual’s identity and running up huge debts, a lawyer rounding up bills and only charging full hours, a waitress overcharging customers, and a doctor overbilling Medicaid. The Supreme Court decision related to the latter.
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Verisys
NOVEMBER 8, 2023
The NPI improves the Medicare and Medicaid programs, other federal and private health programs, and the overall effectiveness and efficiency of the healthcare industry by simplifying administration and enabling the efficient electronic transmission of health information. Providers also need an NPI to enroll in Medicare.
Bill of Health
JANUARY 3, 2023
Most such proposals rely on conditional spending, especially of Medicare funds. Back in 2004, Justice Thomas was one of three dissenters in Raich. Almost all scholars see such measures as a legitimate exercise of constitutional power. Indeed, the Court now features more Commerce Clause conservatives than when Marino et al.
AIHC
NOVEMBER 29, 2023
Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. MA/HMO) is typically used by Health Maintenance Organizations and Medicare Advantage Organizations. healthcare system were exorbitant. Capitation (e.g.,
Hall Render
JULY 1, 2022
the Supreme Court upheld CMS’s decision to include Medicare exhaust and secondary payor days in the Medicare Fraction of the Disproportionate Share Hospital (“DSH”) statute. The DSH statute instructs CMS to include in the Medicare Fraction’s denominator all patients “entitled to benefits” under Medicare Part A.
AIHC
NOVEMBER 29, 2023
Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. MA/HMO) is typically used by Health Maintenance Organizations and Medicare Advantage Organizations. healthcare system were exorbitant. Capitation (e.g.,
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