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Category : Press Release

Council for Medicare Integrity Urges Congress to Pass AFIRM Act

Council for Medicare Integrity Urges Congress to Pass AFIRM Act Reform Needed to Repair Besieged Medicare Appeals Process Washington, D.C. – Today, the Council for Medicare Integrity (CMI) is asking Members of Congress to take swift action to pass the Audit and Appeals Fairness, Integrity and Reforms in Medicare (AFIRM) Act. Passed by the Senate Finance Committee last year, AFIRM seeks to make urgently needed programmatic changes to help address the backlog of 560,663 cases waiting for review in the […]

CMS Awards New Recovery Audit Contracts

FOR IMMEDIATE RELEASE November 1, 2016  CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995 CMS Awards New Recovery Audit Contracts Demonstrates Federal Government Commitment to Reducing Improper Payments in Medicare  Washington, D.C. – Today, The Centers for Medicare and Medicaid Services (CMS) moved forward to award the second round of the national Recovery Audit Contractor (RAC) program contracts, extending the vital program that identifies and returns Medicare improper payments back to the Trust Funds. Five new contracts have been awarded – four regional contracts […]

OIG Report: Home Health VNA Overbilled Medicare By $15.5 million

FOR IMMEDIATE RELEASE  CONTACT: Kristin Walterkristin.walter@gowestfourth.com(202) 898-0995 OIG Report: Home Health VNA Overbilled Medicare By $15.5 million Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that Home Health VNA in Lawrence, Mass., overbilled Medicare $15,483,448 million from 2011 to 2012.  According to the OIG, 21 percent of the hospital’s Medicare claims were improperly billed. According to the Council for Medicare Integrity, a nonprofit organization that advocates for proper Medicare […]

OIG Report: New York-Presbyterian Hospital Overbilled Medicare By $14.2 million

FOR IMMEDIATE RELEASE                 CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995 OIG Report: New York-Presbyterian Hospital Overbilled Medicare By $14.2 million Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that New York-Presbyterian Hospital in New York, New York overbilled Medicare $14.2 million from 2011 to 2012.  According to the OIG, 43 percent of the hospital’s Medicare claims were improperly billed. In July, the […]

OIG Report: Excellent Home Care Services, LLC Overbilled Medicare By $7.5 Million

FOR IMMEDIATE RELEASE                     CONTACT: Kelly Daviskelly.davis@gowestfourth.com(202) 898-0995 OIG Report: Excellent Home Care Services, LLC Overbilled Medicare By $7.5 Million Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that Excellent Home Care Services, LLC in Brooklyn, New York overbilled Medicare $7,549,283 from 2011 to 2012.  According to the OIG, 77 percent of the agency’s Medicare claims were improperly billed. The report states that the agency “incorrectly billed Medicare for […]

OIG Report: Houston Methodist Hospital Overbilled Medicare By $1.3 million

 FOR IMMEDIATE RELEASE                                                                   CONTACT: Kristin Walter kristin.walter@gowestfourth.com  (202) 898-0995 OIG Report: Houston Methodist Hospital Overbilled Medicare By $1.3 million Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that Houston Methodist Hospital in Houston, Texas overbilled Medicare $1.3 million […]

OIG Report: Christian Hospital Overbilled Medicare By $341,000

  FOR IMMEDIATE RELEASE                                                                 CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995 Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that Christian Hospital in Saint Louis Missouri overbilled Medicare $341,221 from 2012 to 2013. According to the OIG, 52 percent of the hospital’s Medicare claims were improperly billed. According to the Council for Medicare Integrity, a nonprofit organization that advocates for proper Medicare billing, Christian Hospital’s improper […]

Medicare Loses Two Years of Life

FOR IMMEDIATE RELEASE                                                         CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995   Medicare Loses Two Years of Life  Greater Focus on Reducing Improper Payments Could Extend the Life of the Program   Washington, D.C. – A new Medicare Trustees report warns that continued growth in spending has reduced the life of the Medicare Trust Funds by two full […]

OIG Report: Lafayette General Medical Center Overbilled Medicare By $4.4 Million

FOR IMMEDIATE RELEASE                                                                 CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995  OIG Report: Lafayette General Medical Center Overbilled Medicare By $4.4 Million Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General (OIG) found that Lafayette General Medical Center in Lafayette, Louisiana overbilled Medicare $4,413,989 from 2013 to 2014.  According to the OIG, 51 percent of the hospital’s Medicare claims were improperly billed. According to the Supplementary Appendices for the Medicare […]

In 2015, $3.2 Billion Lost to Misbilling of Medicare Durable Medical Equipment Claims

FOR IMMEDIATE RELEASE CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995   In 2015, $3.2 Billion Lost to Misbilling of  Medicare Durable Medical Equipment Claims   Improper Billing Pushing the Program to Brink of Bankruptcy Washington, D.C. – An analysis released today by the Council for Medicare Integrity (CMI) scrutinized Centers for Medicare and Medicaid Services (CMS) data pertaining to Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) claims, finding that the Medicare program was overbilled in 39.9 percent of cases and […]