Tag Archives: Medicare

Distinct enforcement trends emerge following the largest fraud takedown in history

Posted on by • Posted in Uncategorized • Tagged , , , , , , • Leave a comment

http://www.fiercehealthpayer.com/antifraud/story/distinct-enforcement-trends-emerge-following-largest-fraud-takedown-history/2015-06-30?utm_medium=nl&utm_source=internal

HighRiskMagnifyingGlass

Following $450 million settlement, DaVita subpoenaed for Medicare Advantage coding

Posted on by • Posted in Uncategorized • Tagged , , , , , , , • Leave a comment

http://www.fiercehealthpayer.com/antifraud/story/following-450-million-settlement-davita-subpoenaed-medicare-advantage-codin/2015-06-29?utm_medium=nl&utm_source=internal

Recruitment Process

Subpoena part of a larger focus on Medicare Advantage plans

Ex-CFO sentenced for Meaningful Use fraud, but money may be gone

Posted on by • Posted in Uncategorized • Tagged , , , , , , • Leave a comment

Ex-CFO sentenced for Meaningful Use fraud, but money may be gone

Meaningful-Use-Audit

243 healthcare professionals accused in $712 million ‘biggest ever’ fraud takedown

Posted on by • Posted in Uncategorized • Tagged , , , , , , , • Leave a comment

http://www.healthcarefinancenews.com/news/243-healthcare-professionals-accused-712-million-biggest-ever-fraud-takedown?mkt_tok=3RkMMJWWfF9wsRogs6zNZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4GT8JlI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

Medicine and Dollars

The Medicare Fraud Strike Force targeted fraud in 17 districts in the states of Florida, Texas, California, Louisiana, New York and Michigan.

Slow Going on ACO Risk

Posted on by • Posted in Uncategorized • Tagged , , , , , , • Leave a comment

http://www.healthleadersmedia.com/content/HEP-317609/Slow-Going-on-ACO-Risk

HighRiskMagnifyingGlass

Even as participation in ACOs grows, providers are hesitant to advance to models with more risk. CMS has now extended the least risky ACO track for three more years.

Fifty Years In, Medicare Has Transformed Health Care. What’s In Store For The Next Fifty?

Posted on by • Posted in Uncategorized • Tagged , , , , , • Leave a comment

http://healthaffairs.org/blog/2015/06/17/fifty-years-in-medicare-has-transformed-health-care-whats-in-store-for-the-next-fifty/

Blog_Daschle

D.C. hospital pays $12.9 million to settle false claims case

Posted on by • Posted in Uncategorized • Tagged , , , , , , • Leave a comment

http://www.bizjournals.com/washington/blog/2015/06/d-c-hospital-pays-12-9-million-to-settle-false.html?ana=e_du_pap&s=article_du&ed=2015-06-15&u=FAuoHGaGEPdmk4X6khnaiw045b16af&t=1434471604

Children's National Medical Center agreed to pay $12.9 million to settle a false claims case against it, the U.S. Justice Department said Monday.

Strengthening Medicare for 2030

Posted on by • Posted in Uncategorized • Tagged , , , , , • Leave a comment

http://www.brookings.edu/~/media/Research/Files/Papers/2015/06/04-medicare-2030-paper-series/Chartbook2030_Final.pdf?la=en

Brookings Institute Globe