SNF owner led record $1 billion Medicare fraud ring, authorities say
By
James M. Berklan
Jul 25, 2016
The owner of more than 30 Miami-area nursing homes and assisted living facilities has been charged with leading a national record $1 billion-plus Medicare fraud scheme.
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...
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...
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.
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...
Medicare antifraud efforts paying off, experts say
By
McKnight's Staff
Aug 21, 2012
Although Medicare’s fraud detection tactics have been sharply criticized by lawmakers and provider groups, federal officials say efforts are paying off.
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...