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23 Jun 2012, 3:03 pm
Rodriguez and Navarro knew that the beneficiaries did not qualify for and did not receive such services, but these files were falsified nevertheless so that Medicare could be billed. [read post]
17 Nov 2010, 10:01 am by Medicare Set Aside Services
Rising does not prepare MSA allocations and they have a long history of providing bill review services. [read post]
  In addition, in September 2020, then-California Attorney General Xavier Becerra, who is now Secretary of the Department of Health and Human Services, announced a $250,000 settlement with Glow, Inc., resolving allegations that the fertility app had “expose[d] millions of women’s personal and medical information” and violated multiple laws, including California’s Confidentiality of Medical Information Act (“CMIA”). [read post]
18 Jun 2012, 6:00 am by Rebecca Shafer, J.D.
Much depends on practices and staffing within the claim office such as whether each adjuster has administrative support for obtaining medical records and pay bills; The more support provided to adjusters the more claims they can handle. [read post]
6 Jun 2011, 6:30 am by Robert David Malove
According to the Indictment, Helen Etinfoh owned and operated Luant & Odera, Inc., a supplier of durable medical equipment, doing business as Tonni Medical Equipment & Supplies. [read post]
21 Sep 2011, 3:05 pm by Law Lady
Stat. 764h(a), requires health insurers to cover the behavioral analysis services provided by private schools to children with autism spectrum disorders.Billing Fraud: DOCTORS, PHARMACISTS AMONG 26 CHARGED IN $37 MILLION BILLING FRAUD SCHEME, United States v. [read post]
21 Jun 2019, 8:30 am by Public Employment Law Press
A delay in services could adversely impact students’ educational growth.Department of Health: Medicaid Program: Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (2017-S-85)Auditors identified $416,237 in overpayments on inpatient claims that hospitals billed to Medicaid that contained a severe malnutrition diagnosis that medical records did not appear to support. [read post]
18 Feb 2007, 10:00 pm
Dell call center slapped with overtime lawsuit Workers at a Dell Inc. call center sued in U.S. [read post]
27 Jan 2020, 11:20 am by Altman & Altman
Medicare fraud can occur anywhere As long as there exists a financial incentive for doctors and healthcare administrators to fraudulently charge for services they never rendered, or falsely inflate the cost of services to receive more money from the government, Medicare and Medicaid fraud will unfortunately continue to happen. [read post]
5 Oct 2018, 1:54 pm by Bill Marler
Raab sought emergency medical treatment and was admitted to the hospital for five days. [read post]
25 Apr 2022, 10:22 am by Kelly Shivery
ModMed sells its EHR software via subscription services to specialty medical providers. [read post]
8 Jul 2021, 7:11 pm by Vercammen Law
In its definitional provision, this Act defined the residents of "a dementia care home" as adults "with Alzheimer's disease and related disorders or other forms of dementia," who also: are "ambulant with or without assistive devices"; have been "certified by a licensed physician . . . not in need of skilled nursing care"; and "except in the case of a person 65 years of age or over, [are] in need of dietary services, supervision of… [read post]
3 Dec 2011, 3:53 pm
  Ultimately, ATC and ASI billed Medicare for more than $200 million in medically unnecessary services. [read post]