Tags : Medicare

Inside the IRE Awards: The Prescribers

This week on IRE Radio we’ll be taking you inside the 2013 IRE Awards with audio from some of the reporters, editors and producers who worked on prize-winning stories. View the complete list of winners here.

The Prescribers

ProPublica reporters Charles Ornstein, Tracy Weber, Jennifer LaFleur and others were able to get Medicare Part D data released for the first time. Hear how to use their tools, the FOI process, and an example of a story they found.

Ornstein and LaFleur introduce the database and go over some basics on it's use. The Prescriber Checkup tool is available ...

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Medicare data reveals improper prescriptions

When ProPublica’s Charlie Ornstein filed a federal Freedom of Information Act request for Medicare prescribing data, he wasn’t going to take no for an answer.

For good reason: the U.S. Health and Human Services Inspector General has found over the years that the Centers for Medicare and Medicaid Services was not monitoring how physicians prescribe under the 10-year-old, $62-billion program.

ProPublica worked with the Centers for Medicare and Medicaid Services to get the data and protect the agency’s concerns.  Reporters met with people from multiple departments to explain why we wanted prescriber data and why the ...

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Centers for Medicare and Medicaid Services data reveals fraudulent offices

Our newspaper’s analysis of Centers for Medicare and Medicaid Services (CMS) data revealed that 131 providers in the Atlanta metropolitan area claimed a UPS Store mailbox as their medical office.

In turns out, Atlanta medical providers were not conducting medical procedures in mailboxes. Most of these providers filled out the federal paperwork incorrectly.  But dozens of others committed fraud by  using the UPS Store mailboxes as purported real offices. With a sham provider number and a UPS Store address, they could also provide what looked like a real physician’s approval for unnecessary or non-existent medical services and equipment ...

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