Archive for September 2021
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 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…
Read MoreDOJ 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 be seeing the tip of the iceberg as evidenced by the most recent national fraud enforcement action resulting in charges involving more than $1 billion in losses. Earlier this month, the U.S. Department of Justice…
Read MoreCOVID-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 virus and the overwhelming impact of the Delta variant. Among them: staff at all Medicare- and Medicaid-certified facilities will be required to receive the COVID-19 vaccine. The Centers for Medicare & Medicaid Services, along with…
Read MoreSouth 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 $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…
Read MoreSmaller 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 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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