Medicare Compliance & Reimbursement
SCRUTINY CONTINUES ON DRUG REBATES
Feds want states to get tough on hot-button issue for drugmakers If you haven't gotten the picture yet that Medicaid drug rebates are becoming a key issue in pharmaceutical-related health care fraud enforcement, it's time to wake up and smell the coffee. The HHS Office of Inspector General is scouring state records nationwide to make sure Medicaid agencies are doing their job to secure the rebates - and it's calling on many states to do a better job. The fact that the feds are so concerned with the issue is important for drug manufacturers, since the cost of settling alleged fraud connected with rebates can reach into nine figures. In its latest round of reviews, the OIG assessed rebate accounting in eight states. Illinois is doing a good job on rebates, according to the OIG, while Connecticut and Rhode Island had middling results. Pennsylvania, Oregon, Iowa and Utah all needed to take measures to get their programs in order, the reports say. To see the reports, go to http://oig.hhs.gov/oas/oas/cms.html. Lesson Learned: Pharmaceutical company compliance officers should put Medicaid drug rebate compliance near the top of their to-do lists.
Medicare Compliance & Reimbursement
- Labs:
LABS HAVE LOTS TO LOSE IN COPAY CONFLICT
New Bill Jeopardizes Ove $18 Billion in Lab Revenues Just when labs thought it was [...] - Medicare Rx:
IF MEDICARE Rx BILL HAPPENS, E-PRESCRIBING WINS THE DAY
If this year's Medicare prescription-drug legislation becomes law, expect the country to shift wholesale to [...] - HIPAA:
TRANSACTION RULE ENFORCEMENT FORECAST
CMS tips its hand on how it will handle post Oct. 16 TCS compliance violations
There's [...] - Medicare Rx:
WHITE HOUSE: 'WE WANT A DEAL'
The president wants to sign a Medicare prescription drug bill this year, and in the [...] - Medicare Rx:
MEDICARE CONFEREES AIM FOR MID-SEPTEMBER WRAP-UP
House and Senate Medicare negotiators on July 24 announced agreement on relatively uncontroversial provisions that [...] - Home Health:
ABNs Vital To DME Upgrade Payments
Medicare now gives beneficiaries the option of paying for the difference between a Medicare-covered piece [...] - Pharmaceuticals:
SCRUTINY CONTINUES ON DRUG REBATES
Feds want states to get tough on hot-button issue for drugmakers If you haven't gotten [...] - Whistleblowers:
DOC TARGETS WINDY CITY HOSPITALS IN TRANSPLANT QUI TAM
Feds seek big money from one facility, but co-defendants settle cheap Allegedly lying about the [...] - Hospitals:
CONSOLIDATING HOSPITALS MUST MIND THEIR Ps AND Qs
Hospitals that consolidate their operations need to make sure their subsequent Medicare billings don't run [...] - BILL WATCH
Bills introduced in the House: H.R. 2817. A bill to provide that the actuarial value [...] - REGISTER WATCH
As is now routine for the last Friday of each month, the Centers for Medicare [...] - PROGRAM MEMO ROUNDUP
Nursing homes and home health agencies, take note: Fiscal intermediaries will no longer be performing [...]
