Medicare Fraud; Illegal Activities – medicarereport.org

Medicare - General Medicare Fraud; Illegal Activities Pandemic

A Covid Test Medicare Scam May Be a Trial Run for Further Fraud

May 18, 2023May 18, 2023 Eileen Cook 0 Comments COVID-19 tests, medicare, Medicare Fraud

(By Susan Jaffe for KFF Health News) Medicare coverage for at-home covid-19 tests ended last week, but the scams spawned

CMS Medicare Fraud; Illegal Activities

Will cutting fraud save Medicare?

March 22, 2023March 21, 2023 Eileen Cook 0 Comments medicare, Medicare Fraud, Medicare trust fund

In 2022, the total amount spent on Medicare was $982 billion, and Medicaid spending was $864 billion. The federal government

DHS -OIG Illegal Activities Medicare Fraud; Illegal Activities

Medicare Advantage plans face significant risks of fraud, OIG says

March 21, 2023 Eileen Cook 0 Comments DHS-OIG, Medicare Advantage, Medicare Fraud

(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans should be aware of fraudsters turning their efforts to private

CMS Health Care Finance Medicare Advantage Medicare Fraud; Illegal Activities

Government Lets Health Plans That Ripped Off Medicare Keep the Money

January 31, 2023January 31, 2023 Eileen Cook 0 Comments CMS, Health Insurers, medicare, Medicare Advantage

(By Fred Schulte for Kaiser Health News) Medicare Advantage plans for seniors dodged a major financial bullet Monday as government

Medicare Fraud; Illegal Activities

Lack of Oversight and Opportunities for Fraud Appear to be Driving Upswing in COVID-19 Testing Costs

December 30, 2022December 30, 2022 Gerry Hafer 0 Comments COVID-19 testing, medicare

Medicare spending on COVID-19 testing in 2022 outpaced 2020 and is expected to exceed 2021 spending as well, even though

Accountable Care Organizations (ACO) CMS Medicare Advantage Medicare Fraud; Illegal Activities

Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model

December 13, 2022December 13, 2022 Eileen Cook 0 Comments ACO REACH program, CMS, Fraud and Abuse, Medicare Advantage

(By Rylee Wilson for Becker’s Hospital Review) A group of Democratic senators and representatives are concerned about organizations with previous

CMS DHS -OIG Illegal Activities Medicare Advantage Medicare Fraud; Illegal Activities

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

December 12, 2022December 12, 2022 Eileen Cook 0 Comments CMS, DHS-OIG, GAO, Medicare Advantage, Medicare Fraud

(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage

DHS -OIG Health Care Finance Illegal Activities Medicaid Medicare - General Medicare Fraud; Illegal Activities

KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken

December 12, 2022December 12, 2022 Eileen Cook 0 Comments DHS-OIG, Medicaid, medicare, Medicare Fraud, Public List

(By Sarah Jane Tribble and Lauren Weber for Kaiser Health News) The federal system meant to stop health care business

Health Care - General Health Care Finance Medicare - General Medicare Advantage Medicare Fraud; Illegal Activities

Hidden audits reveal millions in overcharges by Medicare Advantage plans

November 21, 2022November 21, 2022 Arlene Sharp 0 Comments audits, medicare, Medicare Advantage

Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans, with some plans

Illegal Activities Medicare - General Medicare Advantage Medicare Fraud; Illegal Activities

Callers pretend to be SSM Health in latest insurance scam

January 27, 2022January 27, 2022 Eileen Cook 0 Comments

(By Nick Moran for Becker’s Hospital Review) St. Louis-based SSM Health and Dean Health Plan are warning patients of efforts

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