Jan 14 (Reuters) - The U.S. Department of Justice said five Kaiser Permanente affiliates in California and Colorado agreed to pay $556 million to resolve claims they illegally pressured doctors to add ...
Five Kaiser Permanente affiliates have agreed to a record-breaking $556 million settlement with the Department of Justice (DOJ) resolving allegations of fraudulent Medicare Advantage (MA) risk ...
Jan 14 (Reuters) - The U.S. Department of Justice said five Kaiser Permanente affiliates in California and Colorado agreed to pay $556 million to resolve claims they illegally pressured doctors to add ...
The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 billion under the private plans. By Reed Abelson and Margot Sanger-Katz Kaiser ...
CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...
A woman discovered a fraudulent $9,320 medical equipment claim filed for her husband, who has Alzheimer's. Medicare initially paid over $5,900 on the fraudulent claim, while the secondary insurer ...
BATESVILLE, Ark. (KAIT) - White River Health will no longer be an in‑network provider for Aetna Medicare Advantage starting Jan. 31, 2026. That’s according to a post on White River Health’s Facebook ...
Dear Rusty: I’m trying to figure out if I should change my IRS filing status to “Married — Filing Jointly” prior to getting reviewed for my Medicare Part B and Part D. My current IRS status is ...
Medicare will significantly expand the use of prior authorization (PA) and post-service review for select services beginning next year, and private contractors will be permitted to use artificial ...
LOS ANGELES — A Glendale doctor is facing federal charges for allegedly submitting more than $45 million in bogus claims to Medicare for Botox injections that were medically unnecessary or never ...
If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you’ll be happy to know that many appeals are successful, so it’s definitely worth your time. But before going ...
What are the steps to appeal a Medicare claim denial? Donald Trump’s price for ballroom renovation keeps getting bigger Gil Gerard, ‘Buck Rogers in the 25th Century’ hero, dead at 82 These are the 2 ...
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