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Category : News Coverage

Business Insider: These 10 states are the worst when it comes to Medicare waste

These 10 states are the worst when it comes to Medicare waste Eric Pianin, The Fiscal Times REUTERS/Jason Reed Despite stepped up efforts to crack down on Medicare fraud and wasteful spending, the federal government lost at least $43 billion in fiscal 2015 to health care providers who filed improper or bogus claims to the program, according to a new study. Nine states and the District of Columbia were responsible for the lion’s share of the total improper payments, according […]

Kaiser Health News: 9 States, D.C. Made Up Lion’s Share Of Medicare Waste In 2015

9 States, D.C. Made Up Lion’s Share Of Medicare Waste In 2015 This is the second consecutive year that the District of Columbia has topped all states in Medicare waste per beneficiary. In other news, Medicare officials warn Pennsylvania health plans that they could face fines if they don’t fix their directories. The Fiscal Times: The 10 States With The Worst Medicare Waste  Despite stepped up efforts to crack down on Medicare fraud and wasteful spending, the federal government lost […]

Health IT Outcomes: Top 10 States With Highest Medicare Waste

Top 10 States With Highest Medicare Waste Waste Chief Reason Medicare Predicted to be Bankrupt by 2028 The Council for Medicare Integrity (CMI) recently released an analysis of improper payments made within the Medicare Fee-For-Service (FFS) program. The analysis looks at the amount of Medicare overpayments collected from providers by Recovery Audit Contractors in each state in FY2015 and crosses that data with the number of Medicare beneficiaries in each state in 2015, to arrive at an amount of taxpayer […]

Chicago Tribune: Analysis finds NorthShore allegedly overbilled Medicare by $4.1 million in 2013-14

Analysis finds NorthShore allegedly overbilled Medicare by $4.1 million in 2013-14 By Genevieve Bookwalter NorthShore University HealthSystem allegedly overbilled Medicare by at least $4.1 million from 2013 to 2014, according to a report released Monday by the U.S. Department of Health and Human Services Office of Inspector General. The report, Medicare Compliance Review of NorthShore University HealthSystem for 2013 and 2014, alleges that the hospital system erroneously billed Medicare in 49 percent of Medicare claims, according to a press release from […]

Becker’s Hospital CFO: OIG: NorthShore University HealthSystem received $4.1M in Medicare overpayments

OIG: NorthShore University HealthSystem received $4.1M in Medicare overpayments Written by Ayla Ellison  | January 09, 2017  Evanston, Ill.-based NorthShore University HealthSystem failed to comply with Medicare billing requirements for 93 of 190 inpatient and outpatient claims reviewed by HHS’ Office of Inspector General for the audit period of Jan. 1, 2013, through Dec. 31, 2014, according to a recent OIG report. The billing errors resulted in NorthShore receiving $624,638 in overpayments, according to the OIG. Extrapolating from the sample […]

Becker’s Hospital CFO: OIG: Abbott Northwestern Hospital received $8M in Medicare overpayments

OIG: Abbott Northwestern Hospital received $8M in Medicare overpayments Written by Ayla Ellison January 06, 2017  Abbott Northwestern Hospital in Minneapolis, part of Minneapolis-based Allina Health, failed to comply with Medicare billing requirements for 74 of 162 claims reviewed by HHS’ Office of Inspector General for the audit period of Jan. 1, 2013, through Dec. 31, 2014, according to a recent OIG report. The billing errors resulted in the hospital receiving $933,991 in overpayments, according to the OIG. Extrapolating from the […]

Daily Journal: NMMC, UMMC tagged for overpayments in Medicare audits NMMC, UMMC tagged for overpayments in Medicare audits

NMMC, UMMC tagged for overpayments in Medicare audits Posted on January 5, 2017 By Michaela Gibson Morris Daily Journal TUPELO – North Mississippi Medical Center-Tupelo has agreed to repay Medicare $119,000 following the findings of audits of large hospitals around the country. University of Mississippi Medical Center in Jackson, which also was chosen for the Medicare audit of large hospitals, was asked to return $365,000. “Of all the reported audits of hospitals nationwide, NMMC had one of the lowest error […]

Star Tribune: Federal audit seeks $8 million repayment from Abbott Northwestern

Federal audit seeks $8 million repayment from Abbott Northwestern Government says audit found Medicare overcharged; hospital disputes the claim. By Christopher Snowbeck Star Tribune JANUARY 5, 2017 — 9:34PM Federal auditors say Abbott Northwestern Hospital should refund $8 million in estimated overpayments for services that the Minneapolis-based medical center wrongly billed to the federal Medicare program, according to a report released Thursday. Auditors looked at a sample of billing records during 2013-14 and alleged a variety of errors, including bills […]

RevCycleIntelligence: Net Medicare Improper Payment Recoveries Dropped 91% in 2015

Net Medicare Improper Payment Recoveries Dropped 91% in 2015 By Jacqueline Belliveau on December 29, 2016 RACs only returned $141.84 million in net Medicare improper payment recoveries in 2015 because of patient status review and procurement delays, CMS stated. Medicare improper payment recoveries saw a significant drop in 2015, according to a recent CMS report to Congress. The Recovery Audit Contractor (RAC) program returned 91 percent less to Medicare during the 2015 fiscal year compared to 2014. In 2015, RACs […]

The Weekly Standard: Will Recovery Audit Contractors Program Fully Recover Under Trump?

Will Recovery Audit Contractors Program Fully Recover Under Trump? Medicare marshals help save taxpayers billions. 7:39 AM, DEC 14, 2016 | By JARED WHITLEY When the U.S. Federal Marshal system was founded, its mission was to execute all lawful warrants as officers of the courts. The main association with marshals is a lone, Wild West-style lawman, like Wyatt Earp or Rooster Cogburn, but the program was started by George Washington and continues to this day. Many people still probably associate […]