Tags » Medicare/medicaid

Medicare To Pay Monthly Fee For Doctors To Coordinate Chronic Care For Seniors.

The AP (1/11, Neergaard) reports that in an effort to “help patients stay healthier between doctor visits, and avoid pricey hospitals and nursing homes,” Medicare will start paying primary care physicians “a monthly fee to better coordinate care for the most vulnerable seniors.” The AP notes that the monthly fee “marks a big policy shift” in the Medicare program that usually pays for services at the doctor’s office. 53 more words

Medicare/Medicaid

AHA Blames Medicare Recovery Audit Contractors Process For Appeals Backlog.

Bloomberg BNA (12/17) reports that the American Hospital Association “recently blamed Medicare Recovery Audit Contractors (RACs) for the backlog” of Medicare claims appeals and called for reforms of the RAC process. 54 more words

Medicare/Medicaid

Medicare Launches Program To Combat Fraud By Ambulance Companies.

Kaiser Health News (12/2) reports that seniors living in three states “will need prior approval from Medicare before they can get an ambulance to take them to cancer or dialysis treatments.” The change, which began on Monday, is part of a three-year pilot program intended to combat “extraordinarily high rates of fraudulent billing” by ambulance companies in Pennsylvania, New Jersey and South Carolina. 29 more words

Medicare/Medicaid