Why Your Pharmacy Claim Might be Denied After Oct. 1

A person holding a laptop with pills on the table

Effective this Friday, Oct. 1, fee-for-service pharmacy claims must include prescribers National Provider Identifier (NPI) and the prescribers must be actively enrolled with Florida Medicaid in accordance with Title 42, Code of Federal Regulations, Section 455.410(b) or your claims will be denied. Beginning in March, Florida Medicaid, a division of the Agency for Health Care…

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South Carolina Healthcare Clinics to Pay $140M in Default Judgements

A judge is holding the gavel in front of his head.

A group of South Carolina pain management clinics, drug testing labs and a substance abuse counseling center owe the government $140 million in default judgements after failing to defend against charges relating to federal anti-kickback laws and False Claims Act violations. Earlier this month, the U.S. District Court for the District of South Carolina entered…

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Smaller Healthcare Organizations Increasingly Target of Cyber Criminals

A person in a hoodie is sitting at a desk with a laptop.

If your healthcare organization hasn’t become the target of a data breach, there’s a good chance it will, and even more so if it’s an outpatient facility or specialty clinic. That’s the finding of a recent report issued by Critical Insight, a cybersecurity firm. Healthcare organizations have long been ripe for cyber attacks. In fact,…

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