Medicare Compliance & Reimbursement
HEALTH CARE PROVIDERS STILL UNDER THE GUN
DOJ boast sheet touts record-setting fraud haul. Think health care fraud enforcement is easing up after years of aggressive scrutiny? Think again. The feds collected a record-setting $1.6 billion from providers, suppliers and others they suspected of ripping off the Medicare and Medicaid program in fiscal year 2002. "This is the largest return to the government" since enforcement was dramatically stepped up in 1996, the Department of Justice and the Department of Health and Human Services brag in their 2002 Annual Report for the Health Care Fraud and Abuse Control Program. Released Oct. 6, the report tallies the results of enforcement activities undertaken by the DOJ and the HHS Office of Inspector General. The results for 2002:
The exclusions involved Medicare and Medicaid fraud, patient abuse or neglect and license revocations. To see the report, go to www.usdoj.gov/dag/pubdoc/hcfacreport2002.htm. Lesson Learned: Health care providers who run afoul of Medicare and Medicaid rules remain squarely in the cross hairs of government enforcement agencies.
Medicare Compliance & Reimbursement
- HIPAA:
HIPAA SCAMS ON THE RISE
The tell-tale signs of compliance cons - and how to avoid them. From companies offering [...] - Home Health:
HHAs Brace For Scrutiny Of their Patient Outcomes
Bathing, ambulation, oral meds in the national spotlight. The Oct. 21 deadline for national rollout [...] - Medicaid:
COULD BUSH PROPOSE PER CAPITA CAP FOR MEDICAID?
The Bush administration continues urging states to accept its capped-funding plan for Medicaid, but details [...] - Long-Term Care:
CRACKDOWN ON BAD DEBT IS BAD NEWS FOR SNFs
Nursing homes stand to lose thousands of dollars on reimbursement for Medicare bad debt. At [...] - Fraud & Abuse:
HEALTH CARE PROVIDERS STILL UNDER THE GUN
DOJ boast sheet touts record-setting fraud haul. Think health care fraud enforcement is easing up after years [...] - Medicare Reform:
MEDICARE VS. MEDICAID: WHO SHOULD PAY FOR DUAL ELIGIBLES?
The Bush administration continues to believe that people dually eligible for Medicare and Medicaid should [...] - PBMs:
CHARGES PILE ON IN MEDCO WHISTLEBLOWER SUIT
PBM giant faces False Claims Act charges. It was bad enough for pharmacy benefits manager [...] - DME:
HOW ONE SUPPLIER BEAT OFF THE FEDS IN A WHISTLEBLOWER SUIT
A False Claims Act case is on shaky ground when on one is clear on [...] - Physicians:
WHEN A PATIENT TURNS INTO A WHISTLEBLOWER...
Michigan doctor on the line for more than $500,000. Doctors can't be in two places at [...] - BILL WATCH
For the second week in a row, no Medicare or Medicaid bills were introduced in [...] - PROGRAM MEMO ROUNDUP
The Centers for Medicare & Medicaid Services Oct. 1 released the latest round of new [...]
