Stories of healthcare fraud fugitives--captured and at large--have pervaded recent news.
Although Medicare began paying for weight loss counseling three years ago and about 30 percent of Medicare members were eligible for the services, less than 1 percent of members have actually used the benefit. Here are three ways a weight loss counseling program can fail.
It's a matter of faith that most hospitals earn the biggest margins on patients that have private insurance. But a new study indicates that acute care facilities routinely clean up on such patients.
The Medicare enrollment process is daunting enough as it is. Now a pair of new reports highlight ways the government is making it even harder for seniors to get information about their benefits--and the consequences to beneficiaries.
The U.S. Securities and Exchange Commission is investigating whether insider trading took place during a 2013 incident in which financial institutions were tipped off that Medicare was about to raise reimbursement rates.
Hospitals that received manufacturer credits for replacing cardiac medical devices didn't to pass the savings along to Medicare through required claims adjustments, an Office of Inspector General audit found.
Physician assistants, who frequently provide primary care services to patients under the direct supervision of a doctor, are often the focal point for fraud.
When patients receive hospice care, their hospitalization rate decreases and they incur fewer health costs, according to a new study from the Journal of American Medical Association.
Medicare payments have shot up for high-tech tests that detect frequently-abused drugs: In 2012, program spending for 22 of these urine tests was $445 million, which represents a 1,423 percent increase over five years, according to the Wall Street Journal.
Despite a negative recommendation from its own review panel, the Centers for Medicare & Medicaid Services on Monday issued a proposed decision memo approving low-dose CT screening for Medicare patients.