Department of Health and Human Services

Nursing Homes Overbilled Medicare By $1.5 Billion, Feds Say

Posted on 11/16/2012 by | Health | Comments

Bulletin TodayBy Jenni Bergal, Kaiser Health News At a time when the nursing home industry is lobbying Congress to avoid cuts in Medicare payments, a federal watchdog agency is reporting that taxpayers overpaid nursing homes $1.5 billion. The study released this week by the inspector general’s office of the Department of Health and Human Services concluded that nursing homes billed about a quarter of claims incorrectly in 2009 – the year it studied. Most of those claims were “upcoded,” which means …

Providers File The Bulk Of Medicare Appeals

Posted on 11/15/2012 by | Health | Comments

Bulletin TodayBy Susan Jaffe, Kaiser Health News Health care providers who appealed to Medicare judges won more often than patients did, according to a report by the inspector general at the U. S. Department of Health and Human Services. Hospitals, physicians, medical equipment suppliers and other providers also filed 85 percent of the cases decided by the administrative law judges in fiscal 2010. Some providers get plenty of practice, with 96 “frequent filers” responsible for one-third of the 40,682 appeals submitted …