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CMS is rolling out an enhanced and accelerated Medicare Advantage contract auditing strategy to catch any cases of fraud, waste or abuse that have been hiding in the program for far too long. We are actively reviewing claims to ensure the government is being accurately billed for Medicare patient... show more

DrOzCMS

22,385 subscribers

2,644,736 просмотров • 1 год назад •via X (Twitter)

Здоровье и велнес Новости и политика

Anya Rossi• Live Now

Private livecam show

Комментарии: 11

Фото профиля WickedSmartOne

WickedSmartOne1 год назад

Now pass something that says that my insurance company doesn't have the right to tell my doctor what and how to treat me! If the doctor prescribes something the insurance should cover it! It should be between me and my doctor would I take and don't take and what treatments I get!

Фото профиля SecBriefs | Making Cybersecurity Simple

SecBriefs | Making Cybersecurity Simple1 год назад

🇺🇸 The Future of America is Digital—And So Are the Threats! 🔐 It’s time for a bold, national cybersecurity strategy. The new government must act fast. So must you. 🦅 🎯 Be part of the solution! Get the CYBERSECURITY DICTIONARY for Everyone, on Amazon:

Фото профиля PSmit20

PSmit201 год назад

So much unnecessary treatments & pharmaceuticals being subscribed. Hospitals are also keeping patients a day or two extra to get extra $$$. Lots of opportunities to catch fraud, waste & abuse.

Фото профиля Narayanachar S Murali

Narayanachar S Murali1 год назад

What are you going to do about "facilitated fraud" on taxpayers? 340B, PBMs playing with discounts, site of service differential? These need politicians to act

Фото профиля Bill Meyer

Bill Meyer1 год назад

good news!!!!!

Фото профиля Barbara Reier 🇺🇸

Barbara Reier 🇺🇸1 год назад

The Advanage Plans are a ripoff of the seniors and Medicare

Фото профиля Southern Gardener

Southern Gardener1 год назад

They're stealing from seniors as well. Why did they increase prescription drug deductible to $350? All companies did it, drugs go generic and they keep charging top tier giving the break to Walmart.

Фото профиля Summertime

Summertime1 год назад

Will this reduce our Medicare premiums?

Фото профиля Lance McNeill

Lance McNeill1 год назад

I noticed all of a sudden I’m seeing less MA plan denials for our clinic. I wonder if it’s because they know they’re about to be audited and want to clean things up

Фото профиля Brian James

Brian James1 год назад

Don’t forget to tell everyone how you are working behind the scenes to help remove 13.7 million Americans from Medicaid.

Фото профиля DE Booth

DE Booth1 год назад

Thank you.

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CMS believes there’s about $100 billion in definable fraud, waste, and abuse across our country. If we can remove the fraud, waste, and abuse in Medicare, we will double the life expectancy of the Medicare trust fund.

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Finally, Dr. Oz shined a light on the even bigger problem lurking behind fraud: outright abuse and waste in the healthcare system. “And I'll leave you with one last thought,” he said. “In addition to the massive fraud, especially from foreign entities trying to invade America using their financial tools and criminal mindsets, we also have 25% of all of our money being spent probably subject to abuse.” He clarified the difference. “And that's not fraud. This is abuse and waste. Money not being used wisely.” To tackle this, the Centers for Medicare and Medicaid Services are rolling out a new model. “We just launched a new model called ‘Wiser’ with the Centers for Medicare and Medicaid Innovation—that is looking at ways for us to identify inappropriate use of services, services that are wasteful and should not be offered to the American people because they could hurt them.” For Dr. Oz, this isn’t just about money. It’s also about keeping Americans safe. “They're not providing value for these wonderful Americans whose health is being taken advantage of to generate higher revenue for providers.” He closed with a promise that the fight isn’t stopping here. “We're not going to tolerate it anymore, and we're going to use data analytics, real-time monitoring—and unhesitating and unwavering pursuit of the law to make sure this happens.” This was a turning point in American healthcare. The era of waste, fraud and abuse is over.

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