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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

Kaiser Health News

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. But it can have serious repercussions.

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Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Kaiser Health News

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Medicare Advantage plans accept a set fee from the government for covering a person’s health care.

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California Doctor to Pay over $9.48M, Sentenced to Prison, to Settle Fraud Allegations

Med-Net Compliance

California Attorney General Rob Bonta announced a settlement against a Southern California doctor for submitting false claims to Medicare and Medi-Cal between the years of 2011 and 2018 for drugs, procedures, services, and tests that were never administered to patients. The doctor?is?an The case was ? in October 2017?under

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Doctor Burnout Levels Increasing as a Result of the Pandemic

American Medical Compliance

Amidst the COVID-19 pandemic, there has been an influx of doctor burnout. Helping Doctors Through Extensive Burnout. doctors was 62.8%. Surgeon General Dr. Vivek Murthy raised the alarm earlier this year about what he called a national crisis on doctor burnout, which is made worse by the pandemic. in 2020, 43.9%

Doctors 52
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Physician burnout is at an all-time high, says AMA

Healthcare IT News - Telehealth

After declining for six years, the burnout rate among doctors began to spike with the onset of the COVID-19 pandemic, according to research by the American Medical Association, Mayo Clinic and Stanford Medicine. Though occupational burnout among doctors is higher relative to the U.S. Reforming Medicare payment. WHY IT MATTERS.

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Medicare Advantage RADV Audit Final Rule Challenged in Court

Healthcare Law Blog

The Centers for Medicare & Medicaid Services (“CMS”) released the final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”) on January 30, 2023. MAOs will be required to remit improper payments identified during RADV audits in a manner specified by CMS.

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CMS BLOG: Medicare for All? Just another name for a government-run, single payer system

CMS.gov

CMS BLOG: Medicare for All? Seema Verma, Administrator, Centers for Medicare & Medicaid Services . Medicare Part C. Medicare Part D. Medicare for All? When listening to those advocating ‘Medicare for All’ it’s good to be skeptical about their promises. Just look at the decreasing numbers of doctors.