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Medicare scheme for catheters hits home in Nebraska

Nebraska officials began raising the alarm after noticing a suspicious spike in billings to Medicare for urinary catheters, which a federal agency since has labeled a fraud scheme. ....

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Moving beyond financial incentives to engage specialists in ACOs

Moving beyond financial incentives to engage specialists in ACOs
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Accountable Care Organization Initiatives to Improve the Cost and Outcomes of Specialty Care

Engaging specialty physicians is an emerging area of focus for Medicare accountable care organizations. Enhanced data on specialist costs and outcomes are essential to addressing alignment challenges. ....

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Medicare Recipients Lose Thousands to 'Phantom Billing'

Phantom billing occurs when fraudulent charges are filed to Medicare without the recipient s knowledge. ....

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The Impact of Nurse Practitioner Attribution in Medicare Shared Savings ACOs

Allowing nurse practitioners to serve as attribution-eligible providers for Medicare Shared Savings Program accountable care organizations leads to no change in hierarchical condition category risk scores and modest growth in attributed beneficiaries. ....

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