Support our online development, and advance our onground research initiatives in free market economics, as we seek to showcase the brightest Next-Gen minds.
THE ME-P DISCLAIMER: Posts, comments and opinions do not necessarily represent iMBA, Inc., but become our property after submission. Copyright © 2006 to-date. iMBA, Inc allows colleges, universities, medical and financial professionals and related clinics, hospitals and non-profit healthcare organizations to distribute our proprietary essays, photos, videos, audios and other documents; etc. However, please review copyright and usage information for each individual asset before submission to us, and/or placement on your publication or web site. Attestation references, citations and/or back-links are required. All other assets are property of the individual copyright holder.
In Healthcare Plans and Accounts
***
***
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
- PRACTICES: www.BusinessofMedicalPractice.com
- HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
- CLINICS: http://www.crcpress.com/product/isbn/9781439879900
- ADVISORS: www.CertifiedMedicalPlanner.org
- FINANCE: Financial Planning for Physicians and Advisors
- INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
- Dictionary of Health Economics and Finance
- Dictionary of Health Information Technology and Security
- Dictionary of Health Insurance and Managed Care
***
Share this:
Filed under: Ethics, Health Insurance, Risk Management | Tagged: healthcare fraud, medical fraud, medical fraud abuse |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
HC Finance: 8 Healthcare Frauds & Settlements in 2017
1. Provider hit with $31,000 HIPAA settlement over business associate’s agreement
2. Theranos reaches $4.65 million settlement with Arizona Attorney General office
3. HHS settles with Denver provider for $400,000 for 2011 breach
4. Oklahoma’s Norman Regional Health System pays $1.6 M to settle MC allegations
5. Nursing home operator pays $1 million over alleged false genetic testing claims
6. Sanofi-Pasteur to pay $20 million penalty for overcharging Veterans Affairs
7. Texas MD convicted in $40-M MC home health fraud faces decades in prison
8. Eight Texans indicted in $158 million healthcare fraud scheme involving pricey compound pain medications
Source: HC Finance
LikeLike
CMS Overhauling Medicare Fraud Audit Process
The CMS has unveiled a major overhaul of how it pursues Medicare fraud and improper payment cases. The agency plans to implement a new audit strategy in which Medicare administrative contractors, or MACs, will scan claims and only target providers and suppliers with the highest error rates or billing practices that vary significantly from their peers.
Currently, MACs largely flag and challenge claims at random, a process that has led to a high backlog in appeals that the agency is struggling to work its way through. The new audit process builds off an effort that started in 2014 for select claims called probe-and-educate reviews. Under this effort, the CMS combined a review of a sample of claims with education to help reduce errors in the billing submission process.
Source: Virgil Dickson, Modern Healthcare [8/15/17]
LikeLike