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ADA study: Diabetes costs jump 41% from 2007

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03/07/2013

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

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02/22/2013

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

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02/21/2013

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

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02/01/2013

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

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01/22/2013

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

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01/25/2013

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

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01/18/2013

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

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01/18/2013

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

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01/08/2013

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'

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12/10/2012

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).

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