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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...

2,644,736 Aufrufe • vor 1 Jahr •via X (Twitter)

11 Kommentare

Profilbild von WickedSmartOne
WickedSmartOnevor 1 Jahr

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!

Profilbild von SecBriefs | Making Cybersecurity Simple
SecBriefs | Making Cybersecurity Simplevor 1 Jahr

🇺🇸 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:

Profilbild von PSmit20
PSmit20vor 1 Jahr

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.

Profilbild von Narayanachar S Murali
Narayanachar S Muralivor 1 Jahr

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

Profilbild von Bill Meyer
Bill Meyervor 1 Jahr

good news!!!!!

Profilbild von Barbara Reier 🇺🇸
Barbara Reier 🇺🇸vor 1 Jahr

The Advanage Plans are a ripoff of the seniors and Medicare

Profilbild von Southern Gardener
Southern Gardenervor 1 Jahr

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.

Profilbild von Summertime
Summertimevor 1 Jahr

Will this reduce our Medicare premiums?

Profilbild von Lance McNeill
Lance McNeillvor 1 Jahr

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

Profilbild von Brian James
Brian Jamesvor 1 Jahr

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

Profilbild von DE Booth
DE Boothvor 1 Jahr

Thank you.

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DrOzCMS

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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.

Vigilant Fox 🦊

110,500 Aufrufe • vor 1 Jahr