Under the Affordable Care Act (ACA), providers have to recertify their Medicaid reimbursement eligibility. Because of this provision, more than 65,000 providers across 15 states lost their spots on the Medicaid roll, according to...Read More »
Radiation oncology services billed to CMS had a 9.6% improper payment rate in 2015, leading to Medicare improperly pay $137 million for these services, according to a study reported in the January 2016 Medicare Quarterly Compliance Newsletter,...Read More »
HealthGrades, the online healthcare provider rating service, released its widely read list of America's 50 and 100 Best Hospitals for 2017, with few changes seen from the 2016 list,...Read More »
A False Claims Act lawsuit accuses UnitedHealthcare Group of a scheme which may have allowed its subsidiaries and other insurers to improperly overcharge Medicare by “hundreds of millions — and likely billions — of dollars,”...Read More »
Accused of misreporting malnutrition in a January 2017 OIG audit, Vidant Medical Center, a 909 bed acute care teaching hospital, fought back with a collaborative rebuttal of the findings published alongside the original audit results.Read More »
CMS awarded roughly $100 million in aid to 11 small physician practice organizations to help meet Quality Payment Program (QPP) initiatives, according to a February 17 news...Read More »
