New tools to fight Medicare and Medicaid fraud
The federal health programs of Medicare and Medicaid are a plum target for fraudsters due in part to the large
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Warnings from the 2019 Medicare trustees report
Medicare spending on a per-beneficiary basis rose sharply in 2018 and is anticipated to accelerate with the influx of baby
Read moreMedicare could have saved $2.9 million in 2017 if they did this one thing
The Health and Human Service’s Office of the Inspector General recently reported that CMS could have saved an additional $2.9
Read moreIs the end of Medicare’s three day rule coming soon?
The requirement that Medicare will pay for post-acute care or rehabilitation in a skilled nursing facility (SNF) only if a
Read moreTrump administration’s hospital price plan raises thorny legal questions
(By Ayla Ellison for Becker’s Hospital Review) Hospitals and health insurance companies are likely to sue the Trump administration if
Read moreNews report on healthcare billing fraud prompts senators’ call for federal action
(By Kelly Gooch for Becker’s Hospital Review) Six U.S. senators are seeking more information about CMS efforts to combat healthcare
Read moreDo Medicare Advantage Plans save money?
Medicare Advantage (MA) health plans offer valuable lessons for the Centers for Medicare and Medicaid Services (CMS) by bringing private-sector
Read moreMedicare to save $650M under site-neutral pay proposal
(By Ayla Ellison for Becker’s Hospital Review) CMS’ 2020 Medicare Outpatient Prospective Payment System proposed rule would finish phasing in a site-neutral
Read moreCMS finalizes long-sought rules for Medicare CAR-T coverage
(By Nicholas Florko for STAT) WASHINGTON — The Trump administration finalized late Wednesday long-sought rules for when Medicare will cover
Read moreChanges coming that would help some rural and other hospitals in their labor markets
The Centers for Medicare and Medicaid Services has made public policy changes that will increase the wage index for certain
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