A new audit by the GAO indicates that the government suffered a significant loss of $236 billion in 2023 as a result of improper payments. Medicaid and Medicare alone accounted for 43% of these payments, with Medicaid's improper payments reaching $50.3 billion. These findings highlight...
Syrtis Solutions issues a monthly Medicaid news recap to help you stay up-to-date. The monthly roundup focuses on developments, analysis, and legislation that relates to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
Syrtis Solutions distributes a monthly Medicaid news roundup to help you stay up-to-date. The monthly recap highlights developments, research, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary of...
Syrtis Solutions delivers a monthly Medicaid news roundup to help you stay up-to-date. The monthly summary highlights developments, research, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a list...
Medicaid improper payments have caused the safety net program to be on the Government Accountability Office's High-Risk List since 2003. The GAO's list identifies government programs that involve considerable resources and offer vital services to the public that are prone to fraud, waste, abuse, and...
Third-party liability, also known as TPL, is the legal requirement of third parties to pay part or all of the costs for medical assistance under a Medicaid state plan. In other words, if a beneficiary has other forms of health insurance, those primary payers are...
Syrtis Solutions publishes a monthly Medicaid news roundup to help you stay up-to-date. The monthly roundup highlights developments, analysis, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
Improper claims payments are costing Medicaid billions. A frequent misunderstanding is that these payments originate from fraud and abuse when the majority stem from prosaic, mundane issues such as eligibility errors and outdated data systems. Take advantage of this opportunity to receive a free quantitative...
Syrtis Solutions publishes a monthly Medicaid news recap to help you stay informed. The monthly roundup concentrates on developments, analysis, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a list...
In 2018, the Trump Administration and GOP made numerous efforts to overturn the ACA and establish federal spending caps on the Medicaid program to decrease costs. These initiatives were ultimately unsuccessful; however, several states expanded their Medicaid programs and introduced work requirements during this time. According...