Health Care Overpayment News
Listing Websites about Health Care Overpayment News
Medicare Advantage plans overcharged Medicare, …
(9 days ago) WebOverall, average overpayments to health plans ranged from a low of $10 to a high of $5,888 per patient collected by Touchstone Health HMO, a New York health plan whose contract was terminated …
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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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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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Medicare Overpayments Ruling Hits Insurers’ Fraud Defenses
(1 days ago) WebA circuit court ruling upholding a Medicare rule that requires Medicare Advantage insurers to report and refund overpayments within 60 days could hinder a …
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It took CMS four years to finalize its 60-day overpayment rule.
(6 days ago) WebCMS recently published its final “60 Day Rule” for reporting and refunding Medicare Parts A and B overpayments. Although it took four years between the …
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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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Medicare Advantage overpayments discussion gets experts fired …
(6 days ago) WebM edicare Advantage is arguably the most controversial health care program right now — a sentiment that was bolstered Friday by striking new data about …
https://www.statnews.com/2024/01/12/medicare-advantage-overpayments-experts/
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Overpayments to Medicare Advantage plans exceed $75 billion …
(6 days ago) WebMedicare Advantage plans earn profit or incur loss based on enrollees' healthcare service utilization. MedPAC estimates that Medicare Advantage plans will be …
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Health Insurance Overpayment Recovery Articles & Info American
(2 days ago) WebLearn what you need to know about the overpayment recovery process with these three tips and additional assistance from a free online overpayment recovery …
https://www.ama-assn.org/topics/overpayment-recovery
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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 …
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Social Security Overpays Billions to People, Many on Disability.
(3 days ago) WebBut trying to resolve an overpayment involves plunging into a “Kafkaesque minefield,” said Darcy Milburn, director of Social Security and health care policy at the …
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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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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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Change Healthcare/ Optum Payment Disruption (CHOPD) …
(1 days ago) WebAdditionally, other PTANs associated with the same TIN may have outstanding Medicare overpayments or outstanding CHOPD balances. …
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Social Security 2024: 6 Changes That Impact Your Benefits - Yahoo …
(6 days ago) WebAs of March 25, the SSA will collect the greater of $10 or 10% of the beneficiary’s total monthly Social Security benefit to recover an overpayment. That’s …
https://finance.yahoo.com/news/social-security-2024-6-changes-190722027.html
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Texas Slipped Up: Bid Data ‘Leak’ Triggered A Medicaid Contract …
(9 days ago) WebThe Texas Tribune reports on a contractual and legal muddle stirred up when the state Health and Human Services agency mistakenly sent rival health plans' data to …
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Federal court tosses Medicare home health pay lawsuit
(Just Now) WebA federal court said the National Association for Home Care and Hospice skipped an claw back overpayments due to a behavioral adjustment in the payment …
https://www.modernhealthcare.com/providers/medicare-home-health-pay-lawsuit-nahc
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Optum Behavioral Health Releases the First of Two Mass …
(9 days ago) WebLCSWs who billed the Medicare Advantage plan in- and out-of-network alike have reported to the NASW that they received the overpayment notification from Optum …
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FTC Chief Says Tech Advancements Risk Health Care Price Fixing
(5 days ago) WebLast year, the FTC successfully blocked biotech company Illumina’s over $7 billion acquisition of cancer-screening company Grail. The FTC, Justice Department, and …
https://kffhealthnews.org/news/article/ftc-lina-khan-price-fixing-noncompete-mergers/
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Court Extends Student Loan Forgiveness Deadline As Borrowers
(1 days ago) WebA federal court has agreed with a Biden administration request to extend the implementation deadline for student loan forgiveness and other relief under under a …
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Opinion Maximizing Profits at the Patients’ Expense
(4 days ago) WebReaders discuss an article about insurers sending large bills for out-of-network care. Also: Brave Trump jurors; Black voters; better than debates.
https://www.nytimes.com/2024/04/28/opinion/insurance-patients-profits.html
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Florida ‘callously’ strips healthcare from thousands of children
(3 days ago) WebFlorida is continuing to “callously” strip healthcare coverage from thousands of children in lower-income households in defiance of a new federal law intended to …
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UnitedHealth paid ransom after massive Change Healthcare
(9 days ago) WebHealth care providers struggle as cyberattack on UnitedHealth Group's subsidiary takes toll 02:24. The Russia-based cybercriminals who attacked a …
https://www.cbsnews.com/news/unitedhealth-ransom-paid-change-healthcare-attack/
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Transgender health care must be paid for by state insurance - NPR
(5 days ago) WebTransgender health care must be paid for by state insurance, appeals court says : Shots - Health News The federal appeals court in Richmond, Va., ruled in favor of …
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How Home Health Providers Can Avoid Payment Denials
(1 days ago) WebThat can initiate claim adjustments and/or overpayment recoupment actions through their standard recovery process,” Beth Noyce, of Noyce Consulting, said during …
https://homehealthcarenews.com/2024/04/how-home-health-providers-can-avoid-payment-denials/
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Work and pensions committee chair tells ministers to fix carer’s
(8 days ago) WebInstead, he said, the department was allowing people to incur “enormous accidental overpayments”, often over several years. In dozens of cases these bills have …
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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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Biden administration restores protections for gay and transgender …
(5 days ago) WebThe Biden administration announced a new rule Friday expanding safeguards against potential discrimination of gay and transgender Americans seeking medical care, …
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UnitedHealth paid ransom in Change Healthcare cyberattack
(3 days ago) WebChange Healthcare offers payment and revenue cycle management tools. The company facilitates more than 15 billion transactions annually, and 1 in every 3 patient …
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West Virginia and North Carolina’s transgender care coverage
(1 days ago) WebThe Richmond-based 4th U.S. Circuit Court of Appeals ruled 8-6 in the case involving coverage of gender-affirming care by North Carolina's state employee health …
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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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The Biden-Harris Administration Issues New Rule to Support …
(3 days ago) WebProhibits the use or disclosure of PHI when it is sought to investigate or impose liability on individuals, health care providers, or others who seek, obtain, …
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Married Frontline Health Care Workers' Wrongful COVID-19 Death …
(7 days ago) WebNEWS. Married Frontline Health Care Workers' Wrongful COVID-19 Death Lawsuit Reinstated by Appellate Division "Indeed, the judge's opinion was silent as to …
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