Tennessee needs to toughen up its Medicaid false claims law, the federal government says, and that might not be good for providers.
Nursing home advocates are expected to kick into high-gear defense mode after a new federal report asserted Tuesday that providers are overcharging Medicare to the tune of $1.5 billion annually.
A major hospital group has called for a federal investigation into mistakes made by recovery audit contractors. "Numerous inaccuracies" often result in improperly denied payments and decisions that go unpenalized, laments a letter sent by an American Hospital Association leader.
Federal officials have brought down what they said is the largest home health fraud scheme ever concocted. The Centers for Medicare & Medicaid Services said around $375 million was billed incorrectly to Medicare and Medicaid, and announced the suspension of 78 home health agencies associated with physician Jacques Roy, M.D., of Rockwall, TX.