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Category : Press Release

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 […]

Twenty-One States Have Higher Medicare Overbilling Than The National Average

FOR IMMEDIATE RELEASE CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995 Twenty-One States Have Higher Medicare Overbilling Than The National Average  Improper Billing Pushing Program to Bankruptcy Washington, D.C. – According to new data from the Centers for Medicare and Medicaid Services, 21 states are projected to have above average rates of overbilling Medicare for services. According to the Supplementary Appendices for the Medicare Fee-for-Service (FFS) 2015 Improper Payment Report, the national average for improper payments during that year was 12.1 percent, […]

2015/2016 Medicare Compliance Reports: Missouri Overbilled Medicare By More Than $2 Million

FOR IMMEDIATE RELEASE                                                                                      CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995 2015/2016 Medicare Compliance Reports: Missouri Overbilled Medicare By More than $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 Freeman Hospital in Joplin, Missouri overbilled Medicare $311,447 from 2011to 2012. According to the OIG, 20 percent of the hospital’s Medicare claims were improperly billed. According to a 2015 report from the Centers for […]

RAC Facts: The State of the RAC Program

The State of the RAC Program A new trend report from the Council for Medicare Integrity (CMI) provides an overview of the current state of the Recovery Audit Contractor (RAC) Program. The analysis looks at: Updates on the Appeals Process: According to OMHA, in FY2015, the majority of appeals came from traditional workloads, not from RAC denials; RAC appeals made up only 19% percent of appeals. Providers continue to flood the Medicare process with appeal submissions expected to surpass one million by the […]

Advocacy Group Releases Analysis of Current State of the RAC Program

FOR IMMEDIATE RELEASE March 9, 2016 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Advocacy Group Releases Analysis of Current State of the RAC Program Washington, D.C.– Today, the Council for Medicare Integrity (CMI) released a trend report reviewing and summarizing the current state of the Recovery Audit Contractor (RAC) Program. The analysis looks at: Updates on the Appeals Process: The Office of Medicare Hearings and Appeals (OMHA) has reported that the majority of FY2015 appeals came from traditional workloads, not RAC denials. […]

RAC Facts: Court Decision Highlights Need For Appeals Reform

Court Decision Highlights Need For Appeals Reform On February 9, 2016, the District of Columbia U.S. Circuit Court of Appeals reopened a lawsuit by the American Hospital Association against the U.S. government over delayed Medicare reimbursement appeals. CMS recently offered providers a settlement to clear the backlog of Medicare appeals, but new estimates show that providers are still filing an overwhelming number of appeals. However, most pending appeals are not on RAC improper payment decisions.  Despite the 96% accuracy rate […]