3+ day, 1+ hour ago   (1028+ words) For families, that detail is the part worth pausing on. Claims filed under a dead relative's Medicare number are not an abstract accounting problem. They generate real paperwork, land in real statements, and are frequently discovered by an adult child…...

2+ day, 22+ hour ago   (382+ words) The CMS has banned 11 medical supply companies from billing Medicare Advantage and Part D, including four that had already been barred from Traditional Medicare, after identifying more than $3.4 billion in alleged fraudulent billing practices over the last two years. The…...

3+ day, 22+ hour ago   (113+ words) Legis1 Advanced Dermatology and Cosmetic Surgery has entered the lobbying arena for the first time, registering with Continental Strategy LLC to focus on Medicare and Medicaid policy. The Centers for Medicare and Medicaid capped skin substitute reimbursement at a flat rate…...

4+ day, 15+ hour ago   (469+ words) NWLC and CRR Filed FOIA Requests Seeking Transparency on HHS’s Refusal of Care Agenda National Women's Law Center NWLC and CRR Filed FOIA Requests Seeking Transparency on HHS’s Refusal of Care Agenda The Trump administration is taking steps that could…...

1+ week, 3+ day ago   (75+ words) Wells EMS settles federal Medicare fraud case for nearly $340K seacoastonline.com Wells EMS settles federal Medicare fraud case brought by whistleblower for nearly $340K WELLS, Maine — Facing allegations of Medicare fraud, Wells Emergency Medical Services has reached a financial settlement with…...

2+ week, 3+ day ago   (303+ words) The DOJ told Healthcare Dive that Monogram, a home health company, overcharged Medicare through contracts with Cigna and Humana by inflating diagnostic codes. In Medicare Advantage, the CMS pays private insurers a fixed amount for each member every month, adjusted…...

2+ week, 5+ day ago   (369+ words) Monogram Health Professional Services PC and Monogram Health Inc., (Monogram Health), headquartered in Tennessee, have agreed to pay $2.4 million to resolve allegations that they violated the False Claims Act by causing the submission of false diagnosis codes in order to…...

2+ week, 5+ day ago   (560+ words) LOS ANGELES – Monogram Health Professional Services PC and Monogram Health Inc., headquartered in Tennessee, have agreed to pay $2.4 million to resolve allegations that they violated the False Claims Act by causing the submission of false diagnosis codes to increase payments…...

2+ week, 5+ day ago   (283+ words) Traders Union Monogram Health to pay $2.4 million in Medicare Advantage false claims settlement Federal scrutiny of Medicare Advantage risk-adjustment practices is continuing as regulators focus on how diagnosis coding affects payments to private health plans. Monogram Health, based in Tennessee,…...