Federal government needs to boost Medicaid managed care oversight, GAO says
By
Tim Mullaney
Jun 20, 2014
The government’s oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released...
Medicare claims reviews should be more streamlined, government report states
By
Tim Mullaney
May 23, 2014
The government could improve Medicare oversight by creating a more uniform and unified post-payment review system, according to a report from federal officials.
GAO: Clean up claims reviews
By
Elizabeth Newman
Oct 01, 2013
Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.
GAO report calls for more consistency investigating Medicare post-payment claims
By
Elizabeth Newman
Aug 26, 2013
Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.
GAO: Review process rushed
By
James M. Berklan
Aug 01, 2013
Medicare Administrative Contractors started a manual review process for outpatient therapy claims too quickly, setting the stage for chaos in late 2012, a government review has revealed.
Replace FMAP with Medicaid funding system that better accounts for seniors, government report says
By
McKnight's Staff
May 15, 2013
The federal government could distribute Medicaid dollars to states more effectively by looking at data that better reflects the needs of nursing home residents and workers, according to a new report from...
Fraud-fighting efforts not much to brag about
By
John O'Connor
Nov 30, 2012
In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.
GAO: Medicaid eligibility screening for long-term care is inconsistent across states
By
McKnight's Staff
Aug 28, 2012
The extent to which states conduct asset verification checks on those seeking Medicaid coverage for long-term care varies greatly by state, a government report finds.
States see spike on supplemental Medicaid spending
By
McKnight's Staff
Aug 21, 2012
States spent $9 billion more on supplemental Medicaid payments in 2010 than it did four years previously, according to a government investigation requested by Congress.
GAO: States still need to meet critical guidelines in implementing Medicaid expansion
By
McKnight's Staff
Aug 07, 2012
Even the states that have committed to expanding their Medicaid programs under the Affordable Care Act want additional guidance from the government, a new federal report finds.