Government Nabs More Covid Fraud Suspects

A blue mask with the word fraud written on it.

The Covid-19 pandemic has resulted in yet another avenue to perpetuate fraud within the healthcare arena. Most recently, the U.S. Department of Justice announced criminal charges had been filed against 21 people in nine federal districts for their alleged participation in various schemes that exploited the pandemic to the tune of $149 million. Cities involved…

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HRSA Reopens Provider Relief Reporting

Physicians who accepted federal COVID-19 relief funds but failed to meet the Period 1 Provider Relief Fund reporting requirements now have more time to comply. The Health Resources & Services Administration (HRSA) recently announced that healthcare providers can now submit a Request to Report Late Due to Extenuating Circumstances Form for Reporting Period 1 (RP1).…

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States Benefit from Multimillion-Dollar FCA Urine Test Lab Settlement

A person holding a plastic tube with yellow liquid in it.

Several states are now benefiting from a multimillion-dollar settlement agreement signed late last year by a Nevada clinical lab and two of its owners who were charged with submitting false claims for payment to federal healthcare programs. Nevada Attorney General Aaron D. Ford recently announced that his state would receive $335,000 of the settlement money…

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OIG Gives Okay to Cost-Sharing Subsidy in Clinical Trial

A heart with electrical signals coming out of it.

A company that makes a medical device that uses a patient’s cells to treat ischemic systolic heart failure – a life-threatening cardiac condition – would not face sanctions if it paid Medicare participants’ cost-sharing obligations they would otherwise owe for reimbursable items and services provided during the 2-year study. That was the finding of a…

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