Category Archives: Medicaid

Former CareFlite Employees Allege Company Overbilled Medicare, Medicaid

The Dallas Morning News reports two former employees have filed a suit against CareFlite, “a nonprofit air and ground medical service provider,” alleging the company committed healthcare fraud by “charging the government for services that were ‘not medically necessary.’” They say CareFlite … Continue reading

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The Laws Behind Medicaid, and What You Need to Know

Medicaid is a government funded program dedicated to helping low income citizens across the country. According to the Center on Budget and Policy Priorities, in 2015 97 million Americans were covered by some form of Medicaid, including 33 million children, … Continue reading

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Medicaid Made Easy: How to Ensure You Get Your Owed Benefits

Medicaid is a needs-based benefit, so anyone wishing to apply for Medicaid must qualify based on the value of his or her assets. Any applicant having too much cash on hand or a high amount of assets will not qualify … Continue reading

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Phoenix Hospice to Pay $2.2 Million for False Medicare Billing Claims

The Arizona Republic reports Phoenix hospital provider Serenity Hospice and Palliative Care agreed to pay $2.2 million “to settle claims it falsely billed medicare for patients who were admitted to hospice care.” Serenity founder and former president Ruth Siegel “agreed to be … Continue reading

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Featured Link – MedAssisting

Administrative Medical Assisting MedAssisting.org has a resource page with dozens of links to helpful articles and information. Many of these links are to insurance resources, including Medicaid and Medicare. Check it out.  

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Editorial: Texas Medical Fraud Case Screams for Tighter Auditing by Feds

The Dallas Morning News recently ran an editorial about a local hospital busted for defrauding Medicare and Medicaid out of millions of dollars. We often read stories about individuals who cheat the government out of a few thousand dollars. This is … Continue reading

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More Billing Fraud from Tenet Hospital Corporation?

Fraudulent billing by hospitals seems to be reaching epidemic proportions. The latest company in the news is Tenet (again). Details were given in a article in the Dallas Morning News. Here are excerpts: A federal investigation into kickbacks allegedly paid … Continue reading

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A Report on Shortfalls in Medicaid Funding for Nursing Center Care

The American Health Care Association recently released a troubling report that stated the past year was the worst ever so far as the gap between long-term care costs and Medicaid payments. As health care costs continue to rise much faster than … Continue reading

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Hospital Officials and Advocates Object to Proposed Limits on Obamacare Navigators

Texas politicians, for whatever reasons, seem to be trying to make it as hard as possible for people to sign up for Obamacare, and also to make it harder for residents to receive Medicaid. The actions taken by the Republican … Continue reading

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Medicare and Medicaid Fraud by Healthcare Providers is Running Rampant

New York LTC company reaches Medicaid overbilling settlement. The New York Times reported that VNSNY Choice, a part of the Visiting Nurse Service of New York that is “the largest managed long-term care agency” in the state, “has agreed in principle to … Continue reading

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