Tag Archives: Medicare

Medicare Overpays Billions for Office Visits, Patient Evaluations

Medicare spent $6.7 billion too much for office visits and other patient evaluations in 2010, according to a new report from the inspector general of the U.S. Department of Health and Human Services. But in its reply to the findings, … Continue reading

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Lung Cancer Screening Guidelines Could Cost Medicare Billions

A study of Medicare beneficiaries with a history of heavy smoking found that new lung cancer screening guidelines would likely double the proportion of lung cancers found at an early stage, but at a steep cost of more than $9 … Continue reading

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Health Law Requires Medicare To Cover Dementia Evaluation

For the millions of seniors who worry that losing their keys may mean they’re losing their minds, the health law now requires Medicare to cover a screening for cognitive impairment during an annual wellness visit. But in a recent review … Continue reading

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CMS Proposes Adoption of Updated Life Safety Code

The Centers for Medicare & Medicaid Services (CMS) today announced a proposed rule on the adoption of updated life safety code (LSC) that CMS would use in its ongoing work to ensure the health and safety of all patients, family … Continue reading

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Medicare Could Save Billions if CMS Reduces Hospital Outpatient Payment Rates to ASC Rates

Medicare saved almost $7 billion and beneficiaries saved an additional $2 billion during calendar years (CYs) 2007 through 2011 because of the differential between ambulatory surgical center (ASC) and outpatient department payment rates, the Department of Health and Human Services … Continue reading

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Duke University Health System, Inc. Agrees To Pay $1 Million For Alleged False Claims Submitted To Federal Health Care Programs

United States Attorney for the Eastern District of North Carolina Thomas G. Walker and North Carolina Attorney General Roy Cooper announced jointly that Duke University Health System, Inc. (Duke University Health System) has agreed to pay $1 million to resolve … Continue reading

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Jury Convicts All Seven Defendants in $97 Million Medicare Fraud Scheme

A federal jury in Houston today convicted two owners of a former Houston mental health care company, Spectrum Care P.A. (Spectrum), several of its employees and the owners of certain Houston group care homes for their participation in a $97 … Continue reading

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Four Indicted And Arrested For Health Care Fraud

SAN JUAN, P.R. – Yesterday, February 26, a Federal grand jury returned a fourteen count-indictment against four individuals for health care fraud and causing the misbranding and adulteration of prescription medications with intent to mislead and defraud, announced Rosa Emilia … Continue reading

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New York Radiology Practice Pays $15.5M

NEW YORK CITY, Feb. 25, 2014 — A chain of medical radiology facilities has agreed to pay the federal government and the states of New York and New Jersey a total of $15.5 million to settle three whistleblower lawsuits – … Continue reading

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Indian-American Diagnostic Imaging Firm to pay $15M to Resolve Fraud Claims

A diagnostic firm founded by an Indian-American physician, will pay over USD 15 million to the federal government to resolve allegations that it falsely billed for health tests that were never performed. Diagnostic Imaging Group (DIG) has agreed to pay … Continue reading

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