Healthcare waste accounts for a third of all spending, government official says
By
McKnight's Staff
May 02, 2012
With healthcare waste taking up to a third of all healthcare costs, reducing waste and fraud remain primary goals of the Office of the Inspector General, the head of the agency said Monday.
CMS issues final rule on provider identification number
By
McKnight's Staff
Apr 25, 2012
Providers and suppliers who submit claims to Medicaid and Medicare must include an identification number on enrollment applications and payment claims, according to a final rule.
Medicare enhances readability and fraud protections with streamlined benefit statements
By
McKnight's Staff
Mar 08, 2012
Medicare recipients soon will be reaping the benefits of simplified benefit statements and will see added protections against Medicare fraud, the Centers for Medicare & Medicaid Services announced Wednesday.
OIG: Cutting Medicare and Medicaid fraud still a top concern
Feb 03, 2012
Eliminating Medicare and Medicaid fraud should be a priority for the Department of Health and Human Services as it works to implement healthcare reform programs, according to a new report.
CMS clarifies provider termination criteria
Jan 24, 2012
The Centers for Medicare & Medicaid Services has clarified the terms under which states can terminate a provider’s participation in state Medicaid programs.
J & J pays $158 million to settle Texas Medicaid fraud lawsuit
Jan 23, 2012
Johnson & Johnson has agreed to pay $158 million to settle a Medicaid fraud lawsuit. The lawsuit accused J & J subsidiary Janssen Pharmaceuticals of giving state officials kickbacks in exchange for putting...
Hospice company AseraCare allegedly defrauded Medicare by cycling beneficiaries through nursing homes and hospice care, according to a whistle-blower suit announced this week.
Former TX administrator convicted of healthcare fraud, anti-kickback violations
Dec 13, 2011
A former nursing home administrator was found guilty of receiving illegal payments for referring residents for fraudulent ambulance transport services.
Berwick decries Medicare and Medicaid fraud and waste in parting interview
Dec 06, 2011
On the heels of his departure from the Centers for Medicare & Medicaid Services, Donald Berwick, M.D., said he came to Washington with an agenda to eliminate waste from the system.
Report: CMS should boost reporting of fraud, abuse
Aug 03, 2011
While the Centers for Medicare & Medicaid Services has made strides in reducing Medicare fraud and abuse, the agency’s sheer size leaves it vulnerable, a new report shows.