Is It About Fighting Fraud or Effort to Decrease Utilization
The Centers for Medicare and Medicaid (CMS) is testing a new initiative in effort to help cut down on fraud
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Medicare Fraud; Illegal Activities
Don’t Ask U.S. Supreme Court to Define Health Care Fraud
U.S. Supreme Court in their opinion on Universal Health Services Inc. v. U.S. ex rel Escobar, a lawsuit filed by
Read MoreIs Medicare Doing All It Can To Stop Overpayments?
No, says Chris Mucke, a recovery audit contractor for Medicare Part D, so he is suing the federal government and
Read MoreThe Senior Medicare Patrol
The Senior Medicare Patrol or SMP is a federally funded program within each state designed to improve the quality of
Read MoreCrackdown on Medicare Ambulance Fraud Producing Results, HHS Reports
Southeast Pennsylvania has been a focal point for Health and Human Services in the rooting out of fraudulent ambulance billing.
Read MoreImproper Payments by Medicare and Medicaid On the Rise?
At a hearing on Tuesday, members of a House oversight panel raised concerns about a rising number of improper Medicare
Read More“Upcoding” Has Cost Medicare $70 Billion
On Monday, an audit by the Government Accountability Office (GAO) reported Medicare Advantage plans have overbilled the government by $70
Read MoreFlorida is Known for Sunshine, Beaches, Theme Parks, and Medicare Fraud
Since January, Health and Human Services with U.S Justice Department stated it has about thirty enforcement actions over alleged Medicare
Read MoreFBI Bust Medicare Fraud Ring In Miami
On Thursday, Federal agents rounded up 18 suspects in Miami, FL with additional suspects fleeing to Cuba, on charges of
Read MoreMedicare Bankruptcy, Can We Stop It?
The Congressional Budget Office stated recently Medicare for Part A (The Medicare Hospital Insurance Trust Fund) will run out of
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