Billing company hit with first-ever penalty by HHS in Medicare case

By Erica Teichert  |  September 20, 2016

The owner and operator of a New Jersey billing company will pay a $100,000 penalty after submitting fraudulent Medicare claims for diagnostic tests that were never conducted, marking the first such penalty from HHS' Office of Inspector General.

CMS' voluntary bundled-payments program delivers mixed results

By Elizabeth Whitman  |  September 19, 2016

Because the Bundled Payments for Care Improvement initiative is so new—and purely voluntary—it is too soon to draw broad conclusions about bundled payments' effectiveness in improving healthcare quality while lowering costs.

Some Medicare enrollees are accidentally getting marketplace tax credits

By Virgil Dickson  |  September 14, 2016

The CMS says some Medicare beneficiaries are receiving tax credits to purchase insurance through the Affordable Care Act marketplace. The agency is warning them to cancel their exchange coverage immediately and pay back the credit they've received.

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