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3 Apr 2020, 12:03 pm
As Medicare Advantage grows, as will Department of Justice’s interest in rooting fraud in the field, we’ll be seeing more and more similar cases. [read post]
20 May 2012, 10:48 am
Meanwhile, the Department of Health and Human Services will award healthcare agencies up to $216 million in funding for reducing preventable injuries. [read post]
22 Sep 2010, 8:59 pm
Department of Health and Human Services (HHS) proposed new rules it hopes to strengthen its efforts to help identify and fight waste, fraud and abuse in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP). [read post]
11 Mar 2004, 1:25 am
The government's General Accounting Office ruled Wednesday that a series of ads from the Bush administration's Department of Health and Human Services outlining benefits of the recent legislative changes to Medicare law were legally permissible and not instances of using taxpayer funds for political purposes. [read post]
4 May 2010, 7:01 am
The Department of Justice and the Department of Health and Human services announced that a former clinic owner was convicted of charges including Medicare fraud and money laundering in federal court. [read post]
25 May 2020, 2:22 pm
The Maryland Department of Health’s Long Term Care Unit ensures that state and federal standards are met by conduct site visits, surveys, and investigations. [read post]
20 Dec 2010, 1:23 pm
Kathleen Sebelius, Secretary of United States Department of Health and Human Services, Golden Acres Nursing Home asks the court to rule that "the hospice cap regulation is invalid. [read post]
3 May 2016, 12:00 pm
Department of Health and Human Services, 70% of people who reach the age of 65 will need some form of long-term care. [read post]
19 Apr 2019, 9:43 am
On April 12, 2019, the Department of Justice announced that California-based Sutter Health, LLC, had agreed to pay $30 million to resolve a whistleblower’s allegations that the company submitted unsupported diagnoses of Medicare Part C (“Medicare Advantage”) patients, inflating their risk scores, and, therefore, the amount paid by Medicare. [read post]
2 Oct 2019, 11:25 am
Department of Justice (DOJ), the alleged fraud was perpetrated by defendants in Florida, Georgia, Louisiana and Texas and exploited seniors’ curiosity about genetic medicine by enticing them to get unneeded DNA tests. [read post]
7 May 2014, 9:02 am
Our California health care fraud firm is committed to helping fight all forms of Medicare fraud, including fraud involving this growing facet of our health care system. [read post]
24 Aug 2012, 7:00 am
That’s right, the Department of Health and Human Services issued its estimate not long ago, and Businessweek reported it in an article titled “Medicare Drug Plan Premiums to Stay at $30 in Coming Year. [read post]
16 Aug 2012, 6:21 am
In FAQ Part X on the Affordable Care Act, the Department of Labor (the "DOL") says that, if one of the benefit packages in a group health plan is a Medicare Advantage plan, the employer is not required to provide a summary of benefits and coverage (an "SBC") for that package. [read post]
23 Feb 2015, 9:57 am
By contrast, under Medicare Advantage, the health plans are paid a set fee monthly for each patient based on a complex formula known as a risk score. [read post]
1 Mar 2013, 3:00 am
An alarming report just released by the Inspector General of the Department of Health and Human Services says that in 2009, Medicare paid about $5.1 billion for patients that stayed in skilled nursing facilities that failed to meet federal quality of care rules. [read post]
22 Aug 2016, 10:00 am
A three-judge panel of the 11th US Circuit Court of Appeals sided with the US Department of Health and Human Services (HHS) and the Florida Agency for Health Care Administration (AHCA) in the dispute with nursing home operator Bayou Shores SNF LLC (Bayou Shores). [read post]
22 Aug 2016, 10:00 am
A three-judge panel of the 11th US Circuit Court of Appeals sided with the US Department of Health and Human Services (HHS) and the Florida Agency for Health Care Administration (AHCA) in the dispute with nursing home operator Bayou Shores SNF LLC (Bayou Shores). [read post]
22 Aug 2016, 10:00 am
A three-judge panel of the 11th US Circuit Court of Appeals sided with the US Department of Health and Human Services (HHS) and the Florida Agency for Health Care Administration (AHCA) in the dispute with nursing home operator Bayou Shores SNF LLC (Bayou Shores). [read post]
30 Aug 2021, 5:34 pm
Department of Justice announced its intervention in a series of Medicare Advantage fraud cases in recent weeks, including Constantine Cannon’s case against Kaiser Permanente. [read post]
25 Oct 2016, 6:40 am
The federal insurance program for senior citizens should not have thrown taxpayer dollars at chiropractors to treat strains, sprains, or joint conditions, the Department of Health and Human Services’ Office of Inspector General says. [read post]
