The owners of a Belle Glade clinic and 11 of their employees were arrested today on charges they fraudulently billed medicaid and medicare more than $5 million for HIV treatments that were never delivered to patients.
Nine people, including a Palm Beach County woman, were arrested Thursday for their alleged roles in a $5 million criminal operation that billed Medicare and medicaid for fake HIV treatments, prosecutors said.
Storan Technologies Inc. is announcing the immediate availability of Merlin Risk Adjustment 5.0, a Web-based solution that helps health plans and medical groups efficiently and accurately document an individual patient’s diagnoses to ensure full Medicare reimbursement.
Federal regulators on Friday announced that Medicare planned to deny coverage of artificial disks implanted in the lower spines of beneficiaries older than age 60, the New York Times reports. Artificial disks “were seen as a potential alternative” for up to a quarter of the 220,000 spinal fusion surgeries performed annually, according to the Times. [click link for full article]
Bravo by Elder Health, a locally based Medicare Advantage health plan, announced today that Gil Miller has been appointed executive vice president of sales. In this new position, Miller will be responsible for sales and broker development in all markets Bravo serves, including Delaware; Maryland; Pennsylvania; Texas; and Washington, D.C.
According to a new study published by the American Journal of Public Health, improved HIV treatments continue to lower the death rate among Medicare patients with HIV, while total Medicare expenditures for this population are rising sharply. In addition, Medicare’s HIV patients, particularly African Americans, face growing non-HIV illnesses such as diabetes, heart failure and kidney and liver …
The Board of Directors of America’s health insurance plans (AHIP) today announced a new initiative to protect beneficiaries as they consider enrolling in the Medicare Advantage and Part D programs and ensure that brokers, agents and plan marketing staff meet new qualifications and requirements. [click link for full article]
May 30, 2007 - Lawmakers continue to debate whether to reduce federal payments to private insurers that administer the fastest-growing type of Medicare advantage plans — private fee-for-service plans, the AP/Atlanta Journal-Constitution reports (Freking, AP/Atlanta Journal-Constitution, 5/30).
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