Coding 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
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Medicare Fraud; Illegal Activities
Medicare 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
Read MoreOklahoma pharmacy owner to pay $1M for Medicare fraud scheme
(By Katie Adams for Becker’s Hospital Review) Oklahoma pharmacy owner Jeff Terry was sentenced to three years in prison and
Read MoreWill increase in telehealth lead to more fraud?
(By Jackie Drees for Becker’s Hospital Review) While CMS has relaxed telehealth regulations to expand care during the COVID-19 pandemic, the
Read MorePandemic Delays Federal Probe Into Medicare Advantage Health Plans
(By Fred Schulte for Kaiser Health News) Federal health officials, citing a need to focus on the COVID-19 pandemic, have
Read MoreCoronavirus-Related Medicare Scam Alert
(Source – blog.ssa.gov) Since older Americans are particularly vulnerable to coronavirus (COVID-19), I wanted to remind Medicare beneficiaries to be
Read MoreFeds charge Georgia man with orchestrating COVID-19 billing fraud scheme
(By Ayla Ellison for Becker’s Hospital Review) Federal prosecutors have charged a Georgia man for allegedly conspiring to defraud Medicare and
Read MoreAnthem turned a blind eye to coding problems now DOJ alleging Medicare fraud
The Department of Justice has sued Anthem alleging that the health insurance company knowingly submitted claims with inaccurate medical codes
Read MoreCurbing fraud and waste in Medicare
In an effort to curb Medicare fraud, the administration is designing a five-pronged integrity strategy for the program. The goal
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