Justice 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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Medicare Fraud; Illegal Activities
Prevent 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
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
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