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10 Dec 2013, 11:18 am
Kickbacks, Solicitations, and Conspiracy to Commit Medicare Fraud On December 4, the Justice Department announced that a federal jury in San Francisco had convicted Patrick Adebowale Sogbein, Adebola Adefunke Adebimpe (Sogebin’s wife), and Eduardo Abad on charges stemming from a Medicare fraud scheme. [read post]
6 Apr 2012, 3:41 pm
"The whole idea for creating this technology was they were going to be able to end pay-and-chase," said Hank Walther, formerly the head of the Justice Department's health care fraud division. [read post]
18 Jun 2011, 7:58 am
In 2010, representatives from The Centers for Medicare and Medicaid Services ("CMS"), the federal agency responsible for administering Medicare and Medicaid (as well as a host of other federal programs ) within the Department of Health and Human Services, began suggesting that the MSP applied to future medical services in liability cases. [read post]
28 Nov 2016, 9:40 am by Gerson & Schwartz, P.A.
According to CNBC, the United States Department of Justice (DOJ) uncovered a $1 Billion scheme to defraud Medicare and Medicaid. [read post]
The post COVID-19 Update: Trump administration expands access to telehealth services for Medicare beneficiaries to combat COVID-19 appeared first on Health Law Pulse. [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]
The post CMS 2017 OPPS Proposed Rule includes Medicare payment provisions for hospital off-campus outpatient departments appeared first on Health Law Pulse. [read post]
18 Sep 2019, 2:08 pm by Robert Liles
(September 18, 2019):  On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
15 Jan 2012, 2:16 pm
Department of Health and Human Services covering the 15 percent of the U.S. population enrolled in Medicare found that each month one out of seven Medicare hospital patients is injured—and an estimated 15,000 are killed—by harmful medical practice. [read post]
27 Nov 2012, 1:59 pm
Department of Health and Human Services recently announced that Medicare Part B premiums (i.e., for physician services, outpatient hospital and durable medical equipment) will rise in 2013 by 5%--to $104.90 a month. [read post]
9 Nov 2015, 8:00 am by Gregory J. Brod
  Principal Deputy Assistant Attorney General and head of the Justice Department’s Civil Division Benjamin C. [read post]
16 Nov 2012, 2:41 pm by Cynthia Marcotte Stamer
A civil lawsuit seeking millions of dollars of damages from a Chicago-area psychiatrist provides a clear warning to physicians and other health care providers of the significant potential legal risks that can arise if they improperly receive compensation or other perks for participating in conferences, prescribing treatments or engage in other arrangements that violate federal or state anti-kickback or other health care fraud laws.On November 15, 2012, the Justice… [read post]
22 Nov 2010, 10:03 am
The study, released last week by the Department of Health and Human Services, is the first of its kind. [read post]
16 Jan 2011, 2:29 pm by Russell Mace
The Department of Justice has been pushing health care related fraud investigations for the past several years. [read post]
4 Nov 2015, 9:00 am
., Board Certified by The Florida Bar in Health Law Millennium Health (Millennium), formerly Millennium Laboratories, Inc., entered into a settlement with the Department of Justice (DOJ) on Monday, October 19, 2015, agreeing to pay $256 million to resolve allegations of False Claims Act (FCA) violations. [read post]
4 Nov 2015, 9:00 am
., Board Certified by The Florida Bar in Health Law Millennium Health (Millennium), formerly Millennium Laboratories, Inc., entered into a settlement with the Department of Justice (DOJ) on Monday, October 19, 2015, agreeing to pay $256 million to resolve allegations of False Claims Act (FCA) violations. [read post]