Syrtis Solutions distributes a monthly Medicaid news recap to help you stay up-to-date. The monthly roundup concentrates on developments, research, and legislation that pertains to Medicaid 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 significant resources and offer vital services to the public that are vulnerable to fraud, waste, abuse, and...
Third-party liability, also referred to as TPL, is the legal obligation of third parties to pay part or all of the costs for medical assistance under a Medicaid state plan. Simply put, if a beneficiary has other forms of health insurance, those primary payers are...
Syrtis Solutions publishes a monthly Medicaid news recap to help you stay informed. The monthly recap 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...
Improper claims payments are costing Medicaid billions of dollars every year. A frequent misconception is that these payments come from fraud and abuse when the bulk of them actually originate from mundane issues such as eligibility errors and antiquated data systems. Don't miss out on...
Syrtis Solutions delivers a monthly Medicaid news recap to help you stay informed. The monthly summary highlights developments, analysis, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
In 2018, the Trump Administration and GOP made multiple attempts to reverse the ACA and establish federal spending caps on the Medicaid program to lower costs. These efforts were unsuccessful; nevertheless, several states expanded their Medicaid programs and introduced work requirements during this time. According to...
Syrtis Solutions publishes a monthly Medicaid news summary to help you stay up-to-date. The monthly summary 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 summary...
According to federal agency data from PaymentAccuracy.gov and the Office of Management and Budget, the federal government spent an estimated $247 billion in improper payments in 2022. The data also revealed that the Department of Health and Human Services' Medicaid program accounted for the majority...
Syrtis Solutions delivers a monthly Medicaid news summary to help you stay informed. The monthly summary focuses on developments, research, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a summary...