The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior ...

The OIG did not determine the accuracy of the Medicare RAC’s improper payment decisions, but argued that the Centers for Medicare & Medicaid Services could do a better job evaluating it’s own efficacy ...

Medicare Part B spending on skin substitutes used on hard-to-heal wounds is drawing new scrutiny in a federal watchdog report, even as wound clinicians make their case for access to those alternatives ...

Has the nation’s largest health care company exploited incentives in the federal insurance program for seniors?

Prepayments to Medicare Advantage plans allowed those insurers to add $450 million to their bottom lines in the form of additional interest income in 2007, according to Healthcare Finance News. The ...

Federal investigators looking for a link between ownership changes and the percentage of Medicaid funds spent on direct patient care could not confirm such a relationship, but they did discover that ...