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News
Federal Regulators Bar Eleven Medical Equipment Suppliers That Billed Medicare for Beneficiaries Who Had Already Died
2+ day, 18+ 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…...
157 Lab Providers Lost Medicare Billing Privileges—Here’s Why Checking Your Medicare Statement Matters
2+ day, 12+ hour ago (192+ words) According to CMS, those systems look for abnormal combinations involving testing, results, billing, documentation, and relationships that could indicate fraud, waste, or abuse. The technology can help flag high-risk claims for additional review and potentially allow claims to be held,…...
Cabinet expands aid for long-term care
2+ day, 13+ hour ago (421+ words) The Executive Yuan yesterday approved expanded subsidies for residents of long-term care facilities, allocating NT$16.62 billion (US$526.82 million) to the plan expected to benefit about 105,000 people. Under the new plan, the maximum monthly subsidy for people with moderate to severe…...
CMS bans 11 medical supply firms for fraudulent billing practices
2+ day, 16+ 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…...
Medicare spent hundreds of millions of dollars on ineligible drugs, audit finds
1+ week, 3+ day ago (558+ words) Shoddy CMS oversight is to blame, and the agency needs to do better, the HHS Office of the Inspector General said. Medicare Part D isn’t supposed to pay for drugs that can be purchased without a prescription. But the government’s…...
The "Partnership Policy": Buy Long-Term-Care Insurance With This Label on It and Medicaid Lets You Keep an Extra Dollar of Savings for Every Dollar the Policy Paid.
1+ week, 4+ day ago (499+ words) A little-known label on certain long-term care insurance policies can shield your savings from Medicaid's asset rules and protect your estate from state clawbacks after death, but the mechanics only work under a specific set of conditions most buyers never…...
Healthcare Association of Hawaii says options are available after Trump Administration declares Medicare Part D ending in 2027
2+ week, 4+ day ago (19+ words) KITV...
Amazon, CVS And Walmart Race To Fill $50 Weight-Loss Prescriptions
1+ mon, 6+ day ago (269+ words) Amazon on Thursday announced its pharmacy would distribute popular GLP-1 weight-loss drugs to eligible Medicare patients for $50 a month—a sweeping shift that has slashed the cost of these medications by as much as 97% from their peak price, which had…...
HHS Finalizes $2 Billion Medicare Payment Bump for Hospitals
1+ mon, 1+ week ago (105+ words) Bloomberg Law News The Trump administration will increase Medicare payments for hospital services by 2.3%, or $2.1 billion in fiscal year 2027, according to a final rule released Friday. The final rule (RIN 0938-AV79) from the Centers for Medicare & Medicaid Services also includes a…...
CMS locks in 2%+ payment bumps for SNFs, post-acute care providers
1+ mon, 1+ week ago (999+ words) The Centers for Medicare and Medicaid Services has finalized its payment updates to key post-acute care providers and inpatient psychiatric facilities. Skilled nursing facilities, inpatient rehabilitation facilities, hospices and IPFs all received a Medicare payment bump to their respective prospective…...