Here’s what you should know.
1. Mr. Grassley wrote CMS Administrator Seema Verma, citing an improper $125 million payout to a payer, calling it “low” and the “tip of the iceberg.”
2. HealthPayerIntelligence reports from 2008 to 2013 Medicaid Advantage programs were allegedly involved with a $70 billion payment manipulation scandal.
3. Mr. Grassley also asked the government what officials was doing to prevent fraudulent Medicare billing, and if the government conducted/is conducting any audits into CMS.
4. Mr. Grassley wrote a similar letter to CMS in 2015 taking aim at its alleged faulty risk score alterations.
More articles on coding, billing and collections:
6 insights on the $39B+ healthcare revenue cycle management market
5 effective pre-procedure steps to guarantee maximum reimbursement for your ASC
10 highest, lowest earning US regions for physicians
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 18–20 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
