Medicaid billing errors coming under fire

Wed, 26 Mar 2008 07:59:54 -0400

Expect states to look more closely for Medicaid billing errors starting now. Healthcare Finance News reports that because "states are facing tougher times [financially]," now more than ever they're going to put their best efforts forward to not lose anymore money than they have to. Robert Holster, CEO of New York City-based Health Management Systems, which checks Medicaid claims for 40 states, believes that states will expand their efforts exponentially "because CMS has led the way." According to the article, Holster's company has recovered more than $1 billion for it's clients, with 10 percent of that coming from finding mistakes in billing.

To read more on the increased scrutiny of Medicaid:
- check out this Healthcare Finance News article

ALSO NOTED: OIG says "yes" to prompt-pay discounts; NY hospitals spend millions to renovate EDs; and much more...

Wed, 13 Feb 2008 06:59:50 -0500

> The HHS Office of the Inspector General has said that yes, it's OK to give patients who pay promptly for inpatient stays a significant discount. FierceHealthcare

> New York City hospitals are spending millions to renovate their emergency departments in an effort to streamline operations and reduce crowding. Article

> Georgia doctors say that the state's plan to increase fees paid under Medicaid is good, but argue that the planned increases aren't nearly large enough. Article

> Vermont is considering raising provider taxes on hospitals, a move which could cut net reimbursements $6 million to $16 million per year. Article

And Finally... Is the current CT scan craze coming from a desire to heal, or greed? Editorial