CMS approved Performant, the Recovery Audit Contractor (RAC) for Region 1, to begin review activity as of Friday, March 10, according to the RAC Monitor. Read More »
Under the Affordable Care Act (ACA), providers have to recertify their Medicaid reimbursement eligibility. Because of this provision, more than 65,000 providers across 15 states lost their spots on the Medicaid roll, according to...Read More »
Radiation oncology services billed to CMS had a 9.6% improper payment rate in 2015, leading to Medicare improperly pay $137 million for these services, according to a study reported in the January 2016 Medicare Quarterly Compliance Newsletter,...Read More »
HealthGrades, the online healthcare provider rating service, released its widely read list of America's 50 and 100 Best Hospitals for 2017, with few changes seen from the 2016 list,...Read More »
A False Claims Act lawsuit accuses UnitedHealthcare Group of a scheme which may have allowed its subsidiaries and other insurers to improperly overcharge Medicare by “hundreds of millions — and likely billions — of dollars,”...Read More »
