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Provider's Complaint Prompts Call for Audit of Medi-Cal

SACRAMENTO, Calif.--A Joint Legislative Audit Committee has agreed to an audit of Medi-Cal after a home medical equipment provider challenged the California Medicaid program over fee schedules that pit providers against a little-known law. ...

Three S. Fla. Fraud Schemes Derailed by Strike Force

MIAMI--The operators of several HME companies that defrauded Medicare of more than $22 million are set for sentencing in three separate cases announced last week by the U.S. Attorney for the Southern District of Florida and the Miami Field Office of the FBI. ...

Weems Designated Acting Administrator of CMS, Kuhn Appointed Deputy

WASHINGTON--On Tuesday, President Bush designated Kerry N. Weems as acting CMS administrator. ...

CMS Confirms Home Infusion Providers Not Target of Fraud Demo

WASHINGTON--After asking CMS for a clarification of the "infusion providers" targeted under a recently announced fraud demonstration program, the National Home Infusion Association got the answer it wanted: Home infusion therapy providers are not included. ...

F as in Fat:' Report Says Obesity Rates Continue to Grow

WASHINGTON--Adult obesity rates increased in 31 states last year--and no states saw a decrease. ...

Flash Inspections Jeopardize Accreditation Process, Attorney Warns

HIALEAH, Fla.--According to Florida health care attorney Javier Talamo, some HME companies seeking accreditation are being given "cursory" inspections that could undermine the integrity of the process....

Confusion over Crackdown on Infusion Providers

WASHINGTON--On Monday, the Department of Justice, the Department of Health and Human Services and CMS announced the details of a two-year initiative designed to eliminate deceptive providers of infusion therapy in South Florida....

Lambert's Ready to Take on the Government--Again

REDDING, Calif.--A California HME provider who sued the Department of Health and Human Services over K0011 wheelchair documentation--and won in federal court--is now taking on the Medicaid program over a little-known law that appears to invalidate Medi-Cal fee schedules....

Proposed Privacy Legislation Speaks to Health IT Fears

WASHINGTON--Last month, Sens. Edward Kennedy, D-Mass., and Patrick Leahy, D-Vt., introduced a bill that would create new privacy safeguards for patients' protected health information that, if enacted, could have a big impact on how providers work with patient data....

HHS, DOJ Target Fraudulent Infusion Therapy Providers

WASHINGTON--The Department of Health and Human Services and the Department of Justice are joining forces for a demonstration project to eliminate fraudulent infusion therapy providers, officials announced late Friday...

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