Chief Seema Verma said the new bundled payment effort will reward results, rather than the number of services delivered. 

A common tactic is sending off Medicaid-covered seniors with dementia following emergency “psychotic” episodes. When psychiatric wards and hospitals quickly discharge the patients, the nursing homes refuse to take them back in.

In real dollars, these payers’ combined savings would have nearly reached $20 billion just in 2018, the analysis shows.

Fired Florida orthopedic surgeon Ayman Daouk, MD, claims Orlando Health violated the Stark Law in attempting to influence his actions. 

Whistleblower and former employee Syd Ackerman first surfaced the allegations and stands to collect $925,000 of the payout. 

Rep. Frank Pallone Jr., D-N.J., worries the agency is using taxpayer funds to fuel the commander-in-chief’s bid for a second term. 

Approved for immediate use beginning Sept. 8, code 99072 covers any additional supplies, materials or clinical staff time used during the pandemic. 

A 223-bed acute care institution with a medical staff of nearly 300 physicians has agreed to pay $50 million over allegations it deliberately submitted ineligible claims to Medicare and profited handsomely by these actions.