Federal officials charged 89 people including doctors, nurses and other medical professionals in eight U.S. cities on Tuesday with Medicare fraud schemes that the government said totaled $223 million in false billings. In the latest big Medicare fraud crackdown, more...
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Government
VA Mandates Overtime to Increase Production of Compensation Claims Decisions
As part of its ongoing effort to accelerate the elimination of the disability compensation claims backlog, the Department of Veterans Affairs (VA) is announcing today that it is mandating overtime for claims processors in its 56 regional benefits offices. This surge,...
Nationwide 2K Event Will Support Homeless Veterans and Promote Employee Wellness
The Department of Veterans Affairs is once again hosting a nationwide 2K “Walk and Roll” event at more than 170 VA sites across the nation on May 15 to coincide with National Employee Health and Fitness Day. The event will also encourage employee and local community...
EHR Meaningful Use Success Rate Reaches Nearly 50%
The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, hospitals and critical access hospitals (CAHs) as they adpot, implement, upgrade or demonstrate "meaningful use" of certified EHR technology. Eligible professionals...
Some Competitive Bidding Suppliers may not Meet Requirements
As HME stakeholders continue to pore over the list of Round 2 contract suppliers, it’s become more and more clear that some may not meet various licensing requirements—a condition of winning a contract. “How are they granted awards if they didn’t meet state...
Deadline Approaching for Competitive Bidding Grandfathering Notification
The Centers for Medicare & Medicaid Services (CMS) states: “Non-contract suppliers must provide written notification of their decision whether to be a grandfathered supplier to all of their Medicare beneficiaries who reside in a competitive bidding area (CBA) and...
UnitedHealth May Have to Reimburse Pentagon for Medical Care Delays
UnitedHealth Group may have to reimburse the federal government part of a $20.5 billion military contract due to delays in delivering medical care. Bloomberg reports that the U.S. Defense Department says it may seek reimbursement under the six-year Tricare contract,...
Pa. Auditor General Threatens UPMC Over Highmark Deal
In Pittsburgh Wednesday afternoon, Pa. State Auditor General Eugene DePasquale has a warning to UPMC and Highmark. “The UPMC-Highmark battle must stop, and it must stop now. The 2014 deadline is fast approaching,” said DePasquale. At the end of next year, UPMC says...
Inconsistency in Hospital Charges Alarming
The White House administration revealed what over 3,000 hospitals charge for common medical procedures in an early effort to challenge healthcare costs by showing consumers how prices for the same service can vary by tens of thousands of dollars. The most extensive...
5 Things the Oregon Medicaid Study Tells Us About American Health Care
Among all the criticisms of President Obama’s health care reform law, the most salient may be that the Affordable Care Act focuses on access to insurance at the expense of cost and quality care. A new set of results from a study on Oregon’s Medicaid program supports...
Blue Cross: Rates Will Rise Under New Federal Health Care Law
In a signpost pointing to health insurance changes under the nation’s new health care law, North Carolina’s largest insurer has warned of steep rate increases for customers who have typically paid below-average premiums. A third of Blue Cross and Blue Shield’s...
Sequestration May Impact EHR Incentive Payments
Just as the rest of the nation is beginning to feel the impact of sequestration, eligible professionals and eligible hospitals may feel the pinch soon. According to the Office of the National Coordinator (ONC), incentive payments made through the Medicare Electronic...