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Medicare

Latest Headlines

Latest Headlines

Will Medicare reimburse end-of-life planning?

As  predi cted, the  American M edical Association  issued recommendations for Medicare to cover end-of-life discussions with patients, a change that could prompt physicians to initiate these conversations more often, according to an  arti cle  from the  New York Times.

Home care benefits drive losses and gains

Medicare and Medicaid in-home care made news last week in stories showing that the same service setting can drive program dollar losses or savings depending on providers and patients involved.

CMS offers to settle disputed short-term hospital claims

The Centers for Medicare & Medicaid Services will end the long wrangling with hospitals over short-term inpatient stays.

Another Pioneer ACO drops out of program

Sharp HealthCare in San Diego dropped out of the Medicare Pioneer accountable care organization program, citing fundamental flaws in the program, according to the company's third quarter financial statement.  

American Hospital Association calls for end to OIG audits

The American Hospital Association called on the U.S. Department of Health and Human Services to cease what it calls "flawed and redundant" audits by its Office of the Inspector General in a letter to HHS Secretary Sylvia Burwell.

Fighting prescription drug fraud: 2 wins and a delay

The federal government scored big wins against prescription drug fraud last week, while New Jersey pushed back its implementation deadline for providers' use of securer prescription pads.  

Radiology managers still skeptical about Medicare reimbursements

Medical imaging managers and directors continue to have low confidence that they will be adequately reimbursed by Medicare for diagnostic and interventional imaging services.

CMS solicits ideas for engagement models

The Centers for Medicare & Medicaid Services is soliciting comments through Sept. 15 about its proposed initiatives to test new engagement models for Medicare, Medicaid and the Children's Health Insurance Program.

EHR billing fraud: More than a numbers game

There's a well-known adage in business that 10 percent of people will never steal, embezzle or commit fraud; 10 percent will always steal, embezzle or commit fraud when they can; and 80 percent will do it under certain circumstances when given the opportunity. That might finally explain what's occurring with electronic health records and billing fraud.

Wheelchair scams exploit Medicare fraud risks, but what's next?

Fraud schemes involving power wheelchairs have exposed Medicare's fat and vulnerable underbelly, according to an article in The Washington Post. "Since 1999, Medicare has spent $8.2...