Health Care Overpayment News
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‘Perpetuity Of Uncertainty’: Home Health Providers Await Another …
(4 days ago) WEBBut CMS is also attempting to claw back “overpayments” it made to providers in 2020-2022: $873 million in 2020, $1.2 billion in 2021 and $1.4 billion in …
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New Medicare Rule Aims to Take Back $4.7 Billion …
(8 days ago) WEBThe administration said it expects to collect as much as $4.7 billion over a decade from its heightened oversight. The rule strengthens the ability of the government to audit plans and recover the
https://www.nytimes.com/2023/01/30/upshot/medicare-overbilling-biden-rule.html
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Medicare Advantage plans overcharged Medicare, …
(9 days ago) WEBUnitedHealthcare and Humana, the two biggest Medicare Advantage insurers, accounted for 26 of the 90 contract audits over the three years. In all, the 90 audits found plans that received $22.5
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Health Care Advisory : CMS Reverses Course on Medicare …
(6 days ago) WEBAn overpayment retained past the 60-day deadline is an obligation that could lead to reverse FCA liability. The ACA did not define what it meant to “identify” an …
https://www.alston.com/en/insights/publications/2022/12/health-care-advisory-cms-reverses-course
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Government Lets Health Plans That Ripped Off …
(Just Now) WEBThe audits found about $12 million in net overpayments for the care of 18,090 patients sampled for the three-year period. In all, 71 of the 90 audits uncovered net overpayments, which topped $1,000 per patient on …
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U.S. Supreme Court rebuffs UnitedHealth Group challenge on …
(8 days ago) WEBIn its 2016 lawsuit, UnitedHealth argued that the overpayment rule treated Medicare Advantage differently from traditional Medicare, which pays providers on a fee …
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UnitedHealth Group loses in overpayments case AHA News
(7 days ago) WEBThe U.S. Court of Appeals for the District of Columbia Circuit reversed a 2018 district court decision in favor of UnitedHealth Group, rejecting the insurer’s claims …
https://www.aha.org/news/headline/2021-08-16-unitedhealth-group-loses-overpayments-case
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Medicare Advantage overpayments could exceed $75B
(1 days ago) WEBOverpayments to Medicare Advantage plans could reach more than $75 billion this year — almost triple prior estimates — highlighting the need for payment …
https://www.healthcaredive.com/news/Medicare-Advantage-overpayments-75-billion-2023/652958/
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SCOTUS rejects UnitedHealth appeal of Medicare - Healthcare …
(9 days ago) WEBThe U.S. Supreme Court on Tuesday declined to hear UnitedHealthcare’s challenge to a federal rule requiring private insurers that administer Medicare Advantage …
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Audits — Hidden Until Now — Reveal Millions in - KFF Health …
(3 days ago) WEBThe government’s audits uncovered about $12 million in net overpayments for the care of 18,090 patients sampled, though the actual losses to taxpayers are likely …
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Overpayments To Medicare Advantage Insurers Now Top - KFF …
(3 days ago) WEBOverpayments to insurers administering Medicare Advantage plans now exceed $75 billion a year due to aggressive coding of patients' health conditions and …
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UnitedHealth loses Medicare Advantage overpayment argument …
(8 days ago) WEBCMS paid an estimated $16.2 billion for unsupported diagnoses in 2016, audits of Medicare Advantage plan data show. UnitedHealthcare has lost its argument …
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Hospitals Face Financial Pressures as Costs of Caring Continue to …
(Just Now) WEBHospitals’ labor costs, which on average account for 60% of a hospital’s budget, increased by more than $42.5 billion between 2021 and 2023. Economy-wide …
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Judge rules for UnitedHealthcare in Medicare overpayment case
(4 days ago) WEBA federal judge has backed UnitedHealthcare’s argument that a 2014 Medicare rule designed to recover overpayments to insurers would have wrongly …
https://apnews.com/article/business-health-medicare-07fe5bee206b447197ea09693f6f1989
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UnitedHealthcare loses Medicare Advantage overpayment suit
(2 days ago) WEBThe overpayment rule, created in 2010 as a provision of the Affordable Care Act and promulgated by CMS through rulemaking in 2014, is part of the …
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Overpayment, appeal letters going paperless on May 12
(Just Now) WEBBeginning May 12, we’ll no longer mail overpayment and appeal decision letters sent directly by UnitedHealthcare* to network medical health care professionals …
https://www.uhcprovider.com/en/resource-library/news/2023/medicaid-overpayment-appeal-paperless.html
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Social Security is overpaying billions to people and then - ABC …
(2 days ago) WEBDuring the 2022 fiscal year, the agency clawed back $4.7 billion of overpayments, while another $21.6 billion remained outstanding, according to a report …
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Dental care and insurance costs too much. ACA rule could change …
(2 days ago) WEBUnder Biden's rule, states have until 2025 to decide whether to mandate that insurers cover dental benefits for adults. The dental benefits would not take effect until …
