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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.

Hospitals oppose proposal to tweak Medicare RAC appeals process

By Virgil Dickson  |  September 01, 2016

Hospital associations say a CMS proposal to ease the backlog of denied Medicare claims by making tweaks to the recovery audit contractor appeals process could leave them with fewer opportunities to retain payment. Others say the proposal would let potentially untrained people make the decisions.

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