Lack of Oversight and Opportunities for Fraud Appear to be Driving Upswing in COVID-19 Testing Costs
Medicare spending on COVID-19 testing in 2022 outpaced 2020 and is expected to exceed 2021 spending as well, even though
Read moreMedicare Fraud; Illegal Activities
Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model
(By Rylee Wilson for Becker’s Hospital Review) A group of Democratic senators and representatives are concerned about organizations with previous
Read moreHow Medicare Advantage plans dodged auditors and overcharged taxpayers by millions
(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage
Read moreKHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken
(By Sarah Jane Tribble and Lauren Weber for Kaiser Health News) The federal system meant to stop health care business
Read moreHidden audits reveal millions in overcharges by Medicare Advantage plans
Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans, with some plans
Read moreCallers pretend to be SSM Health in latest insurance scam
(By Nick Moran for Becker’s Hospital Review) St. Louis-based SSM Health and Dean Health Plan are warning patients of efforts
Read moreMedicare’s Open Enrollment Is Open Season for Scammers
(By Susan Jaffe for Kaiser Health News) Finding the best private Medicare drug or medical insurance plan among dozens of
Read moreHow to protect yourself from fraud
Medicare open enrollment is right around the corner, and so are the fraudsters and scammers waiting to take advantage of
Read moreGuard your card: How to protect your Medicare card
(Source – www.medicare.gov/blog) The next Medicare Open Enrollment Period (October 15 – December 7) is coming fast, which means con
Read moreJustice Department Targets Data Mining in Medicare Advantage Fraud Case
(By Fred Schulte for Kaiser Health News) The Justice Department has accused an upstate New York health insurance plan for
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