Category Archives: Medicaid

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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Featured Link — Understanding Public Benefits When Caring for Elderly Parents

The Texas Lawyer site has a good, short article on Medicare and Medicaid as related to nursing home care. Here are the opening paragraphs: When a parent’s health is declining, a crash course in public benefits can be helpful for … Continue reading

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No Solution Yet in Sight for Long-Term Care Costs

The cost of long-term care in this country can be enormous, and quite a shock to families when they first have a need for it. Whether it’s home health care, assisted living, or a skilled nursing facility, the annual cost … Continue reading

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Long-Term Care Insurance Hikes Hitting Policyholders

I’m a believer in long-term care insurance. Just as disability insurance, it’s a gamble. You may or may not collect any benefits. If you don’t collect, that’s probably a good thing for you. If you do collect you’ll be very … Continue reading

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Medicaid Fraud Seems to be Increasing

Here are a series of news reports from the past few days. Medicaid fraud has always been around, but it seems to be running rampant now. If you suspect some of committing Medicaid fraud, you can get information about reporting … Continue reading

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CMS Proposal Limits Coverage of Drug to Help Diagnose Alzheimer’s

The Centers for Medicare & Medicaid Services proposed that “Medicare will pay the costs of brain imaging that uses a Eli Lilly & Co. drug to help diagnose Alzheimer’s disease only for patients participating in approved clinical studies,” Bloomberg News reported. According … Continue reading

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