Medicare Billing news from FierceHealthcare
NewsUPMC incorrectly billed Medicare for same-day readmissions
Following federal recommendations, the University of Pittsburgh Medical Center (UPMC) has refunded $26,547 for overcharging Medicare with incorrectly billed same-day readmissions, reported the Read more...
HMA ex-employee alleges fraud, sues for wrongful termination
Florida hospital operator Health Management Associates is facing a wrongful termination lawsuit for what an ex-employee says is retaliation for blowing the whistle on alleged Medicare billing fraud, Read more...
Boston Medical Center owes $90K for Medicare billing errors
Boston Medical Center was overpaid $89,724 after the hospital incorrectly coded and billed for 7,520 claims on behalf of the physicians, the Office of Inspector General (OIG) recently reported. Read more...
Hospital cites misunderstanding in $420K Medicare billing errors
A hospital's billing errors resulted in $420,000-worth of Medicare overpayments in a fourth of its claims over two years, according to an Office of Inspector General (OIG) report released this week. Read more...
Poor oversight of Medicare billing, coding costs hospital $341,000
Sure, Medicare’s maze of billing and coding requirements is difficult to understand. And sometimes your software vendor doesn’t quite keep up with all the twists and turns. But those Read more...
Grassley: Are high prescription rates a sign of fraud?
A Miami doctor wrote nearly 97,000 prescriptions in 18 months for mental health drugs. An Ohio physician wrote more than 100,000 prescriptions in two years. A Texas doctor wrote more than 14,000 Read more...
'Ultra-high' Medicare billing category for nursing homes has been abused for millions of dollars
An "ultra-high" billing category created by Medicare for nursing homes more than 10 years ago has been abused, potentially for billions of dollars annually in overpayments, reports the Washington Read more...
HHS Inspector General questions care provided by non-physicians
The HHS Office of the Inspector General has released a report expressing concern that too many services are being performed in physicians' offices by unqualified second parties. Right now, Medicare Read more...
HHS: 60 percent of DME companies banned by Medicare may keep billing
The HHS' Inspector General's office has released a report on a small study of durable medical equipment companies whose Medicare billing privileges had been revoked, and the news is not good. As Read more...
CoxHealth to pay $60M to settle with feds
Springfield, MO-based health system CoxHealth has agreed to pay $60 million to resolve a myriad of charges related to its financial relationships with referring physicians and its Medicare billing Read more...
| Press ReleasesAnesthesia Business Consultants Urges Anesthesia Providers to Revalidate Their Medicare Enrollment as Soon as Their CarrieJACKSON, Mich.--(BUSINESS WIRE)-- Anesthesiologists, nurse anesthetists and anesthesiologist assistants who last validated their enrollment in Medicare prior to March 25, 2011 are going to have to Read more >> Prime Healthcare Should Be Denied New Hospital Licenses Until Federal, State Investigations into Extraordinarily High SeptOAKLAND, Calif.--(BUSINESS WIRE)-- In the wake of a new exposé by California Watch and published in the San Francisco Chronicle, Sacramento Bee, Orange County Register and other media outlets Read more >> |
