reimbursement

Meet the Medicare Fraud-Fighters

Posted on 11/12/2013 by | Legal Grounds | Comments

Bulletin TodayFor many older Americans, Medicare has been a life-saver — literally. And, over its 47-year-old history, the government health care initiative has allowed countless more Americans to lived longer and healthier lives. That’s the good news. The not-so-good? Some doctors, pharmacies and other providers try to steal from Medicare by overbilling or submitting fraudulent charges for reimbursement. >> Sign up for the AARP Money newsletter That’s where the Medicare Fraud Strike Force (don’t you just love that name?) comes in. …

More Doctors Accepting New Medicare Patients

Posted on 08/27/2013 by | Washington Watch | Comments

Bulletin Today | PoliticsIt’s getting easier — not more difficult — to find doctors who take Medicare, according to a new study by the Department of Health and Human Services. Doctors have long complained about Medicare’s payment caps and the instability of a reimbursement system that forces cuts each year unless Congress intervenes to prevent them. Nonetheless, the HHS study says that the number of physicians accepting new Medicare patients is actually higher than the number taking new private insurance patients, according to …

How a Secretive Panel of Doctors Helps Set Health Care Costs

Posted on 08/1/2013 by | Washington Watch | Comments

Bulletin Today | Personal HealthA Washington Post story by investigative reporters Peter Whoriskey and Dan Keating has drawn plenty of attention to a little-known committee of doctors that establishes values for each medical procedure, which in turn affects how much Medicare and private insurers pay for them. The American Medical Association committee meets once a year behind closed doors to determine the time and intensity of most of the procedures and services a doctor performs — like colonoscopies (75 minutes of a doctor’s time, …

CVS Price Error For Medicare Drugs: You May Get A Refund

Posted on 09/5/2012 by | Personal Health and Well-being | Comments

Bulletin Today | Personal HealthNearly 13,000 Medicare Part D beneficiaries will receive reimbursement checks from CVS Caremark, the Federal Trade Commission (FTC) announced Tuesday, as part of a $5 million settlement for overcharging on some drugs for seniors and the disabled. The checks are being sent to customers who overpaid for drugs used to treat epilepsy and breast cancer, among other illnesses, and who were forced into the so-called doughnut hole — in which no drug costs are reimbursed — as a result of …