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  2. Azar v. Allina Health Services - Wikipedia

    en.wikipedia.org/wiki/Azar_v._Allina_Health_Services

    Azar v. Allina Health Services, 587 U.S. ___ (2019), was a United States Supreme Court case in which the Court held the Department of Health and Human Services' new policy to retroactively reduce Medicare payments must be vacated due to the department's failure to uphold its notice-and-comment obligations.

  3. Medicare fraud - Wikipedia

    en.wikipedia.org/wiki/Medicare_fraud

    Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...

  4. Recovery Audit Contractor - Wikipedia

    en.wikipedia.org/wiki/Recovery_Audit_Contractor

    DHHS, through its Centers for Medicare and Medicaid Services (CMS) branch, began the program in 2005, using Recovery Audit Contractors to perform the actual work of reviewing, auditing, and identifying improper Medicare payments. At the inception of the program, it focused on Medicare payments in the states of California, New York, and Florida.

  5. False Claims Act of 1863 - Wikipedia

    en.wikipedia.org/wiki/False_Claims_Act_of_1863

    PPACA clarified the changes to the FCA made by FERA. Under PPACA, overpayments under Medicare and Medicaid must be reported and returned within 60 days of discovery, or the date a corresponding hospital report is due. Failure to timely report and return an overpayment exposes a provider to liability under the FCA. Statutory Anti-Kickback Liability.

  6. Social Security Rules Could Result in Pension-Eligible ... - AOL

    www.aol.com/social-security-rules-could-result...

    Social Security Rules Could Result in Pension-Eligible Recipients Having Benefits Taken Back — How To Plan for Overpayments Vance Cariaga December 6, 2023 at 9:51 AM

  7. Federal Insurance Contributions Act - Wikipedia

    en.wikipedia.org/wiki/Federal_Insurance...

    Median household income and taxes. The Federal Insurance Contributions Act (FICA / ˈ f aɪ k ə /) is a United States federal payroll (or employment) tax payable by both employees and employers to fund Social Security and Medicare [1] —federal programs that provide benefits for retirees, people with disabilities, and children of deceased workers.

  8. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4]

  9. File:The Social Security (Overpayments and Recovery ...

    en.wikipedia.org/wiki/File:The_Social_Security...

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