Medicaid Recovery Audit Contractors will not be replacing existing program integrity contractors, according to new guidelines from the Centers for Medicare & Medicaid Services.
Federal funding for age-related diseases and illnesses is declining, report finds
May 24, 2011
One of the realities of the national budget crisis is that government funding for age-related health conditions — particularly Alzheimer’s — is drying up, says a new report from the Alzheimer’s...
Clinical briefs for Wednesday, March 30
By
Alicia Lasek
Mar 30, 2022
Senators want answers on Medicaid recipients’ low vaccination rates … FDA approves diabetes drug Ozempic (semaglutide) in 2 mg dose … COVID-19 infection plus flu a dangerous combination: study …...
Sun lowers earnings forecast for 2009
Sep 10, 2009
Sun Healthcare Group Inc. has altered its earnings forecast downward for 2009 as a result of the estimated impact of changes to Medicare and Medicaid reimbursement.
Pfizer to pay record $2.3 billion for promoting drugs unlawfully
Sep 03, 2009
Pfizer Inc., the largest drug maker in the world, will pay a record $2.3 billion in criminal and civil fines over illegal promotions of four prescription drugs.
PointRight develops new Medicaid case mix management tool with Zimmet
By
Steven Littlehale
Aug 03, 2011
PointRight Inc. announced the development of CMI Now. This comprehensive Medicaid Case Mix Index management tool helps post-acute providers in New York and New Jersey better monitor and manage their Medicaid...
NAACP: Medicaid expansion would negate lost subsidies in NC
By
John Hall
Mar 04, 2015
The NAACP is pushing hard for lawmakers to approve Medicaid expansion efforts in North Carolina to give half a million state residents an alternative should they lose private insurance subsidized by the...
NY nursing home agrees to $2.2 million settlement in case of false documentation
By
Tim Mullaney
Aug 21, 2014
Nursing home operator Ralex Services Inc. has agreed to a $2.2 million settlement in a whistleblower case involving forged documents at a facility in New Rochelle, New York.
Webcast today offers free advice on clinical reimbursement
Feb 29, 2008
This day (leap day) happens only once every four years. But today is notable for another unique event: a McKnight’s webcast on payment. It will offer tips and expert advice on clinical reimbursement...
Medicare, Medicaid short physicians, hospitals nearly $90 billion annually
Dec 10, 2008
Medicare and Medicaid underpay physicians and hospitals by roughly $88.8 billion every year, which means privately insured patients are picking up the tab, according to a new study.