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...
Feds recover record $4 billion from fraudulent healthcare claims
Jan 25, 2011
The U.S. departments of Justice and Health and Human Services recovered a total of $4 billion in fiscal 2010 from healthcare fraud cases prosecuted under the False Claims Act, according to a new report...
U.S. announces new Medicaid audit program aimed at preventing fraud
Nov 08, 2010
The Centers for Medicare & Medicaid Services announced late Friday new rules aimed at stopping improper Medicaid payments to providers. Taking a page from the Medicare program, regulators have proposed...
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...
CMS may require more stringent provider screening for Medicare, Medicaid enrollment, participation
Sep 22, 2010
Some healthcare providers would be subject to criminal background checks and fingerprinting under a new fraud-prevention plan from the Centers for Medicare & Medicaid Services.
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...
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...
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.
HHS: Anti-fraud summit could help reduce wasteful Medicare, Medicaid spending
Nov 02, 2009
The Department of Health and Human Services is considering convening a Medicare and Medicaid anti-fraud summit meeting. It would be one way to reduce wasteful spending and combat fraud, a representative...
State privacy laws could be slowing electronic medical record adoption
Jul 14, 2009
The call for widespread adoption of electronic medical records has prompted some states to pass stringent privacy laws to protect their residents against fraud or identity theft. But a new analysis finds...