Advertisement

CMS overhauling Medicare fraud audit process

By Virgil Dickson  |  August 15, 2017

Facing a crushing caseload of appeals to denied Medicare claims, the CMS is launching a new audit process to reduce the number of providers that have their claims challenged.

CMS cancels two mandatory pay models and scales back a third

CMS cancels two mandatory pay models and scales back a third

By Virgil Dickson  |  August 15, 2017

The CMS is canceling two mandatory cardiac pay models that were supposed to start next year and is scaling back a joint replacement model that has already been implemented by hospitals across the country.

Providers take advantage of new end-of-life CMS billing codes

Providers take advantage of new end-of-life CMS billing codes

By Virgil Dickson  |  August 14, 2017

Providers increasingly are conducting advance care planning conversations with Medicare beneficiaries thanks to new CMS billing codes and a push to prepare early for patients' final days. The trend resulted in them drawing down $93 million in additional revenue last year.

Texas doctor gets 35 years in prison for $375M medical fraud

By Associated Press  |  August 10, 2017

The 60-year-old Dallas-area doctor and six co-defendants defrauded Medicare and Medicaid out of almost $375 million by certifying 11,000 Medicare beneficiaries through home health providers. Their numbers would have made the doctor's Medicare practice the busiest in the country.

Advertisement
X

Subscribe and SAVE 50%

View our best offer
Subscribe to Print