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CMS Proposed Rule – Beneficiary Rights to Make Quality of Care Complaints

February 4, 2011
By AMarkenson

CMS published new proposed rules on 2/2/2011 that require most Medicare providers and suppliers to provide written notice to beneficiaries of their right to lodge quality of care complaints with Quality Improvement Organizations (QIOs). Under current CMS regulations, only beneficiaries admitted to hospitals as inpatients are required to receive information about contacting QIOs regarding quality of...

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CMS Issues – MLN Matters on Expansion of Durable Medical Equipment (DME) Supplier Standards

February 2, 2011
By AMarkenson

On 2/1/2011, CMS Issued MLN Matters No. SE1032 entitled “Expansion of Durable Medical Equipment (DME) Supplier Standards”  The article provides information for DMEPOS suppliers on the new expanded CMS...

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OIG Enters into $7.3 Million Settlement and Corporate Integrity Agreement with Lithotripsy Physicians and Related Entities

July 9, 2010
By AMarkenson

On July 8, 2010, the OIG released a press release announcing that it entered into a 7.3 million dollar civil monetary penalty (“CMP”) settlement agreement with United Shockwave Services,...

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Circuit Court Upholds Immediate Jeopardy for Failure to Notify of Significant Change in Patient’s Condition

July 9, 2010
By AMarkenson

The U.S. 6th Circuit Court recently upheld a DHHS Departmental Appeals Board decision that found a skilled nursing facility’s (“SNF”) deficiencies were at an “immediate jeopardy” level relating to...

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CMS to Share Terminated Provider and Supplier Information with States

July 6, 2010
By AMarkenson

In order to implement requirements in the the Patient Protection and Affordable Care Act of 2010 (“PPACA” or the “Health Reform Bill”), CMS is starting to share information with...

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DAB: CMS Revokes Pharmacy’s Medicare Supplier Number After Owner Indicted

July 2, 2010
By AMarkenson

The DHHS Departmental Appeals Board (“DAB”) upheld the revocation of a pharmacy’s supplier number even after the tainted owner sold his interest to the remaining owner who was not...

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Federal Appeals Court Rules New York Must Relocate Thousands Of People With Mental Illness

June 24, 2010
By AMarkenson

The New York Times reported that “a federal appeals court has ruled that New York State must comply with a lower court’s order to begin immediately transferring thousands of...

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