OIG: CMS improperly paid $84M for SNF services 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.
Cognizant pays $25M to settle bribery case against former execs 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.
CMS still hasn’t recouped $1.8B in Medicaid overpayments 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.
Medicare improperly paid $34M to suppliers: OIG 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.
CMS achieves lowest improper payment rate since 2010 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.
Billions in ‘questionable payments’ went to CA Medicaid insurers by Chad Terhune, Kaiser Health News Monday, November 5, 2018 California’s Medicaid program made at least $4 billion in questionable payments to health insurers and medical providers over a four-year period.
Proposed MA audit changes could put insurers on the hook by Evan Sweeney Monday, October 29, 2018 CMS expects to collect $4.5 billion in improper payments thanks to a proposal that would expand the agency's auditing capabilities.
OIG pegs improper inpatient rehab payments at $5.7B by Evan Sweeney Wednesday, October 3, 2018 Of the nearly $7 billion Medicare paid to inpatient rehab hospitals in 2013, $5.7 billion was deemed improper.
RACs returned $214M to Medicare in 2016 by Evan Sweeney Wednesday, September 19, 2018 Recovery audit contractors (RACs) returned $214 million to the Medicare program in fiscal year 2016.
Studies often fall short on conflict-of-interest disclosures by Rachel Bluth, Kaiser Health News Thursday, August 16, 2018 Many articles in medical journals are missing a key piece of information: the financial ties of the authors.