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4 Nov 2022, 7:04 am
The DOJ highlighted health care fraud as “the leading source of the department’s False Claims Act settlements and judgments. [read post]
3 Nov 2022, 9:05 pm
Centers for Medicare & Medicaid Services finalized a rule that adjusts payment rates for physicians providing behavioral health services. [read post]
2 Nov 2022, 1:39 pm
REHs are designed to provide primarily emergency department, observation, and outpatient services. [read post]
2 Nov 2022, 5:00 am
On October 3, 2022, the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report detailing OIG’s findings related to the efficacy of the Unified Program Integrity Contractor (UPIC) program. [read post]
1 Nov 2022, 5:26 pm
On November 1, the Department of Justice announced that Florida-based Modernizing Medicine Inc. had agreed to pay $45 million to settle allegations, originally brought by a whistleblower, that the company caused the submission of false claims. [read post]
1 Nov 2022, 3:11 pm
Department of Justice has announced that it has sued health insurance company Cigna Corporation (NYSE: CI), alleging that it violated the False Claims Act by knowingly submitting false and invalid diagnosis codes to artificially inflate the capitation payments it receives from Medicare in connection with its Medicare Advantage health insurance plans. [read post]
1 Nov 2022, 2:20 pm
In-Home Supportive ServicesOverview of Medi-Cal’s In-Home Supportive Services ProgramThe In-Home Supportive Services (IHSS) Program is a statewide Medi-Cal program that provides long-term services and supports for aged, blind or disabled California residents who are at risk of nursing home placement. [read post]
1 Nov 2022, 9:01 am
Karen Sarkisyan, Gayk Akhsharumov, and Babken Chalkadryan — Karen Sarkisyan, Gayk Akhsharumov, and Babken Chalkadryan, all from California, were each charged in the Central District of California with conspiracy to commit wire fraud, wire fraud, conspiracy to commit health care fraud, health care fraud, conspiracy to commit money laundering, and money laundering for their roles in an alleged scheme to submit false Medicare claims. [read post]
31 Oct 2022, 11:35 am
The DOJ highlighted health care fraud as “the leading source of the department’s False Claims Act settlements and judgments. [read post]
31 Oct 2022, 5:00 am
Recently, the US Department of Health and Humans Services (HHS) Office of the Inspector General (OIG) released a data brief analyzing telehealth services covered by Medicare and related program integrity risks. [read post]
31 Oct 2022, 3:19 am
These responsibilities fall within the domain of a company’s human resources department. [read post]
27 Oct 2022, 9:05 pm
The Centers for Medicare & Medicaid Services (CMS) imposed stricter accountability standards on nursing homes with a history of poor performance. [read post]
26 Oct 2022, 5:00 am
Department of Health & Human Services’ (HHS) Office for Civil Rights (OCR) issued two guidances reaffirming privacy protections guaranteed by HIPAA. [read post]
25 Oct 2022, 5:05 am
Although a disability will not always impact your overall health, you have to be prepared for situations in which medical treatment could become a priority. [read post]
24 Oct 2022, 12:08 pm
Call the Pennsylvania Department of Aging 24-Hour Elder Abuse Hotline File a Complaint with the Pennsylvania Department of Health. [read post]
21 Oct 2022, 2:00 pm
The Federal Relations Programs Coordinator (FRPC) will focus on coordinating day-to-day operations relating to projects and initiatives that support the National Indian Health Board’s (NIHB) Medicare, Medicaid, and Health Care Reform Policy Committee (MMPC). [read post]
20 Oct 2022, 9:47 pm
Department of Health and Human Services, through the Center for Medicare & Medicaid Services, approved Arizona’s proposed Medicaid demonstration which plans to target health-related social needs such as housing support services. [read post]
20 Oct 2022, 7:05 pm
Department Health and Human Services Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) on October 7, 2022, seeking input on creation of a national provider directory for use by patients, regulators, and insurers. [read post]
19 Oct 2022, 6:27 am
Kandis represents relators in high stakes qui tam actions filed under the federal and state False Claims Acts relating to fraud on government healthcare payors such as Medicare, Medicaid, Department of Defense TRICARE, State Children’s Health Insurance Program, Veterans Health Administration, and the Indian Health Service program. [read post]
18 Oct 2022, 3:09 pm
* * * The two executives agreed to a five-year exclusion from participating inb federal healthcare programs; the company will accept a corporate integrity agreement with the Office of Inspector General of the Department of Health and Human Services that will last as long. [read post]
