Archive for November 2022
Electronic Health Records Company Settles Civil False Claims Lawsuit for $45 Million
Modernizing Medicine Inc. (ModMed) has agreed to pay $45 million to resolve allegations it violated the False Claims Act (FCA). The Boca Raton-based electronic health record (EHR) technology vendor is alleged to have caused millions of dollars in claims to be submitted to the federal government by accepting and providing remuneration in exchange for referrals…
Read MoreOIG to CMS: Use Compliance Audits to Create Better Oversight
Last month, the Office of Inspector General (OIG) published a report based on a series of 12 audits conducted during calendar years 2016 through 2018. Its purpose was to determine whether the claims were billed appropriately, whether the Centers for Medicare & Medicaid Services’ (CMS) took action regarding recommendations in the audits and how CMS…
Read MoreMoratorium on Behavioral Analysis Providers Lifted
A moratorium on behavioral analysis services in Miami-Dade and Broward counties imposed by the Agency for Healthcare Administration expired as of Nov. 13, 2022. And it appears that AHCA has decided not to extend it for another six months as it has in the past since it was first imposed in 2018. AHCA said the…
Read MoreHome Health Owner Sentenced for Role in Healthcare Fraud Conspiracy
A 72-year-old Houston man has been sentenced to 30 months behind bars after pleading guilty to a $21 million, multiyear home health fraud scheme. He also was ordered to pay $21.2 million in restitution. Felix Amos pleaded guilty in Dec. 2018 to conspiracy to commit healthcare fraud. Amos and his wife, Oluyemisi Amos, were indicted…
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