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  2. Ten doctors, two pharmacy execs indicted in North Texas ... - AOL

    www.aol.com/ten-doctors-two-pharmacy-execs...

    Ten doctors, two pharmaceutical executives and two businesses have been indicted in a scheme to bribe doctors for prescriptions, U.S. Attorney for the Northern District of Texas Leigha Simonton ...

  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. Lexington doctor took part in Medicare fraud of more than $28 ...

    www.aol.com/lexington-doctor-took-part-medicare...

    The doctor allegedly wrote thousands of prescriptions for equipment and services that were medically necessary.

  5. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    NCD decisions are binding on all Medicare contractors, and LCD policy can be no more restrictive than the NCD, although it can be less restrictive. [2] If an NCD or other coverage provision states that an item is "covered for diagnoses/conditions A, B and C", contractors should not use that as a basis to develop an LCD to cover only "diagnoses ...

  6. Medicare Access and CHIP Reauthorization Act of 2015

    en.wikipedia.org/wiki/Medicare_Access_and_CHIP...

    Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.

  7. Does Medicare cover Ozempic? Yes — but it depends on your Rx

    www.aol.com/finance/does-medicare-cover-ozempic...

    The average cost Medicare Part D paid per dose was $468.24, increased from $452.72 in 2021. ... You'll need a written order from your doctor or qualified non-physician practitioner. Medicare ...

  8. Major Diagnostic Category - Wikipedia

    en.wikipedia.org/wiki/Major_Diagnostic_Category

    MDC Description MS-DRG [1] [2]; 0 Pre-MDC 001 - 017 1 Diseases and Disorders of the Nervous System 020 - 103 2 Diseases and Disorders of the Eye 113 - 125

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