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Senate committee to reintroduce bill targeting Medicare audits, appeals

A bill aimed at expediting the Medicare appeals process is expected to be reintroduced in the coming months, according to one healthcare insider. The Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act, first introduced in late 2015, would add more resources to the Office of Medicare Hearing and Appeals to help combat the growing backlog of Medicare claim appeals. The original version of the bill pledged $125 million to OMHA, and $2 million to the Departmental Appeals Board […]

WBAP: Advocacy Group Offers Suggestion for Texas and its Improper Medicare Payments

Advocacy Group Offers Suggestion for Texas and its Improper Medicare Payments Posted on March 16, 2017 DALLAS (WBAP/KLIF News) — An advocacy group says it has a way to help Texas fix its improper Medicare payment problem. Leslie Paige is with the organization Citizens Against Government Waste and says hiring private auditors can do even more than hold the state accountable for what the group considers a major problem. “These private auditors identify claims that have been improperly paid, and […]

The Hill: Found: $40 billion for the federal budget

Found: $40 billion for the federal budget Discussions about the federal budget take center stage this week, sparking conversations about where to cut and where to increase funding. One important issue to consider is how we might reduce waste and improper payments in order to infuse more resources into vital programs that are struggling financially. Medicare wastes more taxpayer dollars than any other program government-wide, with more than $40 billion lost annually. It’s outrageous that the federal government allows such […]

KTSA: Report: TX Leads U.S. States In Medicare Waste

Report: TX Leads U.S. States In Medicare Waste A new report from a government watchdog group shows Texas is the biggest Medicare money waster among all of the States. “One of the big issues with Medicare is it wastes a tremendous amount of money” said Leslie Paige with Citizens Against Government Waste. California, New Jersey, Pennsylvania, and Florida rounded out the top five in the ranking of States based on how much money the group says is being wasted in […]

Forbes: Reinstituting RAC Medicare Audits Would Add $40 Billion Per Year To The Federal Budget

Reinstituting RAC Medicare Audits Would Add $40 Billion Per Year To The Federal Budget Guest commentary curated by Forbes Opinion. Avik Roy, Opinion Editor. Opinions expressed by Forbes Contributors are their own. GUEST POST WRITTEN BY Kristin Walter Ms. Walter is spokesperson for the Council for Medicare Integrity. As the Trump Administration and the 115th Congress dive into reform of the Affordable Care Act (ACA) and take steps to reduce the federal budget, discussions about improper payments within the Medicare […]

NJ 101.5: NJ among states with most Medicare waste and billing mistakes, report finds Read More: NJ among states with most Medicare waste and billing mistakes, report finds

NJ among states with most Medicare waste and billing mistakes, report finds By Michael Symons February 10, 2017 3:36 AM New Jersey was among the states with the highest levels of Medicare billing errors in 2015, though mistakes were actually at their lowest level in four years, according to government data and an analysis by a group representing the auditors. The mistakes were made by providers such as hospitals, not the state. They weren’t fraud, said Council for Medicare Integrity […]

NJ.com: N.J. is near the top in the U.S. for Medicare billing errors, report finds

N.J. is near the top in the U.S. for Medicare billing errors, report finds February 10, 2017 at 10:13 AM TRENTON — New Jersey has the dubious distinction of being near the top in the nation for both wasteful spending of Medicare dollars and for hospital Medicare billing errors, a new report finds. The Council for Medicare Integrity, a non-profit that seeks to educate policymakers on health insurance waste found that in 2015, found that the Garden State had the some of […]

Medicare Improper Payments Remain Above Legal Threshold Four Years in A Row

  FOR IMMEDIATE RELEASE February 1, 2017         CONTACT: Kristin Walter kristin.walter@gowestfourth.com (202) 898-0995 Medicare Improper Payments Remain Above Legal Threshold Four Years in A Row  Washington, D.C. – The Centers for Medicare and Medicaid Services’ (CMS) Comprehensive Error Rate Testing (CERT) program has released a new report detailing the FY2016 Medicare Fee-For-Service (FFS) billing error rate – which landed at 11 percent and equates to a loss of $41.1 billion from Medicare in a single year. Evaluating a statistically valid random sample […]

Tampa Bay Business Journal: Here’s where Florida ranks for Medicare overspending

Here’s where Florida ranks for Medicare overspending Jan 27, 2017, 10:51am EST Improper Medicare payments to health care providers fell sharply in 2015. That’s the good news. The bad news: The overspending still totaled in the hundreds of millions of dollars. In Florida alone, overpayments totaled in excess of $21.9 million in 2015, the latest reporting year from the Centers for Medicare and Medicaid Services. That amount was down 84.2 percent from the prior year, but the state still overbilled […]

Knoxville Times: Medicare overspending in Tennessee, Arkansas and Mississippi

Medicare overspending in Tennessee, Arkansas and Mississippi Business Journal Friday 27th January, 2017 Tennessee is not among the top states for Medicare waste, according to new research based on Centers for Medicare and Medicaid data. But, at least one of its neighbors is. Tennessee ranks 39th, while Arkansas ranks 10th and Mississippi ranks 17th in the amount of Medicare overspending, or improper payments, to health care providers. To see the states’ numbers, click on the gallery. The good news is […]