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Posts Tagged “Fraud”

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New York Times

by Michael Kessler on Tuesday, September 11, 2012

The American medical system squanders 30 cents of every dollar spent on health care, according to new calculations by the respected Institute of Medicine.

Tags: Fraud

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9/7

The U.S. health-care system is plagued by about $765 billion in annual waste and needs stronger government leadership to coordinate practices as the Affordable Care Act increases burdens on caregivers

9/6

The U.S. health care system squanders $750 billion a year — roughly 30 cents of every medical dollar — through unneeded care, byzantine paperwork, fraud and other waste, the influential Institute of Medicine said Thursday in a report that ties directly into the presidential campaign.

5/2

United States authorities have charged 107 people, including doctors and nurses, for trying to defraud the federal Medicare health care program for the elderly and disabled of about $452 million

6/2

Medicare payments to hospitals not correct: study

8/26

Under the new health care overhaul law, doctors who refer Medicare and Medicaid patients to in-house imaging machines must disclose in writing that they own the equipment.

8/20

The Federal Trade Commission came down hard last week on scammers passing off medical discount plans as health insurance plans

8/16

CGI Technologies is the first Recovery Audit Contractor to post issues approved by CMS. All but one of them comes as no surprise, says one regulatory affairs expert

8/13

The Centres for Medicare and Medicaid Services lose more than $60 billion a year to scam artists, according to the non-profit Coalition Against Insurance Fraud – in what has become a massive black hole in government spending

8/12

The Centers for Medicare & Medicaid Services (CMS) has approved the first “medical necessity review” audits for the recovery audit contractor (RAC) program

8/9

Congress is set to grant President Barack Obama’s request for a record $1.7 billion to fight health-care fraud, in part to almost triple investigations into crime rings that steal from Medicare.

8/9

It took private sleuths hired by Medicare an average of six months last year to refer fraud cases to law enforcement

7/20

RACs proved effective and relevant to Medicare fee-for-service, it remains to be seen how this effort will translate into other programs

3/12

Deploying undercover agents that pose as patients may be one approach to this problem – an alternative approach should be statistical research

3/11

The President made his case for an overhaul of the U.S. medical system, emphasizing his efforts to curb waste and fraud in government health programs

3/4

The Food and Drug Administration plans to increase prosecutions of pharmaceutical and food industry executives as part of an effort to refocus its criminal division

1/18

A study by the EHFCN and the CCFS found some 180 billion euros ($260 bln) is lost globally every year to fraud and error in healthcare

Posts Tagged “Fraud”

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