Sen. Chuck Grassley calls DOJ, CMS to task on Medicare Advantage payments

Sen. Chuck Grassley (R-Iowa) wants to know how the Department of Justice and the Centers for Medicare and Medicaid Services are addressing the billing problems that have plagued Medicare Advantage for years.

In Wisconsin, non-emergency transportation falls woefully short

An audit of a Wisconsin transportation company that received $56 million from the state for non-emergency transportation to bring Medicaid beneficieries to appointments reveals the company often arrived late or not at all.

OIG auditors find troubling billing practices among California dentists

Questionable billing practices among California dentists who treat pediatric patients covered by Medicaid highlight the need for better oversight, according to a recent Department of Health and Human Services Office of Inspector General audit.

Tenet Healthcare reveals criminal probe into kickback allegations

In security filings earlier this month, Tenet Healthcare Corp. revealed that it is weathering parallel criminal and civil investigations from federal prosecutors regarding allegations that executives of the Dallas-based company paid kickbacks to medical clinics for patient referrals.


Senior VA official blasts wasteful spending on supplies, outside care

The Department of Veterans Affairs (VA) spends at least $6 billion each year on medical supplies and outside care, often ignoring competitive bidding requirements and opening the program up to widespread fraud, waste and abuse.


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As electronic health records become more common, they are increasingly the medical records relied on in medical malpractice litigation--often to the detriment of the provider, not only causing or contributing to the malpractice but also in not supporting provider's defense. 


The U.S. Department of Health and Human Services Office for Civil Rights has sent pre-audit screening surveys to covered entities that could be selected to participate in Phase 2 of the HIPAA audit program, OCR has confirmed.