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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

Kaiser Health News

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. But it can have serious repercussions.

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An Overview of Healthcare Compliance Laws and Regulations

Compliancy Group

HITECH The Health Information Technology for Economic and Clinical Health Act (HITECH Act ) is an extension of HIPAA and part of the 2009 American Recovery and Reinvestment Act. The HITECH Act pertains to the digital transmission of PHI and the measures organizations must take to uphold strict security and privacy standards.

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A Disproportionate Share Payment Calculation Case in the Post-Chevron Era

Bill of Health

The plaintiffs argue that those enrolled in the SSI program at the time of hospitalization qualify, whereas the Department of Health and Human Services (HHS), which oversees the Centers for Medicare and Medicaid Services, argues that only those entitled to receive SSI cash payments qualify.

Medicare 100
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How Digital Health Can Stimulate Economic Development

Health Populi

In February 2009, President Barack Obama signed into law the American Recovery and Reinvestment Act (ARRA), less formally known as the Stimulus Bill. The policy’s acronym fully spelled-out was the Health Information Technology for Economic and Clinical Health Act of 2009. trillion in 2009 when HITECH was signed into law to $3.7

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Halifax Whistleblower Claims Hospital Overbilled Medicare

The Health Law Firm

It claims that Halifax Health defrauded the federal government by submitting thousands of false claims for Medicare and Medicaid payments worth millions of dollars. By filing, the US Department of Justice hopes to recover millions of dollars in Medicare and Medicaid payments that it says were made in error to Halifax.

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Medicare Compliance Review of West Florida Hospital in Pensacola

The Health Law Firm

On July 2, 2012 the Officer of Inspector General (OIG) released its Medicare compliance review of West Florida Hospital in Pensacola. According to the audit, the hospital complied with Medicare billing requirements for the documentation majority of inpatient and outpatient claims. Official Break Down of the Audit.

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Zone 5 Program Integrity Contractor (ZPIC) for Medicare and Medicaid Programs is AdvanceMed

The Health Law Firm

AdvanceMed Corporation, an NCI company, was named the Zone 5 Program Integrity Contractor (ZPIC) for the Medicare and Medicaid programs, in December 16, 2009. As the ZPIC for Zone 5, AdvanceMed has been performing benefit integrity activities aimed to reduce fraud, waste and abuse in Medicare and Medicaid data matching programs.