Tag:

Medicaid Payments

Latest Headlines

Latest Headlines

A Texas-sized fraud settlement mess

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 rob Medicaid

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.

Insurers try to shift billions in reform taxes onto Medicaid

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.

Alaska has $200M Medicaid claims payment backlog

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.

Hospitals in states without Medicaid expansion face tough future

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.

Neighboring states battle Medicaid fraud

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.

NY: Hospitals, nursing homes overpaid by $77 million

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.

CA investigators halt Medicaid payments to 16 providers

California regulators have suspended Medicaid payments to 16 unidentified alcohol and drug treatment centers statewide after investigations for potential billing fraud, the  Sacramento Bee  reported.

Suspected of Medicaid fraud, 15 providers lose payments

A wide ranging billing probe of mental health services has led to what will likely be a long-term suspension of Medicaid payments to 15 providers in New Mexico, the  Santa Fe New Mexican  has reported.

Scott saves $65M Medicaid deal thanks to hospital CEOs

Gov. Rick Scott heeded hospital CEOs' calls for $65 million in "transitional payments" as the state moves to a new Medicaid payment system, according to the News Service of Florida.