Dec
01
Medicare will continue to suspend payments to Miami home healthcare agencies suspected of fraud, according to a November 24 Miami Herald article.
A federal judge ruled Medicare’s refusal to pay reimbursement to companies suspected of overcharging for diabetic and other services, which began in October, is reasonable and appropriate.
A home healthcare company sued Medicare following the initial announcement claiming that the program was beyond Medicare’s scope of authority.
According to the article, Medicare estimates it spends $1.3 billion of its $16.5 billion national home healthcare budget on companies based in Miami-Dade County.
Click here to read the Miami Herald article.
Categories : Billing and reimbursement, Medicare compliance, e-Newsletters
Leave a Reply
Search this site
Upcoming audio conference
Outpatient Wound Care Coding
November 30, 2009
-
Solve the Toughest Challenges
- Michael Apolskis commented on Region D RAC adds new DME issue
- Deborah Kinnard, RHIA commented on 2010 ICD-9 code updates now available online
- Matthew C. Kriner commented on Could RAC mass adjustment changes mean increase in automatic audits?
- Matthew C. Kriner commented on Could RAC mass adjustment changes mean increase in automatic audits?
- Tiffany Walls commented on Revenue Cycle Institute releases Observation white paper
Tags
ABN
audit
billing
Case Management
claim
CMS
Coding
condition code 44
DME
documentation
economy
FAQ
fee-for-service
final rule
fraud
HCPCS
HHS
hospital
ICD-9
ICD-10
inpatient
insurance
IPPS
LCD
MAC
Medicaid
medical necessity
Medicare
NCCI
NCD
never events
Obama
observation
observation status
OIG
Open door forum
OPPS
oxaliplatin
Patient access
physician
proposed rule
RAC
readmission
recovery audit contractor
utilization review
Copyright © 2009 All Rights Reserved


