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Tag: Medicare

Industry

Make therapy caps lower, streamline review process, MedPAC chairman urges House committee

Congress should set lower annual caps on Medicare reimbursements for outpatient therapy and streamline the manual review process for claims exceeding those caps, a Medicare policy expert told the House …

Government / Regulations

Novartis sued over alleged kickback scheme

Novartis Pharmaceuticals Corp. paid kickbacks to a specialty pharmacy in exchange for recommending refills of a blood transfusion drug it produces, according to an amended complaint filed Wednesday in a …

Regulations / Reimbursement

OIG targeting Medicare ambulance trips

Ambulance trips for dialysis treatment rose 269 percent for Medicare recipients between 2002 and 2011, while the number of covered trips overall rose 69 percent, the Office of Inspector General …

Government

Beaver County woman accused of duping Medicare for $200K

A Beaver County woman forged signatures of doctors and other medical providers to bilk Medicare out of $200,000 in reimbursements, federal prosecutors said. A federal grand jury on Tuesday indicted …

Payor

MedPAC Contemplates Link Between ACOs and Medigap Plans

Medicare might want to create a supplemental coverage plan that encourages patients to seek care in a single accountable care organization (ACO), the Medicare Payment Advisory Commission (MedPAC) was told …

Government

CMS issues guidance on survey timing for facilities that change ownership

Surveyors should prevent providers from being able to game the Medicare system through well-timed facility sales and purchases, the Centers for Medicare & Medicaid Services instructed in a recent memorandum. …

Reimbursement

Congressman Rothfus vows to modify Medicare bidding plan

U.S. Rep. Keith Rothfus told local business owners on Wednesday that he’ll lobby to change Medicare’s rules governing bidding by medical equipment suppliers. Rothfus, R-Sewickley, said he is one of …

medicare beneficiary complaint hotline
Beneficiary

Report Patient Problems Associated with Medicare Competitive Bidding Implementation

The People for Quality Care Complaint Hotline has already logged more than 1,700 patient complaints nationwide. CMS is currently telling Congress that they have onle received about 30 complaints. Our …

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