The Centers for Medicare and Medicaid Services has spent about $117 million on Medicare Advantage audits that have recouped just $14 million related to overcharging.
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Erbitux is used to treat cancers that start in the head and neck and tumors there that spread from other parts of the body. Because its effectiveness varies, should the price also?
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A federal whistleblower suit unsealed in late February alleges that Humana knew about billing fraud involving Medicare Advantage patients and didn't stop it.
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