DOJ/HHS Joint Press Conference, July 19, Miami, Florida: Medicare fraud strike force arrests 94 Video Posted by Miami Herald Federal agents arrested 94 individuals, including doctors, health care owners, and executives in a nation-wide crackdown on fraudulent medicare billing, U.S. Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius announced today in […]
The hospital industry, through CMS, is now providing even more statistical data on quality measures for consumers much like other competitive industries. Consumers will now be “better equiped” to choose between healthcare providers based on the data reported to CMS, according to a CMS News Release on July 7, 2010. A video of the original […]
HHS Press Conference, July 13: Final Rules to Support Meaningful Use of EHR Video Posted by CMS CMS posted a recording of a Press Conference on July 13, 2010, where Health and Human Services Secretary Kathleen Sebelius announced final rules to help improve Americans’ health, increase safety and reduce health care costs through expanded use […]
Recess Appointment Must Still Be Approved by Congress The White House appointed Dr. Donald Berwick of Harvard Medical School as the new Administrator of the Centers for Medicare and Medicaid Services, Department of Health and Human Services (CMS) on July 7, using a recess appointment, a process that allows the President to make an appointment […]
HHS & DOJ Send Letter: Outreach to Combat Medicare Fraud U.S. Secretary of Health and Human Services Kathleen Sebelius and Attorney General of the United States Eric Holder today sent a letter to state attorneys general urging them to work with HHS and federal, state, and local law enforcement officials to mount a substantial outreach […]
RAC 101 Video Posted by CMS CMS posted a recording of a RAC 101 seminar conducted by Connie Leonard and Commander Marie Casey, earlier in April. The video includes a short Q&A period at the end. You can turn the captioning on/off or see other videos using the player’s controls:
Council Denies CMS Appeal The Medicare Appeals Council (Council) disagreed with the Centers for Medicare and Medicaid Services (CMS) when asked by CMS to review and overturn a September 2009 decision by an Administrative Law Judge (ALJ). The case concerns an ALJ decision that agreed with a Demonstration Project RAC to deny Medicare coverage for […]
Adds Another $250 Million to Combat Medicare Fraud and Errors The new health reform legislation signed by President Obama on March 23 (H.R.3590), plus the reconciliation “fixes” enacted on March 25 (H.R. 4872) provide $250 Million of additional funding for Medicare audits and enforcement, create new federal enforcement tools, create a new Stark self-disclosure process, […]
Realized Nearly $4 Billion in Settlements, Fines, Penalties & Restitution In fiscal year (FY) 2009, OIG’s enforcement efforts resulted in over 670 criminal actions, of which 515 involved heath care fraud; over 362 civil actions (355 involved health care fraud); and realized nearly $4 billion in settlements and court-ordered fines, penalties, and restitution, approximately 75 […]