If Medicaid payers can identify whether a member has primary coverage before claims are paid, the need for post-payment recovery is mitigated. Furthermore, the subset of Medicaid beneficiaries who have unreported primary commercial coverage creates a tremendous opportunity for payers of last resort to get in front of the problem.

Syrtis Solution's April 2022 Medicaid News Recap: A round-up of Medicaid Related news, legislation, and industry developments.

Syrtis Solution's May 2020 Medicaid News Recap: A round-up of Medicaid related news, legislation, and industry developments.

Syrtis Solution's January 2021 Medicaid News Recap: A round-up of Medicaid related news, legislation, and industry developments.

Syrtis Solution's July 2021 Medicaid News Recap: A round-up of Medicaid Related news, legislation, and industry developments.

Syrtis Solution's February 2020 Medicaid News Recap: A round-up of Medicaid related news, legislation, and industry developments.

Representatives are concerned about Medicaid improper payments and what the FY 2021 PERM audit will reveal.

Improper payments threaten the Medicaid programs solvency. States must look to cost avoidance opportunities to reduce costs.

Syrtis Solution's 2022 Medicaid News Recap: A round-up of Medicaid related news, legislation, and industry developments.

DHHS' Report for FY 2018 indicates that the Medicaid program must implement innovative technology solutions to reduce improper payments.

Identifying TPL has become increasingly more complex and it is costing the Medicaid program billions in improper payments.

Medicaid improper payments have risen over the years and while PERM brings the issue into scope, it does nothing to reduce them.

Lawmakers are disturbed over report findings from HHS and CMS is performing audits to address Medicaid Improper Payments.

Legislators are looking to improve Medicaid's oversight and integrity after improper payments accounted for 9.8% of the program's total spending in 2018.

DHHS reports that improper payments in the Medicaid program amounted to a staggering $98.72 billion in 2021.

Medicaid accounted for $40 billion dollars in improper payments last year and the program has been on the GAO’s High-Risk List since 2003t.

There are plenty of ideas about how to make Medicaid work for the poor Americans it's meant to serve. But ignoring $80 billion in improper payments isn't going to help.

The payment rate was way up, while the HHA error rate was down. If you’re wondering how much review pressure your hospice is likely to encounter this CERT Improper Payment Rate Up In 2022.

Medicaid TPL has been problematic and to resolve these issues, several legislative efforts have occurred to curb fraud, waste, and abuse.

Improper payments have cost the federal government and it’s taxpayers billions of dollars. Officials look to cost avoidance to prevent them moving forward.

All skilled nursing facilities that participate in Medicare Fee-for-Service (FFS) can expect a letter from the Centers for Medicare & Medicaid

Last year, these improper payments totaled $140 billion – that’s about $12 billion per month.

One of the biggest culprits of improper payments in the federal government — the Centers for Medicare and Medicaid Services — is making progress to combat the issue.

Pharmaceutical Giant Sued By U.S.

In today's Federal Newscast, The Centers for Medicare and Medicaid Services said it avoided handing out more than $4.5 billion in improper payments under one of its signature programs in fiscal 2018.

The goal of the recovery audit contractor program is to identify improper payments made on claims for services.

Indian Millionaires who are College Drop Outs!! These Indian Successors have not completed their Education, and yet they have proudly won it all ..

Medicaid is finally expanded in Utah and the program is accepting applications from anyone who finds themselves unemployed in the wake of the coronavirus outbreak.

let's understand the use of Modifiers for Podiatry Services that can reduce claim denials & understand what the modifier entails with MBC.

2020 Medicaid improper payments estimated at $86.49 billion. They now account for more than twenty percent of federal Medicaid expenditures.

The majority of Medicaid's improper payments stem from bad data and inefficient TPL processes. Learn how Medicaid can save billions.

Syrtis Solution's April 2021 Medicaid News Recap: A round-up of Medicaid Related news, legislation, and industry developments.

Syrtis Solution's February 2020 Medicaid News Recap: A round-up of Medicaid related news, legislation, and industry developments.