Fraud schemes have kept law enforcement agents busy in Florida, where recent news focused on actions against recruiters and those who hired them to round up customers for health insurance scams.
In the second year of implementation, the Fraud Prevention System (FPS), established by the Centers for Medicare & Medicaid Services, reported $54.2 million of actual and projected savings to the Medicare fee-for-service program, according to a report released today by the Office of Inspector General.
Over the past 25 years, hospitals have left urban areas with high populations of low-income and disabled residents to move to less populated suburban areas.
In an effort to make the patient-centered medical home model more financially viable for practices, Medicare officially granted permission for pharmacists to bill their patient-care services incident-to a physician, according to an announcement from the American Pharmacists Association.
Miami Beach's "Rock Doc," the flamboyant Christopher Gregory Wayne, D.O., was sentenced to nearly six years in prison for Medicare fraud. The court ordered him to repay more than $1.5...
The Centers for Medicare & Medicaid Services extended a program to boost payments to hospitals with low Medicare inpatient volumes, according to a notice in the Federal Register.
Medical equipment suppliers, working in cahoots with doctors, have often been caught executing get-rich-quick schemes involving power wheelchairs. They're profitable scams, since suppliers can buy motorized chairs for $900 each but bill Medicare about $6,000 per item, Medscape reported.
A new analysis by Premier, Inc. concludes that the Medicare program has failed to track some of the costliest hospital complications.
Medicare does not track several expensive, frequently occurring hospital complications, according to a new analysis by Premier, Inc.
It's a well-known fact that healthcare spending by region can vary wildly, but a new study in Health Affairs tries to quantify the exact reasons for the variations.