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8 Sep 2023, 6:59 pm
The guidelines specify waiving subrogation rights for VA disability claims but make no mention of other potential liens from Medicare, Medicaid, Tricare, or private health insurers. [read post]
8 Sep 2023, 8:41 am
Law360 named WLC a Health Care Group of the Year for 2022. [read post]
7 Sep 2023, 9:03 pm
Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), proposed a rule that would establish new comprehensive nursing home staffing requirements. [read post]
7 Sep 2023, 2:00 am
SCAMMED MEDICARE OUT OF $463 MILLIONAccording to a press release issued by the United States Department of Justice, a Georgia man (44), who owned a Medicare enrolled lab, was sentenced on August 18, 2023, to 27 years in prison for submitting some $463 million in phony genetic and other lab test invoicing.The man conspired with others (like “patient brokers, telemedicine companies, and call centers”) to solicit patients and purportedly advised the latter that… [read post]
7 Sep 2023, 2:00 am
SCAMMED MEDICARE OUT OF $463 MILLIONAccording to a press release issued by the United States Department of Justice, a Georgia man (44), who owned a Medicare enrolled lab, was sentenced on August 18, 2023, to 27 years in prison for submitting some $463 million in phony genetic and other lab-test invoicing.The man conspired with others (like “patient brokers, telemedicine companies, and call centers”) to solicit patients and purportedly advised them that… [read post]
6 Sep 2023, 9:36 am
Attorney’s Office, the Department of Justice, and our law enforcement partners, have made combatting elder fraud and abuse a top priority. [read post]
5 Sep 2023, 10:08 am
On August 31, the Department of Justice announced that Arizona-based Watermark Retirement Communities had agreed to pay $4.25 to settle allegations — originally brought by a whistleblower — that the company had solicited and received kickbacks from a home health agency for referrals to the company’s retirement homes. [read post]
5 Sep 2023, 9:37 am
Boynton, head of the Justice Department’s Civil Division. [read post]
5 Sep 2023, 4:47 am
Pomona Valley Hospital sued the Department of Health and Human Services claiming that the agency undercounted the number of Social Security patients the hospital had treated. [read post]
4 Sep 2023, 7:27 am
The Executive Order carries forward Department of Health and Human Services (HHS) actions to enhance access to home and community-based services, raise wages for and retain direct care workers, help residents smoothly transition back home from nursing homes, and advance a government-wide strategy to lift up family caregivers. [read post]
1 Sep 2023, 4:10 pm
Department of Health & Human Services (HHS) to delay selection of an “extended-monopoly biologic product” facing biosimilar competition if the biosimilar’s manufacturer requests to delay selection of the original biologic product prior to the selected drug list publication date and if the Secretary determines there is a “high likelihood” the biosimilar product would be licensed by September 1, 2025.[1] Under this rule, some industry commenters… [read post]
31 Aug 2023, 9:05 pm
Department of Labor proposed a new rule clarifying existing regulations on who can act as a third-party representative when the Occupational Safety and Health Administration conducts workplace inspections. [read post]
31 Aug 2023, 8:25 pm
Department of Labor proposed a new rule clarifying existing regulations on who can act as a third-party representative when the Occupational Safety and Health Administration conducts workplace inspections. [read post]
31 Aug 2023, 1:39 pm
This week’s Department of Justice (DOJ) Catch of the Week goes to Florida-based Lincare Holdings, Inc., a wholly-owned subsidiary of the German chemical corporation Linde plc. [read post]
31 Aug 2023, 2:00 am
(The doctor supposedly directed his staff to fraudulently bill the government and that insurer for the millions in fees.)Convicted of five counts of health care fraud and facing up to 10 years in prison for each count, the doctor is currently scheduled to be sentenced on November 7, 2023.According to a press release issued by the United States Department of Justice, since 2007, the agency’s Criminal Division has pursued charges against over 5000 individuals who wrongfully… [read post]
30 Aug 2023, 12:24 pm
Technical Release 2023-01P.2 The Technical Release outlines the types of data the Departments of Labor, Health and Human Services, and Treasury (the Departments) may require plans to collect and evaluate as part of the NQTL comparative analysis. [read post]
30 Aug 2023, 7:35 am
United States Department of Health and Human Services(“HHS”)(“TMA III”). [read post]
29 Aug 2023, 9:39 am
Department of Health and Human Services, Office of Inspector General. [read post]
29 Aug 2023, 6:33 am
If you have further questions on this process, please contact the health care lawyers at Reed Smith. [read post]
22 Aug 2023, 7:50 am
On July 31, the Department of Justice announced that Portland, Maine-based Martins Point Health Care, Inc., had agreed to pay $22,485,000 to settle a whistleblower’s allegations that the company attempted to increase its reimbursement under the Medicare Advantage program by providing false diagnostic codes for its insurance customers. [read post]
