Federal court dismisses whistleblower lawsuit over Omnicare, PharMerica withholding generic drugs
By
Tim Mullaney
Aug 18, 2014
A federal court in New York has tossed a whistleblower lawsuit charging that large long-term care pharmacies violated the False Claims Act by failing to dispense requested generic drugs.
Smart cards would do little to curtail Medicare fraud: GAO
By
John Hall
Apr 28, 2015
Medicare beneficiary smart cards would have a limited impact on reducing fraud and could even introduce “new, more sophisticated fraud schemes,” a new report by the Government Accountability...
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
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).
Report: Medicare should cover nutritional counseling for chronic conditions
Dec 20, 2011
Medicare should reimburse for medical nutrition therapy (MNT) — or consultations with a registered dietician — to prevent and treat chronic health conditions such as hypertension, obesity, cancer and...
House committee puts Medicare audit contractors on the hotseat
By
McKnight's Staff
Jul 10, 2012
Lawmakers are asking Medicare contractors for more information about how they go about identifying and reporting potentially fraudulent payments to the Centers for Medicare & Medicaid Services.
New bill would limit power of Medicare recovery audit contractors
By
McKnight's Staff
Oct 17, 2012
Legislation introduced Tuesday aims to reduce some of the authority Medicare’s recovery audit contractors (RACs) wield over investigations into provider claims.
RAC audits: Skilled nursing facilities accounted for miniscule portion of 2011 Medicare overpayments
By
McKnight's Staff
Feb 07, 2013
Skilled nursing facilities accounted for only about $200,000 of $797 million in collected Medicare overpayments in 2011 identified by Recovery Audit Contractors, according to an annual audit report released...
Critics of nursing-home hospices suspicious of revenue
Jan 31, 2011
When a major lobbying group trumpeted the long-term care industry’s status as an economic and job-creating powerhouse last week, critics took the opportunity to press for further inquiries into how...
Federal judge to troubled operator: Exhaust other options before you make a federal case
By
James M. Berklan
Jun 11, 2013
A facility with a history of safety deficiencies must exhaust its administrative options before seeking relief in the courtroom, a district court judge ruled. Moreover, the requested temporary injunction...