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Former NBA Players Netted in $4M Healthcare Fraud Scheme

Eighteen former NBA players and a former spouse have been implicated in a $3.9 million healthcare fraud scheme that netted ...
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Two Companies Settle FCA Case with Five Whistleblowers Involved

A home healthcare business and affiliated company have settled claims brought about by a group of whistleblowers who alleged they ...
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OIG Gives Blessing to Alzheimer’s Study Payment Arrangement

On September 29, the U.S. Department of Health and Human Services Office of Inspector General issued a favorable advisory opinion ...
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Why Your Pharmacy Claim Might be Denied After Oct. 1

Effective this Friday, Oct. 1, fee-for-service pharmacy claims must include prescribers National Provider Identifier (NPI) and the prescribers must be ...
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A doctor sitting in front of a phone with the word scam underneath it.

DOJ Crackdown Nets Hundreds of Healthcare Fraud Suspects

While there are many benefits to telemedicine, federal investigators also are finding it’s ripe for fraud. And we may only ...
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COVID-19 Vaccine Requirements Expanded for Healthcare Industry

By now you may have heard that President Joe Biden announced a six-prong Covid-19 action plan designed to combat the ...
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South Carolina Healthcare Clinics to Pay $140M in Default Judgements

A group of South Carolina pain management clinics, drug testing labs and a substance abuse counseling center owe the government ...
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Smaller Healthcare Organizations Increasingly Target of Cyber Criminals

If your healthcare organization hasn’t become the target of a data breach, there’s a good chance it will, and even ...
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UnitedHealthcare Loses MA Overpayment Case

A federal appeals court recently ruled against UnitedHealthcare, reversing a 2018 decision involving Medicare Advantage overpayments and sending the case ...
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PhRMA Updates Code on Interactions with Healthcare Professionals

Earlier this month, the Pharmaceutical Research and Manufacturers of America (PhRMA), announced it had made changes to its Code on ...
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