While CMS reported that is collected half of the overpayments previously identified by OIG, the OIG in another recent review (full report) found that number to substantially less. The OIG is the watchdog for HHS. All OIGs serve in this role for the respective...
This week our very own Eric Rubenstein, Sr. Director of FWA and I, flew out to Dallas to present to the Texas Office of the Attorney General Medicaid Fraud Control Unit. The topic was for auditors and was Data Analytics for the Analyst. They shared...
Data wonks with mighty computers are overjoyed. Ordinary consumers, not so much. That’s the reaction about three weeks into a data dump of enormous proportions. Health insurers are posting their negotiated rates for just about every type of medical service they cover...
The National Association of Insurance Commissioners (“NAIC”) is a resource we enjoy for providing regulatory support functions, presenting insurance standards and best practices to help support compliant and informed decisions. On July 11th, NAIC...
Consumers, employers, and just about everyone else interested in health care prices will soon get an unprecedented look at what insurers pay for care, perhaps helping answer a question that has long dogged those who buy insurance: Are we getting the best deal we can?...
Recently we presented to New York State Adult Day Services Association (NYSADSA) on this very topic. For those of you who do not know, NYSADSA is comprised of individuals, single-site programs, multiple-site programs, professional organizations, and supporters...
RALEIGH, N.C. — When Erin Williams-Reavis faced a $3,500 surgery bill, the hospital offered to let her pay in $300 monthly installments. It was too much, said Williams-Reavis, 44, who lives in Greensboro, about an hour west of the state capital. Her hours as a...
As the Supreme Court appears poised to return abortion regulation to the states, recent experience in Texas illustrates that medical care for miscarriages and dangerous ectopic pregnancies would also be threatened if restrictions become more widespread. One Texas...
Emma Moore felt cornered. At a community health clinic in Portland, Oregon, the 29-year-old nurse practitioner said she felt overwhelmed and undertrained. Coronavirus patients flooded the clinic for two years, and Moore struggled to keep up. Then the stakes became...
OIG Roundtable (Formerly Retro Fraud) Episode 8: Prepay Reviews with Laurie McMillan Play Episode Pause Episode 1x 00:00 / 33:32 Subscribe Share Spotify RSS Feed Share Link Embed Download file | Play in new window | Duration: 33:32 | Recorded on March 22,...
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