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2010 Potpourri X

by Kevin Roche on Saturday, March 20, 2010

More weekend reading, in case spring hasn’t arrived where you are, covering personalized medicine, the OIG’s unheeded recommendations, robot surgery, hospital costs, venture funding and telemedicine.

Tags: Financings, fraud and abuse, Hospital, Personalized Medicine, Telemedicine

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9/28

The inability to stop the bleeding at Medicare represents another lost opportunity to wring substantial savings from the federal budget

9/13

Maxim Healthcare Services Inc, a home health-care services company, has agreed to pay $150 million to resolve allegations it defrauded U.S. government benefits programs.

9/8

91 people in eight cities who are accused of bilking the Medicare system out of nearly $300 million

5/18

Pennsylvania Would Fund Colleges by Sniffing Out Medicaid Fraud

4/29

The White House is desperate to show it can “save” Medicare, in part by significantly ramping up investigations of abuse. How? By scaring the daylights out of CEOs

4/12

Beginning in July, the federal government will start rooting through more than $500 billion a year in Medicare claims from caregivers and pharmacies with software that flags waste and fraud.

3/10

The key is preventing scam artists and fake firms from doing business with the senior citizen health care program in the first place — not chasing them down after the fact.

3/4

Nearly 10% of all Medicare payments are fraudulent, causing the federal government to lose $48 billion on phony claims and other improper payments in 2010, a new government report found.

2/11

Crooks are taking advantage of lax oversight in Medicare’s Part D prescription-drug program to obtain highly addictive pharmaceuticals, including oxycodone, Ritalin, and methadone

1/27

The Office of the Medicaid Inspector General, which has a $90 million budget and a full-time staff of more than 650 people, reported fraud recoveries of minus $66,000 in its most recent annual report

1/26

The Wall Street Journal filed suit Tuesday to overturn a decades-long court order barring public access to a confidential Medicare database it says is essential to rooting out fraud and abuse in the government health-care program

1/25

Federal officials recovered $4 billion in taxpayer funds from fraud and prevention efforts in FY 2010, the highest amount ever

12/30

The Office of the Inspector General is positioning itself for its monitoring responsibilities of Medicare and Medicaid information systems and data security.

12/28

Florida lawmakers have waged war on storefront pain clinics, passing a succession of laws to rein in a rogue industry feeding a black market in prescription painkillers

12/22

President Obama on Saturday signed the bill that changes the Red Flags Rule’s definition of “creditor” and relieves some physicians of having to comply with the Federal Trade Commission’s identity theft prevention law.

12/22

Confidentiality Cloaks Medicare Abuse

12/20

How to Be RAC-Ready in 2011

12/17

The Obama Administration is looking for sophisticated fraud-fighting tools which could enable federal agencies to catch illegal Medicare and Medicaid practices as they happen.

12/17

The administrations crackdown on health care fraud is paying dividends, recovering more than $4 billion in Massachusetts alone during the past two years.

12/9

Drug makers Abbott Laboratories, B. Braun Medical, and Roxane Laboratories will pay $421 million to settle whistleblower allegations that they inflated prices for drugs paid for by Medicare and Medicaid

12/6

Nothing is ever easy for providers in the ever-fluctuating realm of recovery audit contractors, and the latest spell of operational hiccups heard nationwide is no exception.

11/10

The use of Medicaid RACs is another initiative put forth by CMS as part of the Affordable Care Act

10/14

A vast network of Armenian gangsters and their associates used phantom health care clinics and other means to try to cheat Medicare out of $163 million

10/4

The NAIC’s recent draft regulation on medical loss ratios treats private plans’ spending on fraud detection and prevention as nonessential to quality health care.

10/1

A new anti-fraud law will force Medicare to adopt 21st century billing technology designed to help the massive federal program spot false medical claims before paying them.

9/22

The heat is being turned up on Medicare and Medicaid fraud this week with the release of new federal rules designed to detect fraud earlier

9/22

Would doctors’ offices and hospitals work better if they functioned like the airline industry?

9/21

Proposed regulations being unveiled today seek to crack down on Medicare and Medicaid fraud by subjecting operators of certain medical firms to fingerprinting and stopping payments when credible fraud allegations are made

9/3

Fraud Alert: Regulators Probe Health Credit Cards

8/27

CMS issued a final regulation to protect against fraudulent medical equipment and supplies vendors – the rule will require suppliers to maintain proper ordering documentation and remain open at least 30 hours a week

7/6

HMS has signed a definitive agreement to acquire privately-held Allied Management Group, a leading provider of fraud, waste, and abuse prevention and detection solutions for health care payors

6/24

Recovery audit contractors denied $2.47 million in Medicare claims to 437 hospitals in the first quarter of 2010, the American Hospital Association announced.

6/18

President Obama will order federal agencies Friday to establish a national “do not pay list” to prevent the government from paying benefits, contracts, grants and loans to ineligible people or organizations

6/15

The U.S. healthcare industry can cut $3.6 trillion in waste over 10 years with a few common-sense steps to eliminate fraud, errors and to encourage efficiency and healthier behavior

5/13

The government says it recovered $2.5 billion in overpayments for the Medicare trust fund last year as the administration focused attention on fraud enforcement in the health care industry.

Posts Tagged “fraud and abuse”

2010 Potpourri X

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