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ADA study: Diabetes costs jump 41% from 2007


ALEXANDRIA, Va. – The costs associated with diabetes, including medical care and lost productivity, rose from $174 billion in 2007 to $245 billion in 2012, a 41% increase, according to a new study by the American Diabetes Association (ADA). 

New reports: Home infusion drugs, Medicaid overpayments


WASHINGTON – The Office of Inspector General (OIG) recommends in a new study that CMS change the way it pays for home infusion drugs.

OIG to CMS: Millions in overpayments remain uncollected


WASHINGTON – The Office of Inspector General (OIG) recommends in a new report that CMS collect the more than $225.6 million in Medicaid overpayments that is due the federal government.

In brief: Lawmakers make fraud recommendations, Sleep HealthCenters closes


WASHINGTON – A bipartisan group of six senators on Jan. 31 released recommendations aimed at curbing waste, fraud and abuse in Medicare and Medicaid.

Different payer, different rules, different audit


Medicaid doesn’t always follow Medicare, and therein lies the rub for HME providers doing battle in this latest frontier on audits, industry consultants say.

Poll: Majority oppose cutting Medicare to lower deficit


WASHINGTON – A new poll found that, while most people support deficit reduction, they want to do it without cutting major social programs like Medicare and Medicaid.

Providers vs. retailers: A game of pricing, service


YARMOUTH, Maine – It’s time for HME providers to adapt to the reality of big-box stores as competitors, according to a recent HME Newspoll.

Maryland man sentenced for Medicaid fraud


WASHINGTON – Uche Ben Odunzeh of Laurel, Md., was sentenced Jan. 16 to 19 months in prison for a federal charge stemming from the submission of more than $600,000 in false healthcare claims, according to a release from the U.S. Attorney’s Office.

Healthcare spending stayed low in 2011


WASHINGTON ­– Healthcare spending in the United States grew at a rate of 3.9% in 2011, continuing a recent trend of extremely slow growth, according to a new analysis from the Office of the Actuary at CMS, which was published in the January 2013 issue of the journal Healt

GAO labels Medicaid auditing process 'inefficient'


WASHINGTON – The Medicaid Integrity Group’s (MIG’s) hiring of separate review and audit contractors was “inefficient and led to duplication because key functions were performed by both entities,” according to a new study by the Government Accountability Office (GAO).