Tag Archives: Medicare

Untimely Physician Certifications for Medicare Home Care Claims – Arguably a Technicality – Vulnerable to False Claims Act Allegations: Sixth Circuit

On June 11, 2018, the United States Court of Appeals for the Sixth Circuit sustained a complaint against a home health care agency alleging that the agency had violated the False Claims Act (FCA) by submitting numerous claims to the Medicare … Continue reading

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CMS Releases Updated Medicare Secondary Payer Recovery Portal User Guide Noting Enhancements to the Portal

CMS recently released an updated Medicare Secondary Payer Recovery Portal (MSRP) user guide in the hopes to lead to some more efficient practices.  A summary of the updates is as follows:   To reduce the number of calls received by … Continue reading

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Medicare Advantage Plans to Offer Greater Benefits in 2019

On April 2, the Centers for Medicare & Medicaid Services (CMS) expanded how it defines the “primarily health-related” benefits that insurers are allowed to include in their Medicare Advantage policies. As a result, when these plans roll out their coverage … Continue reading

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Chronic Care Act Allows Medicare to Provide More Benefits for the Chronically Ill

Recently, Congress enacted a law offering additional benefits to Medicare beneficiaries with various chronic illnesses, such as diabetes, complications from injury, and heart failure. The Creating High-Quality Results & Outcomes Necessary to Improve Chronic (CHRONIC) Care Act adds coverage to … Continue reading

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Does Medicare Pay for Routine Physicals?

I get this question a lot. "Does Medicare pay for routine physical exams? I hear they are not covered".I don't know who started this rumor but I wish they would stop.Original Medicare includes a "Welcome to Medicare" physical exam. As … Continue reading

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