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Op-Ed: Key factors in why America spends more on health care
(5 days ago) WEBTop answers that my students give to this question — before doing the assigned reading — include population growth, an aging society and poor health habits …
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Biden accuses Trump of 'coming for your health care' in new - NPR
(7 days ago) WEBA new KFF survey found Biden has an edge with independent voters when it comes to health care issues. Independents trust Biden more than Trump to ensure …
https://www.npr.org/sections/health-shots/2024/05/20/1252453299/biden-campaign-ad-obamacare-trump
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State of New Jersey
(4 days ago) WEBThe mission of the Division of Consumer Affairs, within the Department of Law and Public Safety, is to protect the public from fraud, deceit, misrepresentation and …
https://www.nj.gov/oag/newsreleases20/pr20200811c.html
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Nurses at North Jersey nursing home seek to unionize - Bergen …
(8 days ago) WEBThe nurses at Complete Care at The Harborage in North Bergen are seeking permission from the National Labor Relations Board to hold a vote to join the …
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As health system earnings go up, health insurance stocks go down …
(7 days ago) WEBSTAT took a look at 20 large nonprofit health systems and found that all but four reported higher operating and net margins in the first three months of 2024 …
https://www.statnews.com/2024/05/20/hospitals-strong-first-quarter-trim-health-insurance-margins/
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Cyberattack disrupts operations at major US health care network
(6 days ago) WEBCNN —. A cyberattack has disrupted “clinical operations” at major health care nonprofit Ascension, forcing it to take steps to minimize any impact to patient care, …
https://www.cnn.com/2024/05/08/tech/cyberattack-disrupts-healthcare-network/index.html
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Reimbursement and overpayment audit defense Health care
(4 days ago) WEBReimbursement and overpayment audit defense. Our attorneys provide advice and counsel to virtually all types of health care providers and professionals on …
https://www.porterwright.com/health-care/services/reimbursement-and-overpayment-audit-defense/
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Did the Social Security Administration Send You Too Much Money …
(2 days ago) WEBTo request a waiver, you'll need to submit form SSA-632. Once you've completed it, you can either mail it or drop it off at your nearest Social Security office. …
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Exclusive: Social Security Chief Vows to Fix ‘Cruel-Hearted
(5 days ago) WEBKFF Health News and Cox Media Group discovered that more than 2 million people a year have been hit with overpayment demands. Most overpayments are linked to the …
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Federal Register, Volume 89 Issue 97 (Friday, May 17, 2024)
(9 days ago) WEB[Federal Register Volume 89, Number 97 (Friday, May 17, 2024)] [Proposed Rules] [Pages 43518-43634] From the Federal Register Online via the Government …
https://www.govinfo.gov/content/pkg/FR-2024-05-17/html/2024-09989.htm
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MA plans were overpaid $9.3B annually from 2017 to 2020, study …
(Just Now) WEBOverall, MA plans were overpaid by an average of $9.3 billion per year between 2017 and 2020. As seniors increasingly turn to MA plans, setting payment …
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How Delaware is protecting state retiree health benefits - The …
(9 days ago) WEBUnder this bill, the news release stated the state would cover: 50% of the premium for eligible pensioners with at least 15 years of service upon retirement. 75% of …
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Did Obamacare ‘massively’ increase the cost of health care?
(1 days ago) WEB2020-2023: 8 percent increase. Put another way, if total costs had continued on the same pre-ACA path, they would now be about $60,000 — or double the current …
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Brackets released for 2024 NJ baseball state tournaments - Bergen …
(8 days ago) WEBRep. Sherrill pitches $100M a year to boost mental health care in US jails and prisons. News Bergen Passaic Sports HS Sports Advertise Obituaries eNewspaper …
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Therapists, health, social service workers face threats from clients
(1 days ago) WEBOut of 23,000 workplace assaults, between 2011 and 2013, 75% occurred in health and social service settings, OSHA — the U.S. Occupational Safety and Health …
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New Social Security Report Shows Growing Overpayment Problem …
(5 days ago) WEBNew Social Security Report Shows Growing Overpayment Problem Tops $23B. By Jodie Fleischer, Cox Media Group and KFF Health News Staff November 17, …
https://kffhealthnews.org/news/article/social-security-report-overpayment-23-billion/
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New task force prescribes mental health support to curb - NBC …
(2 days ago) WEBTo protect new mothers, a federal panel prescribes mental health support. Women's Health. New task force prescribes mental health support to curb maternal …
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Health-care giant Ascension says hack is disrupting patient care
(7 days ago) WEB7 min. Ascension, one of the largest health systems in the United States, said Thursday that it was struck by a cyberattack that knocked patient record systems …
https://www.washingtonpost.com/business/2024/05/09/cyberattack-hack-hospital-ascension/
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