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Incident-to Billing Investigation Ends in $118,000 Fine

A physician in Texarkana, Texas recently agreed to pay $118,000 to settle allegations he engaged in improper billing practices for ...
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Florida’s Behavior Analysts Make Some Strides

Close-up of psychiatrist hands in those of patient Last month, we wrote about Florida’s Agency for Health Care Administration (AHCA) ...
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DoD Wants to Impose CMPs on Those Who Defraud TRICARE

Plagued by fraud and abuse targeting its TRICARE program, the U.S. Department of Defense, on May 1, issued a proposed ...
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HHS Makes Changes to HIPAA Civil Monetary Penalty Caps

The U.S. Department of Health and Human Services (HHS) has issued a notification that it is changing the way it ...
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CMS Issues Proposed Rules for Rehab and Skilled Nursing Facilities

On April 17, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that would update Medicare payment policies ...
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April OIG Work Plan Focuses on Oversight of State, Federal Funding

Each month, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) releases updates to ...
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AHCA Postpones BA Therapy Cuts

Florida’s Agency for Health Care Administration (AHCA) has decided to postpone planned cuts to Medicaid reimbursement rates for behavioral health ...
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Clinical Lab Industry Ripe for Fraud and Abuse

A former account rep for a toxicology testing company in Texas is the latest to be sentenced for his role ...
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Changes to Nursing Home Star Ratings Are Here

Beginning this month, the Centers for Medicare & Medicaid (CMS) is changing its star ratings on Nursing Home Compare and ...
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Hospital Employees Fired for Celebrity Snooping

You’ve heard the saying “curiosity killed the cat,†well in the case of dozens of hospital employees, curiosity may have ...
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