The Centers for Medicare & Medicaid Services on Tuesday made official its plan to postpone implementation of a new rule on collecting hundreds of millions of dollars in overpayments until Feb. 16, 2016...
Federal judge orders the return of $90 million in Medicaid credits
By
John Hall
Feb 18, 2015
The state of Georgia may be the mouse that roared after convincing a federal court last week to force the government to return a bungled $90 million credit, even after ruling Health & Human Services had...
Nursing home owner facing $3 million Medicaid bill gets jail time for financial misdeed
By
Tim Mullaney
Jun 12, 2014
A former nursing home owner who faces criminal charges and allegedly owes millions to Medicaid has been sentenced to 90 days in jail, Iowa officials announced Wednesday.
When numbers are drawn out by healthcare auditors and red flags wave
By
Elizabeth Newman
Feb 20, 2014
The takeaway in a story last week about extrapolation and Medicare overpayments is, natch, how meticulous providers should be when filing claims — and to understand how individual claim problems can...
Medicare has two more years to reclaim any overpayments
By
James M. Berklan
Feb 01, 2013
Providers will have to hold their breath a little longer after receiving Medicare payments, thanks to a little-publicized provision of recently signed fiscal cliff legislation.
OIG? OMG! One lump problem
By
Shelly Mesure, MS, OTR/L
Jan 23, 2013
The Office of the Inspector General’s recent report about what it calls $1.5 billion in inappropriate Medicare payments to skilled nursing facilities should be yet another wake-up call to providers.
OIG: Medicare contractors, antipsychotics in SNFs to get a closer look
By
McKnight's Staff
Oct 04, 2012
The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.
Medicare overpaid inpatient rehab facilities by $8.4 million, OIG says
By
McKnight's Staff
Sep 18, 2012
Inpatient rehabilitation facilities (IRFs) were overpaid by Medicare by $8.4 million between calendar year 2009 and 2010, a government report reveals.
OIG should streamline Medicare’s self-disclosed overpayment protocol, provider group says
By
McKnight's Staff
Aug 23, 2012
Federal officials need to provide clearer guidance and offer a more streamlined protocol for providers willing to self-disclose Medicare overpayments, a leading long-term care group says.
OIG: Regulators need to sharpen retrieval of Medicare overpayments made to providers
By
McKnight's Staff
May 25, 2012
Medicare recovery audit contractors have not been diligent enough in collecting previously identified overpayments, a government investigation finds.