Search for: "Medicare Secondary Payor Recovery Contractor"
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6 Jan 2023, 2:33 pm
There are also notable settlements involving other government healthcare programs and private insurance, and cases with less commonly seen fraud theories involving the Medical Loss Ratio, secondary payor issues, and offshoring of services. [read post]
16 Apr 2018, 11:52 am
” In most instances, a Medicare contractor will review a provider’s documentation to determine if an x-ray has been used, or a physical examination was conducted to document subluxation. [read post]
30 Jul 2012, 9:29 am
While the partnership signals a new opportunity for health plans to secure federal support if their efforts to monitor and address suspected health care fraud impacting private health plans, private payers also should keep in mind that federal fraud prosecutors also are likely to use the data and information gleened from the partnership to identify and redress noncompliance by private health plans with federal Medicare and other federal program secondary… [read post]
