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
Medicare payments to hospitals not correct: study
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.
The Federal Trade Commission came down hard last week on scammers passing off medical discount plans as health insurance plans
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
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
The Centers for Medicare & Medicaid Services (CMS) has approved the first “medical necessity review” audits for the recovery audit contractor (RAC) program
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.
It took private sleuths hired by Medicare an average of six months last year to refer fraud cases to law enforcement
RACs proved effective and relevant to Medicare fee-for-service, it remains to be seen how this effort will translate into other programs
Deploying undercover agents that pose as patients may be one approach to this problem – an alternative approach should be statistical research
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
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
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
Vita Advisors, LLC is a research-based strategic advisory firm serving the health care industry.
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