Topic: Improper Payments

DOJ sues Anthem over Medicare Advantage fraud claims

by Robert King

Thursday, March 26, 2020

The New York U.S. attorney sued Anthem for not properly deleting inaccurate diagnosis codes to get more dollars from Medicare.

by Robert King

Monday, January 13, 2020

Hospital groups have filed a new lawsuit to stop CMS from cutting payments to off-campus outpatient clinics this year.

by Robert King

Monday, November 18, 2019

Medicare's improper payment rate fell to its lowest level since 2010, as CMS touts new fraud prevention measures.

by Robert King

Tuesday, November 12, 2019

CMS released a proposed rule to crack down on states that use a variety of schemes to get higher federal Medicaid payments.

by Robert King

Thursday, October 31, 2019

CMS released proposed rules to spur the use of innovative kidney drugs and to create a permanent home infusion benefit.

by Robert King

Wednesday, October 9, 2019

HHS proposed changes to the Stark Law to make it easier for hospitals and doctors to make value-based care arrangements

by Robert King

Wednesday, August 28, 2019

Insurers and physicians believe the Centers for Medicare & Medicaid Services' proposal to overhaul Medicare Advantage audits is unfair and illegal.

by Tina Reed

Tuesday, June 18, 2019

The Centers for Medicare & Medicaid Services reached a settlement with inpatient rehabilitation hospitals in disputes over denied Medicare claims.

by Jacqueline Renfrow

Monday, June 17, 2019

Texas Gov. Greg Abbott signed Senate Bill 1264, which eliminates surprise billing for Texas patients.

by Tina Reed

Monday, June 3, 2019

Increased scrutiny around industry payments to oncologists appears to have done little to stymie those relationships, a new study found.

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