Tags » Medicare/medicaid

Report: Government Recovered $3.3B In Health Care Fraud In 2014.

CNBC (3/20) reports in continuing coverage that the Federal government in 2014 “recovered $3.3 billion from companies and individuals that tried to defraud government-run health programs such as Medicare and Medicaid, which primarily cover the elderly and the poor, according to a report issued Thursday” by HHS and the Justice Department. 135 more words


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


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 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 News - 11/05/14

CMS Rejects Request To Pay For End-Of-Life Counseling.
Congressional Quarterly (11/5, Subscription Publication) reports that Medicare “has signaled a willingness to consider paying doctors who counsel patients on end-of-life decisions,” but it’s putting the issue on hold for now. 328 more words


Letters: Rep. Danny K. Davis' Commitment to a Cure for Alzheimer's

Wednesday, October 22, 2014 || By COMMUNITY EDITOR 

Rep. Davis demonstrates commitment to Alzheimer’s disease by supporting two very important pieces of legislation in Washington… 195 more words


Proposed Rule on Conditions of Participation for HHAs — Comments due December 8

On October 9, CMS issued a proposed rule  to update the Conditions of Participation (CoPs) for home health agencies (HHAs). The CoPs are the health and safety rules that all Medicare and Medicaid-participating HHAs must meet. 87 more words