Category Archives: Medicaid

CMS Ambulance Open Door Forum tomorrow, March 19th, 2013

CMS hosts Open Door Forums on several different topics on a regular basis. For those interested in the EMS business, the Ambulance Open Door Forum can be a valuable source of information, especially related to CMS priorities and thinking on reimbursement issues. The next CMS Ambulance Open Door Forum scheduled for: Date:  Tuesday, March 19, 2013 Start ...

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New HHS OIG Work Plan – Same Old Stuff for Ambulance Services

The Office of the Inspector General for the Department of Health and Human Services issued the FY 2013 Work Plan today.  The Work Plan only has one specific reference to Ambulance Services; basically it is a repeat of last year's offering: Ambulances—Compliance With Medical Necessity and Level-of-Transport Requirements We will examine Medicare claims ...

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I’ve Received a Subpoena from the Feds . . . Now What? Part 2

Obviously today is not Thursday . . . but I am back today with the follow-up post. In Part 1, I discussed the initial steps if you get a subpoena from a government agency.  Today, what are your obligations if you received a subpoena? First, let your attorney (OK, if you did not get that ...

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I’ve Received a Subpoena from the Feds . . . Now What?

Based on the recent activities of the HEAT strike teams in Texas (see here, here and here) , I would anticipate that many ambulance and other small healthcare providers may be getting subpoenas in the near future.  What should you do if you receive a subpoena from any government agency? This should ...

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City of Dallas Pays Nearly $2.5 Million to Settle Medicare/Medicaid Fraud Claim

Following the jump is a press release from the United States Department of Health and Human Services and Department of Justice regarding claims of upcoding by the Dallas Fire Department for Medicare and Medicaid claims.  I highlight this to note that it is not only the non-emergency ambulance services transporting dialysis patients that are paying ...

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Medicaid Changes Don’t Bode Well for Healthcare System

The New York Times has been reporting extensively on the crisis in Medicaid.  On Wednesday, Robert Pear reported on the growing storm.  Money quote: To hold down costs, states are cutting Medicaid payments to doctors and hospitals, limiting benefits for Medicaid recipients, reducing the scope of covered services, requiring ...

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