Medicare Compliance & Reimbursement
Congressional Hearings Examine Medicaid Waste
The U.S. Senate has turned its attention to waste, fraud and abuse in the Medicaid program. The Senate Finance Committee held two days of hearings on the topic in June, which is gaining increased attention as Congress grapples with ways to rein in spending on the program.
"We have a duty to sustain Medicaid for low-income Americans, including children, pregnant women, individuals with disabilities and the elderly," said Chairman Charles Grassley (R-IA). "Coupled with this duty is a duty to taxpayers to ensure that monies spent on Medicaid are actually spent on patient care and not lost to fraud, waste and abuse."
Among those testifying were Inspector General Daniel Levinson, Government Accountability Office Director Leslie Aronowitz and Dennis Smith of the Centers for Medicare & Medicaid Services. For more details on the hearings, visit www.finance.senate.gov/sitepages/hearings.htm.
Medicare Compliance & Reimbursement
- PHYSICIANS:
Docs Can Dole Out DMEPOS-With Personal Touch
Beware of satellite offices that don't practice medicine.
Physicians who are sending out referrals for services [...] - PHYSICIANS:
Legislators Press CMS On Physician Payments
Nixing certain drugs from formula would help avoid steep cuts.
Avoiding an estimated 31 percent pay [...] - MEDICARE PART D:
Drug Benefit May Harm More Than Help
'Clawback' payments could give states incentives to drop dual eligibles.
Many low-income individuals who are eligible [...] - MEDICAID:
Congressional Hearings Examine Medicaid Waste
Grassley wants answers on overspending.
The U.S. Senate has turned its attention to waste, fraud and [...] - PAY FOR PERFORMANCE:
AARP Fancies P4P Bill
...and no one should discount this organization's infulence.
The powerful AARP has come out in support [...] - PHARMACEUTICALS:
CAP Vendors-Too Much Trouble?
CMS refuses to recognize program's administrative burden.
The Centers for Medicare and Medicaid Services is doing [...] - PHARMACEUTICALS:
Providers Frustrated By CMS CAP Get Relief
Now, doctors get a weeklong window to provide drugs.
While it is far from a complete [...] - REHAB:
Fight For Knee-Replacement Patients Could Start Soon
New rehab rule will set off a scramble among HHAs, SNFs and other facilities.
The Centers [...] - LONG-TERM CARE:
LTC Providers Must Be Ready To Move On P4P
Pay attention to quality measures, or P4P transition will hurt more.
If Medicare links reimbursement to [...] - ENFORCEMENT WATCH:
Want Civil And Crimianl Fines? Commit Rx Drug Fraud
How an undercover MFCU investigator can expose a pharmacy fraud scheme.
Providers that bill Medicaid for [...] - MEDICARE ADVANTAGE:
MA's Mass Appeal Ascends As CMS Makes Adjustment
New out-of-pocket savings to benes makes plan popular in 2005.
Medicare Advantage health plans will soon [...] - BILL WATCH
The following bills were introduced in the Senate: S. 1385. A bill to amend part [...]
