cms Archives - Page 2 of 2 - Syrtis Solutions Test

28 Jun CMS AUDITS OVER MEDICAID IMPROPER PAYMENTS

Posted at 11:13h in Medicaid

Recent reports from the HHS OIG and the Louisiana Auditor General have indicated a high rate of Medicaid improper payments due to incorrectly determining Medicaid eligibility. The Senate Finance Committee wrote CMS on March 1st to inform the agency of their concerns over the...

27 May LEGISLATION FAILS TO REDUCE IMPROPER PAYMENTS IN GOVERNMENT-FUNDED PROGRAMS

Posted at 11:36h in Medicaid

Legislation such as the Improper Payments Information Act (IPIA P.L. 107-300) and Executive Order 13520 sought to address improper payments in government-funded programs. IPIA directed federal agencies to report on the number of improper payments occurring and outline what actions are being taken to reduce...

18 Dec CMS ACHIEVES LOWEST IMPROPER PAYMENT RATE IN 10 YEARS

Posted at 13:55h in Medicaid, Third Party Liability

Medicare and Medicaid accounted for $40 billion dollars in improper payments last year and the Medicaid program has been on the GAO’s High Risk List since 2003 due to inadequate fiscal oversight. However, last month CMS announced that the agency achieved the lowest improper payment...

09 Nov 2018 MIDTERMS FAVOR MEDICAID EXPANSION

Posted at 11:38h in Medicaid Expansion

Medicaid expansion was an important issue in the 2018 midterm elections. Three states – Idaho, Nebraska, and Utah - successfully passed ballot initiatives to expand their Medicaid programs, while Kansas and Maine elected pro-expansion governors. As a result, almost 500,000 additional low-income citizens will be...

26 Oct PREVENTING IMPROPER MEDICAID PAYMENTS

Posted at 13:42h in Medicaid

Of the $4 trillion spent by the government in 2017, nearly $141 billion were improper payments. These are payments made in error either to the wrong recipient, in the incorrect amount, or for a service that is not legitimate. Fraud, antiquated data systems, and methodologies...

19 Sep GAO Criticizes Medi-Cal’s Outdated Reporting Model And Improved Medicaid Oversight

Posted at 11:05h in Medicaid

In August, the GAO submitted a report to Congress that focused on what CMS would need in order to better target risks and improve Medicaid oversight. The review determined that one of the critical problems the agency is facing is the failure to implement new...

07 Sep Government Officials And Agencies Work To Strengthen Medicaid’s Integrity

Posted at 13:16h in Medicaid

In 2017, improper payments within the Medicaid program reached a total of $37 billion, according to CMS. That equals 10 percent of the federal dollars spent on the program. Moreover, 99.2 percent of the payments made were overpayments. To make matters worse, under the current...

27 Jul Medicaid’s Wasteful Spending – The Numbers

Posted at 19:03h in Medicaid, Uncategorized

The CMS has witnessed a dramatic surge in improper Medicaid payments and says the Affordable Care Act could be the cause. The Medicaid improper payment rate has jumped from 5.8% or $14.4 billion in fiscal 2013 to 9.78% or $29.12 billion in fiscal 2015, according...

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