Medicare and Medicaid Fraud: Voluntary Self-Disclosure of Potential Fraud by...
Medicare and Medicaid program integrity efforts – coupled with complex coding and claiming procedures, ever-increasing program requirements, new payment methods, and the growing market share of...
View ArticleMedicaid Fraud and Abuse: Investigations, Prosecutions, Spending, and...
Nearly every State has a Medicaid Fraud Control Unit (MFCU) to investigate and prosecute cases of Medicaid fraud and patient abuse and neglect. MFCUs are a key part of an array of federal and state...
View ArticleMedicare and Medicaid Compliance: OIG Advice for Operating an Effective...
Comprehensive compliance programs are essential for all hospitals, health systems, physician practices, Medicare Advantage plans, Medicaid health plans, Medicare prescription drug plans, drug...
View ArticleMedicare and Medicaid Fraud: Breakdown of Types of Healthcare Provider Fraud...
Fraud and abuse are common and persistent problems for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Combined federal and state spending now exceeds $1 trillion, with fraud...
View ArticleMedicare Drug Benefit: Formulary Oversight in Medicare Part D
Medicare Part D, the Medicare drug benefit, served roughly 31 million seniors last year. Medicare Part D is more similar to Medicare Advantage than to traditional Medicare in that enrollees can choose...
View ArticleHealth Care Fraud: Using Health Services Research to Detect Fraud and Abuse
Fraud in the health care system is a significant and growing threat. The FBI estimates that between 3% and 10% of all health care expenditures are lost to fraud each year – up to $280 billion...
View ArticleMedicare and Medicaid Fraud: Breakdown of Types of Healthcare Provider Fraud...
Fraud and abuse are common and persistent problems for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Combined federal and state spending now exceeds $1 trillion, with fraud...
View ArticleMedicare Drug Benefit: Formulary Oversight in Medicare Part D
Medicare Part D, the Medicare drug benefit, served roughly 31 million seniors last year. Medicare Part D is more similar to Medicare Advantage than to traditional Medicare in that enrollees can choose...
View ArticleHealth Care Fraud: Using Health Services Research to Detect Fraud and Abuse
Fraud in the health care system is a significant and growing threat. The FBI estimates that between 3% and 10% of all health care expenditures are lost to fraud each year – up to $280 billion...
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