Medicaid directors propose reforms for fraud-detection programs
By
McKnight's Staff
Jul 03, 2012
State Medicaid directors outlined several different strategies for streamlining collaboration between Medicare and Medicaid antifraud efforts in a June 29 letter to members of the Senate Finance Committee.
Providers to need NPI for Medicare, Medicaid enrollment and reimbursement
May 05, 2010
In an effort to crack down on healthcare fraud, the Centers for Medicare & Medicaid Services this summer will require all providers and suppliers who qualify for a National Provider Identifier (NPI) to...
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
CMS doubles funding for Senior Medicare Patrol program activities
Oct 04, 2010
The Centers for Medicare & Medicaid Services on Friday disclosed the availability of $9 million in grants to expand Senior Medicare Patrol (SMP) programs across the country. The purpose of the programs...
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.
Feds pledge fraud enforcement surge, while others seek whistleblowers
By
Kimberly Marselas
Sep 29, 2021
Skilled nursing providers will remain in the crosshairs as fraud enforcement picks up post-COVID, but it’s not just federal officials taking aim, according to one of the government’s top healthcare...
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...