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Increasing Medicaid reimbursements for primary care in turn raised payments to Medicare levels in both 2013 and 2014.
After months of scrutiny, two top officials at the Texas Health and Human Services Commission's Office of Inspector General are out of jobs amid questions surrounding a $110 million Medicaid fraud software contract.
The Manhattan U.S. attorney intervened in a whistleblower lawsuit accusing the New York City and Computer Sciences Corp. of defrauding Medicaid though computerized billing scams, the U.S. Department of Justice announced.
State regulators in Texas last week agreed to settle allegations of Medicaid fraud against Trueblood Dental Associates, P.A. Brace yourself for the numbers: The state agreed to recover just $39,211...
Dental fraud and abuse cases have drawn the eye of the Office of Inspector General. Medicaid is the main source of dental benefits for about 35 million children, and many dentists and dental chains have been prosecuted for providing unnecessary care that's harmed children, according to a commentary by former U.S. Department of Health and Human Services Inspector General Richard P. Kusserow.
To defray some of the $150 billion in insurance taxes imposed under the healthcare reform law, insurers hope to shift the fees to Medicaid members, Bloomberg reported.
Medicaid providers in Alaska state a faulty claims processing system has put them on shaky financial ground as they await payments held up for months, reported the Alaska Dispatch.
Missouri's hospitals--and their patients--are beginning to feel the bite of their state policymakers' decision not to expand Medicaid eligibility under the Affordable Care Act.
The war against Medicaid fraud continues but prosecutors in several states are experiencing mixed success. New Mexico has had some initial successes clamping down on mental health providers, but so far regulators in neighboring Texas are stymied in their efforts to collect alleged overpayments.
New York regulators believe that hospitals may have received more than $31 million in Medicaid payments for short-stay patients who died not longer after being admitted, the Albany Times-Union reported.
Press Releases
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- Accenture Study Identifies Top Five Healthcare Investment Priorities for States in the U.S.
- Public Statement by HITRUST regarding the State of the Union Address
- Michael James McCoy to join ONC as Chief Health Information Officer
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