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.
- 3 More Pioneer ACOs Say They Will Quit
- Governors Push to Expand Role of PAs, Telemedicine
- Telemetry Overuse Cost Health System $4.8 Million in One Year
- Why Open Payments Irks Physicians
- IV Fluids Shortage Continues
- Ebola in the U.S.: Reason to Fear, to Hope, to Prepare
- Difficult Patients: It's Not Them, It's You, Doctor
- Proton Beam Therapy Center Closure Illuminates Costs
- Overcoming a Payer Mix 'Nightmare'
- Driving Down Claims Denials