Your doctor prescribes some drugs or orders a test when you visit his office; it’s no big deal, right? You made an appointment to figure out what’s wrong with you and the doctor’s trying to do just th … Read more
California Health Advocates: Medicare Policy, Advocacy and Education
» Ryan Coble from the Office of Inspector General will discuss durable medical equipment (DME) fraud. Topics include: common DME fraud schemes; DME case examples; and trends and hotspots. She will also discuss what SMPs, beneficiaries and their representatives can look for to detect DME fraud, and what information to provide the OIG when referring DME fraud cases. Due to the law enforcement sensitive information, this training will not be recorded. Register today!
Atlanta Georgia Elder Law Attorney Medicare Medicaid Nursing Home Care Lawyer, Ira M. Leff, Attorney at Law
Since 1989, my practice has concentrated in the area of elder law. I work with families who are facing the likelihood of having to pay the high cost of long-term care and they do not have sufficient funds or insurance to cover that cost. I assist the families with incapacity planning (powers of attorney and advance health care directives); estate planning (wills and trusts); retirement planning; Medicare, Medicaid, Medigap, health insurance, pharmaceutical insurance and long-term care insurance; Veteran’s Benefits; housing options; and nursing home malpractice.
Grassley to Attorney General Lynch: crack down on Medicare Advantage overbilling
Grassley additionally referenced Center for Public Integrity reports on “an increasing number” of whistleblower lawsuits targeting Medicare Advantage. The suits argue that some insurance companies that offer Medicare Advantage “are allegedly engaging in billing abuse by altering patient records in order to claim patients are sicker than they actually are….News reports indicate that some insurance companies are wrongfully claiming sicker patients, leading to inflated risk scores and reimbursements,” Grassley wrote.