HHS Urges Payors to Withhold Payments for Suspicious Claims

Advertisement

The Obama administration has urged health insurers to withhold payments when they think patients may be “shopping” among physicians to obtain prescription drugs, according to a report from The Hill.

Though HHS normally requires Medicare drug plans to pay claims promptly, they are now encouraging plans to be more scrutinous of claims and withhold payment when multiple physicians write the same patient prescriptions for commonly abused drugs, like OxyContin.

Related Articles on the Obama Administration and Healthcare Fraud:

False Claims Recoveries and Whistleblower Suits Reach All-Time High
Feds Recover More Than $2.9B in Healthcare Fraud for 2011
Dept. of Labor Proposes Rules to Protect Small Businesses from Healthcare Fraud

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Advertisement

Next Up in Uncategorized

Advertisement

Comments are closed.