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18 Oct 2023, 2:00 am
In many instances, she never spoke with, or treated, the patients, even though she invoiced for “patient visits;” submitting bills for over 24 hours of visits in a single day.According to a press release issued by the United States Department of Justice, EH, who pocketed some $1.6 million from the scheme, was found guilty by a Florida jury of “one count of conspiracy to commit health care fraud and wire fraud, in addition to four counts of health care… [read post]
17 Oct 2023, 8:53 am
Gruchacz of the Department of Health and Human Services Office of Inspector General (HHS-OIG). [read post]
13 Oct 2023, 1:58 pm
As a former Department of Justice fraud prosecutor who worked on the successful Sutter Health FCA case and now represents whistleblowers, Ms. [read post]
13 Oct 2023, 7:31 am
Secretary United States Department Of Health & Human Services Case Background In Oxenberg, the plaintiffs submitted Medicare claims for therapy offered by Novocure, Inc. that were denied. [read post]
11 Oct 2023, 10:04 am
The Department of Health and Human Services Office of Inspector General and law enforcement, for example, announced efforts to “target genetic testing fraud schemes nationwide. [read post]
11 Oct 2023, 6:54 am
Meadows for the Department of Health and Human Services Office of Inspector General (DHHS-OIG). [read post]
10 Oct 2023, 11:53 am
Schrank of the Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement. [read post]
9 Oct 2023, 8:15 pm
Three patient advocacy groups sued the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), challenging the agencies’ 2020 NBPP Rule as plainly unlawful on the grounds that it conflicts with the definition of “cost sharing” in both the ACA and the agencies’ existing regulations, and is arbitrary and capricious. [read post]
9 Oct 2023, 1:14 pm
On top of all this, Shams had been excluded from all participation in Medicare for decades because of prior health care-related criminal convictions. [read post]
6 Oct 2023, 12:55 pm
Licensed Residential Care Facilities for the Elderly Integrated Health Care Delivery System Work Sites Ambulatory Surgical Centers Certified for Medicare Participation Physician Groups County Correctional Facilities Providing Health Care Services The term “Covered Health Care Employers” expressly excludes: (1) hospitals owned, controlled, or operated by the State Department of State Hospitals; (2) tribal clinics exempt from… [read post]
6 Oct 2023, 12:48 pm
” “What, if any, unintended consequences may result from the proposed phaseout policy to certain patient populations (for example, Medicare beneficiaries, rural populations, etc.) and what steps could be taken to mitigate those consequences. [read post]
6 Oct 2023, 4:14 am
Congress included copay requirements in the Medicare program in part to serve as a check on health care costs. [read post]
5 Oct 2023, 9:35 am
Health policy was next on the block. [read post]
5 Oct 2023, 6:30 am
The United States Department of Justice announced a settlement with Genomic Health, Inc. [read post]
5 Oct 2023, 5:00 am
State Education Department – Oversight of Mental Health Education in Schools (Follow-Up) (2023-F-21) Under Section 804 of the Education Law (Law), the State Education Department (SED) is responsible for enforcing a requirement for mental health education in schools. [read post]
5 Oct 2023, 5:00 am
State Education Department – Oversight of Mental Health Education in Schools (Follow-Up) (2023-F-21) Under Section 804 of the Education Law (Law), the State Education Department (SED) is responsible for enforcing a requirement for mental health education in schools. [read post]
4 Oct 2023, 7:34 am
Department of Health and Human Services, Office of Inspector General. [read post]
3 Oct 2023, 5:03 pm
On October 2, the Department of Justice announced that California-based Genomic Health, Inc., has agreed to pay $32.5 million to settle allegations that the company submitted false claims to Medicare for testing of cancer patients. [read post]
3 Oct 2023, 2:59 pm
The Centers for Medicare and Medicaid Services (CMS) pays Medicare Advantage Organizations for each beneficiary who enrolls and the payment is adjusted to account for various “risk” factors that affect expected health expenditures for the beneficiary. [read post]
3 Oct 2023, 6:42 am
Department of Health and Human Services Office of Inspector General (HHS-OIG). [read post]
