The American Hospital Association on Thursday asked the U.S. Department of Justice to establish a ”Medicare Advantage Fraud Task Force” to conduct False Claims Act investigations into commercial health insurance companies that are found to routinely deny patients access to services and deny payments to health care providers.
The association, in a letter to the department, cited a recent report showing that 13% of prior authorizations and 18% of payment denials actually met Medicare Advantage coverage rules and should have been granted.
SPRINGFIELD – The Illinois Education Association (IEA) is working to pass Senate Bill 2914 this session, a bill that would put an end to a long-time practice of school administrators keeping accus...