Improper Payments news from FierceHealthcare
NewsState owes $35M in Medicaid errors
Although hospitals in New Hampshire cut their state tax fee by $50 million last month, the state will be paying $35.8 million back to the federal government starting next year. According to the Read more...
Hospitals worried about Medicare RAC prepayment audits
Hospitals and other providers are concerned about the administrative burden that comes along with the administration's crackdown on improper payments. Through new pilots, Medicare will conduct Read more...
Dow Jones sues to expose Medicare payment data on crooked docs
Since 1979, a court injunction has blocked access to Medicare records that would reveal which doctors are bilking the $500 billion system. Yesterday, Dow Jones & Company, the Wall Street Read more...
CMS' failure to act on RAC findings has resulted in $231 million loss, GAO finds
CMS could have collected an additional $231 million in Medicare overpayments during the three-year Recovery Audit Contractor demonstration, had it taken steps to actually correct the Read more...
HHS faces fraud, billing challenges in 2009
A new report by the HHS Office of the Inspector General concludes that protecting Medicare, Medicaid and the State Children's Health Insurance Program from fraud and billing mistakes will prove to be Read more...
CMS reports lower error rate for 2008
Apparently, having Recovery Audit Contractors in the news frequently has pushed some providers to change their coding practices. CMS has reported that the 2008 error rate for fee-for-service payments Read more...
Auditor brings whistle-blower suit against FL hospital district
The former internal audit director for a South Florida-based public-health system has filed a whistle-blower suit claiming that he was fired after challenging improper payments to its chief Read more...
CMS: RAC program has recovered more than $1B
CMS has released a new report stating that Medicare has recovered more than $1 billion through the Recovery Audit Contractor program since 2005, with 85 percent of the money having been taken back Read more...
| Press ReleasesVerizon Makes Its Health Care Fraud-Detection Platform Available to Government and Private Health Insurers Throughout the U.S.NEW YORK, Nov. 16, 2011 /PRNewswire/ -- Building technology to help transform the health care industry, Verizon is making available to government and private health insurers throughout the U.S. an Read more >> HPA Harnesses the Power of "Big Data" to Generate Big Savings in Healthcare SpendingHealth Mason Robotic Payment Processing Solution Automatically Analyzes Gigabytes of Provider/Payer Data to Catch Errors, Stop Insurance Providers from Paying Erroneous Claims that Cost Billions Each Read more >> Vice President Biden announces over $2 billion in anti-waste measures at Cabinet meetingNew initiatives led by campaign to cut waste will save Medicaid waste and strengthen partnership with states to reduce improper unemployment insurance payments WASHINGTON--(BUSINESS WIRE)-- At the Read more >> Fifth Annual National Predictive Modeling Summit Features Ten Plenary Sessions on Critical Health Care Predictive Analytic- CONFERENCE AVAILABLE ONLINE AS WELL AS ONSITE IN WASHINGTON DC ON NOVEMBER 8-9, 2011 - WASHINGTON--(BUSINESS WIRE)-- The Fifth Annual Predictive Modeling Summit, the leading forum on predictive Read more >> WellPoint's National Government Services Subsidiary Teams With Northrop Grumman on Centers for Medicare & Medicaid Services FrauINDIANAPOLIS, July 20, 2011 /PRNewswire/ -- WellPoint, Inc. (NYSE: WLP) announced today that its National Government Services (NGS) subsidiary is partnering with Northrop Grumman to provide Read more >> |
