OIG: Cutting Medicare and Medicaid fraud still a top concern
Feb 03, 2012
Eliminating Medicare and Medicaid fraud should be a priority for the Department of Health and Human Services as it works to implement healthcare reform programs, according to a new report.
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
Federal healthcare fraud initiative will vigorously scrutinize provider claims
Jul 27, 2012
A new federal fraud-fighting initiative will apply increased scrutiny to provider health claims submitted to both government and private payers, government officials announced Thursday.
Feds target individuals, not just companies, in healthcare fraud cases
Jun 01, 2011
In an effort to crack down on healthcare fraud repeat offenders, the federal government is going after individuals at nursing home chains, drug companies, medical device manufacturers and other providers...
Report: Nursing home therapy reimbursement under review as reform law toughens up
Mar 30, 2010
Healthcare analysts at the Department of Health and Human Services are re-evaluating Medicare’s “ultra-high” billing category for therapy services in skilled nursing facilities as a potential...
Lawmakers call for public disclosure of Medicare payments, ask for input on post-acute reforms
By
McKnight's Staff
Jun 20, 2013
The battle against Medicare waste, fraud and abuse heated up on Capitol Hill this week. Lawmakers introduced a bill to make Medicare claims and payments publicly available and asked for provider input...
Veterans Affairs plans to borrow from the CMS fraud-prevention playbook
By
Kimberly Marselas
Jan 24, 2018
The Centers for Medicare & Medicaid Services will share its best fraud prevention tactics used against nursing homes and other providers with the U.S. Department of Veterans Affairs, the agencies said...
Obama’s FY 2011 budget to extend FMAP increase, ramp up anti-fraud efforts
Feb 01, 2010
President Obama is scheduled to unveil his FY 2011 federal budget proposal today. The blueprint would provide states with some additional Medicaid funding and crack down on Medicare and Medicaid fraud.
Senators blast Medicare audits, say RAC payments should be changed
By
Tim Mullaney
Jul 10, 2014
The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during...
Brokers stole dying nursing home residents’ identities to carry out a lucrative fraud, SEC charges
By
Tim Mullaney
Mar 14, 2014
Two investment brokers and their associates are facing charges that they stole nursing home residents’ personal information to perpetrate annuities fraud, the U.S. Securities and Exchange Commission...