Several hospitals and health systems across the U.S. were tagged by the HHS Office of the Inspector General for billing errors this year. 1. St. Joseph’s Hospital Health Center, a 451-bed hospital in ...

Prolia (denosumab) is a medication for osteoporosis. A healthcare professional administers Prolia via injection under the skin every 6 months. Medicare covers Prolia for beneficiaries. Since a ...

Editor’s Note: We are excited to announce that this article is the first of a series addressing Medicare Part B’s “incident to” billing requirements, designed to give practical guidance and ...

By a News Reporter-Staff News Editor at Insurance Daily News-- Current study results on Managed Care have been published. According to news originating from New York City, New York, by NewsRx ...

Thirteen percent of denied prior authorization requests made by Medicare Advantage organizations met Medicare coverage rules, according to a review conducted by the HHS Office of Inspector General ...

The Office of the Inspector General (OIG) has been cracking down recently on Medicare overpayments to hospitals. Following an audit report done on March 13, OIG found that Boston's Brigham and Women's ...

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

To determine whether Medicare claims that North Mississippi submitted for polysomnography services complied with Medicare requirements, the OIG reviewed a stratified random sample of 100 beneficiaries ...

This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) ...

Medicare overpaid just 15 optometrists serving nursing home residents an estimated $3 million over three years for low-level ...