Catskill Daily Mail, NY – Jan. 7, 2009. Billing Medicaid for detoxification services that were not medically necessary and/or failed to meet professional standards for health care. … NY hospitals implicated in Medicaid fraud FierceHealthcare7 hospitals in NY accused of $50M Medicaid fraud The Associated PressColumbia Memorial sued for Medicaid fraud Columbia Independent OnlineNewsday – Times Herald-Recordall […]

Kaisernetwork.org – Jan. 5, 2009. Summaries of recent news involving Medicaid in Louisiana, Rhode Island and Texas appear in this article…  Click title to read more… Louisiana: Louisiana’s Joint Legislative Committee on the Budget on Friday approved Gov. Bobby Jindal’s (R) plan to seek a federal Medicaid waiver that would allow the state to overhaul […]

HFMA.org – Jan 05, 2009. The National Conference of State Legislatures (NCSL) reports that state legislatures across the country enacted 31,000 laws in 2008, some of which become effective Jan. 1, 2009. The issues range from healthcare reform to criminal justice to labor practices. Among the new health-related laws that became effective Jan. 1 are: […]

HFMA.org – Dec. 31, 2008. January 1, 2009, marks the beginning of the New Year and of the effective date of a revised voluntary code by the Pharmaceutical Research and Manufacturers of America (PhRMA) on interactions between pharmaceutical companies and healthcare professionals. Changes in the revised code include: A prohibition on the distribution of non-educational […]

Forbes, NY – Dec 31, 2008. With Medicare fraud rising, CMS Acting Administrator Kerry Weems said the bond is “additional oversight” for suppliers, especially those looking “for any … Medicare fraud, big in Fla., prompts new bond rule MiamiHerald.comFighting Equipment Fraud, Medicare Amps Up Rules for Suppliers Wall Street Journal BlogsMedicare Cuts Off California, Florida Home Equipment […]

HFMA.org – Jan 5, 2009. The Centers for Medicare & Medicaid Services (CMS) has announced it is requiring certain durable medical equipment suppliers to post a surety bond. In addition, CMS has revoked the billing privileges of more than 1,100 medical equipment suppliers in south Florida and southern California and is suspending payments to home health […]

WMBB-TV, FL – Dec 29, 2008. “Medicaid fraud diverts valuable health care resources away from those who truly need the assistance, and we will not permit that to go unnoticed and … State AG: Colorado will get $1.2 million in fraud claim. Denver PostMedicaid fraud crackdown saves millions Bizjournals.comMedicaid Fraud Report Released WCTVKansas City infoZine – St. […]

HFMA.org – Dec. 24, 2008. In a study of adverse events affecting Medicare beneficiaries in two selected counties, the Department of Health & Human Services Office of Inspector General (OIG) found that 15 percent of hospitalized beneficiaries experienced an adverse event during their hospital stays. In the report, OIG defines the term “adverse event” as […]

HFMA.org – Dec. 23, 2008. Changes to the Medicare inpatient prospective payment system (IPPS) by the Centers for Medicare and Medicaid Services (CMS) have significantly changed the way in which hospitals are reimbursed for fiscal year 2008. Major changes to IPPS include the continued phase-in of relative weights based on hospital-specific costs and new Medicare […]