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5 Mar 2024, 11:16 am
As such, this could increase the employer costs associated with benefits, such as health care and paid leave. [read post]
1 Mar 2024, 12:18 pm
The Department of Justice (DOJ) just released its False Claims Act results for 2023. [read post]
28 Feb 2024, 9:01 pm
The first three were the “the use of financial inducements to generate referrals,”“schemes involving nursing homes,” and “protecting the Medicare Advantage Program, also known as Medicare Part C. [read post]
27 Feb 2024, 2:01 pm
DOJ continues to scrutinize Medicare Advantage billing and reimbursements, and many of its settlements last year stemmed from allegations of inaccurate diagnosis coding. [read post]
26 Feb 2024, 12:17 pm
For more detail on Health Care Fraud defense considerations involving Medicaid, as well as Medicare and TriCare, read our earlier discussions in: Health Care Fraud Defense: Arrests Based Upon Medicare, Medicaid, or TriCare Insurance Claims; and Arresting Texas Doctors for Health Care Fraud: What You Need to Know. [read post]
25 Feb 2024, 7:16 pm
The recoveries also included relatively new sources of alleged fraud related to pandemic funds, investment in health care, cybersecurity, and Medicare Advantage. [read post]
21 Feb 2024, 6:09 am
Department of State v. [read post]
20 Feb 2024, 10:02 am
Department of Health and Human Services has identified numerous “safe harbor” protections. [read post]
19 Feb 2024, 5:25 pm
She also worked closely with Congress, the Department of Health and Human Services, the National Institutes of Health (NIH), and the Centers for Medicare & Medicaid Services (CMS) on the development of numerous guidances, rulemakings, and policy and legislative initiatives. [read post]
16 Feb 2024, 2:35 pm
This week’s Department of Justice (DOJ) Catch of the Week goes to Lincare, Inc., a durable medical equipment supplier with locations throughout the country. [read post]
12 Feb 2024, 6:07 am
We cannot allow plaintiff law firms to dictate ERISA fiduciary liability that was never intended by Congress or even the most progressive bureaucrats at the Department of Labor. [read post]
9 Feb 2024, 7:30 am
Department of Health and Human Services, Office of Inspector General. [read post]
6 Feb 2024, 8:40 am
It prohibits health care providers from billing Medicare for certain designated health services referred by a physician with whom the provider has a financial relationship, including a compensation arrangement, that does not meet any statutory or regulatory exception. [read post]
5 Feb 2024, 4:48 pm
It prohibits health care providers from billing Medicare for certain designated health services referred by a physician with whom the provider has a financial relationship, including a compensation arrangement, that does not meet any statutory or regulatory exception. [read post]
2 Feb 2024, 1:11 pm
The company allegedly submitted false claims payments to the Medicare, TRICARE, Department of Veterans Affairs and Medicaid programs. [read post]
2 Feb 2024, 12:50 pm
I will not go into the details here (which had to do with Democrats and Medicare), but interested readers can find a short contemporaneous criticism here.Similarly, I have occasionally mentioned a 2013 fact-check regarding a Republican claim that the US tax litigation system has a presumption that the government's position is correct -- that is, that Americans are supposedly treated as guilty until proven innocent, just like in France!! [read post]
1 Feb 2024, 2:19 pm
After each conviction, in 1990 and 2001, he was excluded from participation in Medicare and all federal health care programs, and advised by the Department of Health and Human Services Office of Inspector General (HHS-OIG) that he had to submit a written application to be considered for reinstatement in federal health care programs. [read post]
1 Feb 2024, 11:45 am
Department of Health and Human Services (HHS) made its initial offers to pharmaceutical companies pursuant to the Biden Administration’s Inflation Reduction Act of 2022 (IRA), which allows the U.S. [read post]
1 Feb 2024, 11:45 am
Department of Health and Human Services (HHS) made its initial offers to pharmaceutical companies pursuant to the Biden Administration’s Inflation Reduction Act of 2022 (IRA), which allows the U.S. [read post]
1 Feb 2024, 9:00 am
CMS’s New Actions Related to EMTALA On January 22, 2024, the Department of Health and Human Services (HHS) announced that, through the Centers for Medicare & Medicaid Services (CMS), it will launch a comprehensive plan related to the Emergency Medical Treatment and Labor Act (EMTALA). [read post]
