7th May 18Congress needs to give CMS the authority to conduct prepayment reviews
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule (CMS-4182-F) that updates...
3rd May 18Council for Medicare Integrity urges CMS to implement prepayment claim reviews in fee-for-service program
The Council for Medicare Integrity, a nonprofit advocacy organization, is calling on CMS to implement prepayment...
- 5th Apr 18
Medicare should review provider claims for accuracy before they are paid
Medicare has one of the highest rates of wasteful spending government-wide, losing more than $200...
30th Mar 18District Court Again Asks Hospitals To Propose Solution To Appeals Backlog
The D.C. District Court told hospitals to come up with proposals by June 22...
19th Mar 18Congress should require more Medicare claim auditing — before and after payment
At the beginning of the year, Congressional Republicans shared that they will focus on...
- 13th Mar 18
RACs Ask Azar To Let Them Review Additional Claims
The Council for Medicare Integrity, which represents Recovery Auditors, is asking HHS Secretary Alex...
- 8th Mar 18
Advocacy group calls on CMS to increase Medicare audits, expand review criteria
The Council for Medicare Integrity this week asked Department of Health & Human Services...
- 9th Feb 18
If we want to cut Medicare spending, let’s stop spending billions on improper payments
Paul Ryan recently shared that this year Congressional Republicans will focus on making significant cuts to...
7th Feb 18Medicare’s hospital audit regime
Medicare paid hospitals more than $180 billion in 2016, and the feds continue to...
7th Feb 18HHS OIG: University of Michigan Health System overbills Medicare by $6.2 million
The CMS overpaid the University of Michigan Health System $6.2 million and it should...
- 19th Jan 18
Wasteful Medicare spending increases beneficiary out-of-pocket costs
Currently 56 million Americans rely on Medicare for healthcare coverage that provides financial protection during their...
15th Dec 17Loophole allows low volume Medicare providers exemption from auditing
In May 2016, the Centers for Medicare & Medicaid Services announced new additional documentation request...
5th Dec 17Viewpoint: Some providers receive a ‘free pass’ from auditing Medicare claims
Low-volume Medicare providers escape from having claims reviewed for accuracy under new additional documentation...
- 1st Dec 17
Low volume Medicare providers are getting a ‘free pass’ from auditing
Back in May, 2016, the Centers for Medicare & Medicaid Services (CMS) announced new additional...
- 27th Nov 17
Improper Pay Rate Dips Below 10% As Home Health, IRF Rates Improve
The drop in CMS’ improper pay rate for fee-for-service Medicare was driven by a...
- 20th Nov 17
OIG: Rush University Medical Center overbilled Medicare by $10.2M
Rush University Medical Center in Chicago failed to comply with Medicare billing requirements for...
