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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). ...
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OIG 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 ...
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Moratorium 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 ...
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Home 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 ...
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Boca Man Admits to Selling MD Orders

A Boca Raton man has pleaded guilty to conspiracy and kickback charges for his role in selling fraudulent doctors’ orders ...
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Lawsuit Alleges Cigna Upcoded Tens of Thousands of Medicare Advantage Claims

The U.S. Department of Justice has joined a whistleblower lawsuit accusing Cigna Corp. of overbilling Medicare Advantage by submitting false ...
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Compounding Pharmacies to Pay $6.8M in Prescriptions-for-Money Scam

Three pharmacies and a billing company have agreed to pay more than $6.8 million to resolve allegations that they violated ...
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Feds Use Data Analytics to Detect Fraud

A Jacksonville-based healthcare provider accused of making false or fraudulent claims with the Florida Medicaid program agreed to pay $700,000 ...
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Pharmacy Owner Pleads Guilty to $8.3M Fraud Scheme

A Fort Lauderdale man who invested in three pharmacies that participated in the Medicare program pleaded guilty to taking part ...
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OIG Gives Blessing to Gift Card Arrangement

Last month, the Office of Inspector General (OIG) published an advisory opinion in which it declined to impose sanctions for ...
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