Callers 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
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Medicare Fraud; Illegal Activities
Medicare’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
Read MorePrevent Medicare fraud — become an informed Medicare consumer
(Source- www.medicare.gov/blog) Each day, you make important choices about your finances, health, privacy, and more. It’s National Consumer Protection Week
Read MoreFrom 2014 to 2017, CMS had an improper payment rate of 60.7 percent
According to a new Office of Inspector General (OIG) audit, the Centers for Medicare & Medicaid Services (CMS) and its
Read MoreCoding errors led to overpayments to Medicare Advantage plans
Incorrect diagnosis codes from providers led to a $14 million windfall for some Medicare Advantage plans according to a recent
Read MoreMedicare overpaid hospitals $267M, OIG says
(By Ayla Ellison for Becker’s Hospital Review) Medicare overpaid hospitals more than $267 million over a two-year period for inpatient claims
Read MoreDepartment of Justice files lawsuit against Cigna
The Department of Justice has filed a lawsuit against the health insurer Cigna for allegedly submitting $1.4 billion in false
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