A federal watchdog said Tuesday it has begun auditing nursing homes’ use of the Patient Driven Payment Model to drive skilled ...

Pinnacle Multicare Nursing and Rehabilitation Center received overpayments exceeding $31.2 million, as a result of noncompliance with Medicare ...

The Office of the Inspector General (OIG) has been cracking down recently on Medicare overpayments to hospitals. Following an audit report done on March 13, OIG found that Boston's Brigham and Women's ...

Medicare Advantage plans, known for offering enticing extras like gym memberships and meal delivery, are costing U.S.

1. In a 49-page opinion, the U.S. Court of Appeals for the District of Columbia Circuit reversed a 2018 decision that vacated Medicare’s overpayment rule, which requires insurers to refund payment to ...

Medicare open enrollment is underway, but every year seniors may be leaving billions of dollars on the table in unused ...

Pursuant to Section 6402(a) of the Patient Protection and Affordable Care Act (PPACA), the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for reporting and returning ...

Recovery audit contractors identified about 1.1 million Medicare overpayments during fiscal years 2010 and 2011 — half of all claims they reviewed. Just over 6 percent of the overpayment ...

Don't Toss Your Medicare Financial Records Older Anesthesiologists Get Sued More Often Is It a Bad Idea for Each State to Determine Its Own Essential Health Benefits? References Is It a Bad Idea for ...

Hackensack (N.J.) UMC received more than $1.7 million in overpayments from Medicare from April 1, 2011 to Sept. 30, 2012, according to a recent OIG audit report. The OIG’s $1.7 million-estimation was ...

For nearly 30 years, Medicare Advantage recipients have enjoyed a free-market version of Medicare coverage - while everybody ...