Subscribe to RSS - medicaid


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).

Waivers 'get Medicare regs out of your way'

Stakeholders: What about audits?

WASHINGTON – The Department of Health and Human Services will waive or modify requirements for Medicare, Medicaid and CHIP providers in New York and New Jersey due to Hurricane Sandy.

Medical facilities, DME suppliers represent 40% of fraud cases


WASHINGTON – Medical facilities and durable medical equipment suppliers were the most frequent subjects of criminal cases for Medicare and Medicaid fraud, according to an Oct. 9 report from the Government Accountability Office (GAO).

New Hampshire: Providers size up new MCOs


CONCORD, N.H. – HME providers here learned just before Labor Day that CMS had approved the state’s plan to move Medicaid beneficiaries into managed care organizations on Jan. 1.