Skilled Nursing Facilities Increase Therapy Minutes while Federal Fraud Enforcement Plays Catchup

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The Medicare and Medicaid programs were established to ensure the health and medical needs of our nation’s aging and disabled populations. Unfortunately, a small number of doctors,hospitals,nursing homes,drug companies, and other health care providers have taken advantage of our tax dollars by making false claims to Medicare and Medicaid.Common fraudulent schemes include billing for unperformed … Continued

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Comments Re Claims Procedure Regulations for Plans Providing Disability Benefits

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On November 18, 2015, the Employee Benefits Security Administration published new proposed regulations for ERISA disability claims (RIN 1210-AB39; Regulation 29 C.F.R. §2560.503-1).  The Public Comment period runs through January 19, 2016.  I prepared and submitted the following comments regarding two of the most significant proposed changes in claims regulations for plans providing disability benefits: … Continued

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Helpful Medicare Resources

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Coordination of Benefits & Recovery: http://go.cms.gov/cobro Attorney Services:  http://go.cms.gov/attorney Beneficiary Services:   http://go.cms.gov/bene Insurer Services:  http://go.cms.gov/insurer

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