Medicare News

Coalition Backing Bill to Improve Administration of Medicare with Workers’ Comp

A coalition representing a group of stakeholders voiced support of the introduction this week of the “Coordination of Medicare Payments and Workers’ Compensation Act” or the “COMP Act.” The bi-partisan legislation introduced by Representatives Mike Carey (R-OH) and Mike Thompson …

Montana Clinic Files for Bankruptcy Following $6 Million Judgment over False Asbestos Claims

BILLINGS, Mont. (AP) — A health clinic in a Montana town plagued by deadly asbestos contamination has filed for bankruptcy protection after a judge ordered it to pay the government almost $6 million in penalties and damages for submitting false …

No Coverage Owed for Retaliation Claims Tied to Undisclosed Investigation

A federal appellate court on Friday reversed a $2.3 million award to a nursing home owner that sued its insurer, finding coverage for a whistleblower retaliation lawsuit was clearly excluded because the policyholder did not disclose that it was under …

U.S. Sues Teva Over Alleged Kickbacks For Multiple Sclerosis Drug

The U.S. government sued Teva Pharmaceutical Industries Ltd on Tuesday, accusing the drugmaker of causing the submission of false claims to Medicare by using kickbacks to boost sales of its multiple sclerosis drug Copaxone. In a complaint filed in Boston …

The Future Looks Terrible for U.S. Nursing Home Costs

The results of a six-year study by Georgetown University Medical Center revealed just how fast U.S. nursing home prices have been increasing all across America. And the future looks just as grim. Dr. Sean Huang, the study’s lead author, said …

WCRI: States Without Work Comp Fee Schedules Paying the Price

The dwindling number of states that have no fee schedule, or that set fees according to a percentage of billed charges, are paying far more for outpatient surgery than states that have adopted some version of Medicare’s payment system, according …

Swiss Drugmaker Novartis Must Face Doctor Kickback Suit

NEW YORK — Novartis AG must face a U.S. government lawsuit accusing it of paying millions of dollars in kickbacks to doctors so they would prescribe its drugs, after a federal judge ruled in a decision released on Monday that …

Medicare Set Asides Still a Cause of Confusion in Liability Claims

Though regulation was enacted 30 years ago to recover funds erroneously paid by Medicare, confusion remains as to how to handle liability claims involving Medicare eligible claimants. The government is now attempting to clear up some of the confusion that …

Flagship Services Group Launches Medicare Compliance Solutions

Flagship Services Group, Inc., a Colorado-based company providing Medicare compliance for insurance carriers, self-insured entities, attorneys, and state and local government agencies, announced end-to-end solutions combining best practices for the claims, legal, and medical fields in order to manage claims …