Proposed Medicaid fraud rules worry providers
Texas's Health and Human Services Commission is seeking formal approval for new Medicaid fraud rules that doctors allege deny them due process and expand investigators' power to halt their funding. For months, HHSC's Office of the Inspector General has been increasingly relying on a federal rule—part of President Obama's healthcare plan—that allows the agency to freeze financing to any health provider accused of overbilling Medicaid. That means they can halt the flow of funding before they complete a full-fledged investigation, and often, providers say, before doctors are given any chance to defend themselves.
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- WellPoint Dominates Nearly Half of Markets, AMA Says
- 4 Tips for Managing Employed Physicians
- House Calls Key to Pioneer ACO Success
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- How Telehealth Pays Off for Providers, Patients
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application