Topic: Improper Payments

HHS releases Stark Law overhaul to encourage value-based deals

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.

by Jacqueline Renfrow

Thursday, February 21, 2019

An HHS investigation discovered that CMS paid millions of dollars for skilled nursing facility services without meeting the proper guidelines.

by Heather Landi

Tuesday, February 19, 2019

Cognizant will pay the SEC a $25 million settlement, while the DOJ indicted two former executives, all related to an alleged bribery scheme in India.

by Evan Sweeney

Thursday, December 13, 2018

CMS has failed to recover more than half of the nearly $3 billion in Medicaid overpayments identified by auditors over an 11-year period.

by Eli Richman

Wednesday, December 5, 2018

The OIG also found that beneficiaries spent $8.7 million in unnecessary deductibles and coinsurance from 2015-2017.

by Eli Richman

Friday, November 16, 2018

Improper payments reached an eight-year low of 8.12% in the Medicare fee-for-service program this year.

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