September 24, 2019

What You Don’t Know Can Hurt You: Prevent Overpayments under the False Claims Act

In today’s healthcare landscape, the government funds over two-thirds of all provider costs, totaling over $3.5 trillion annually. Generally, the Center for Medicare and Medicaid Services (CMS) manages the payment of these claims. In an effort to maintain integrity in the current healthcare system, providers are responsible for determining whether the submitted claims are paid correctly. If an overpayment is made, the provider must report and return the funds within 60 days of discovery. Overpayments can occur from duplicated claim submissions, payment for non-covered or excess services, payment to the incorrect individual, or any other misapplication of government funds. 31 […]
June 4, 2019

Top 5 Ways to Protect Against Duplicate Payments

Duplicate payments have been among one of the leading sources of leaking resources in healthcare systems for decades. Health systems in the United States lose over $500 million to duplicate payments annually. That’s right, duplicate payments are a half-billion-dollar per year mistake. Imagine what your healthcare organization could do if they saved those funds each year – update facilities, offer new services, treat more patients, upgrade to the latest technologies, or hire more resources. It’s time for your organization to take a more proactive approach to mitigate the risks associated with “dupes” and save resources that directly affect your patient’s […]
Top 5 Ways to Protect Against Duplicate Payments
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