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Watchdog Report: Nearly $3B Recovered From Providers

Fighting healthcare fraud remains among the priorities for the U.S. Department of Health and Human Services Office of the Inspector ...
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Failure to Have Business Associates Agreement in Place Proves Costly

 A medical group practice based in Lakeland, Fla. must pay $500,000 to settle potential HIPAA violations and adopt a substantial ...
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Allergy Center’s HIPAA Fine Nothing to Sneeze at

A Connecticut healthcare provider recently learned it’s better not to comment in public about a patient, even if that patient ...
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Medicare Improper Payments Fall to Lowest Level in Eight Years

The Centers for Medicare & Medicaid Services (CMS) announced last week that its efforts to reduce improper payments is working. ...
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Opioid Law Includes New Kickback Penalties for Drug Treatment Facilities/Labs

Last month, President Trump signed into law a bill designed to address matters relating to opioid use and abuse. Dubbed ...
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CMS 2019 Medicare Fee Schedule Designed to Reduce Administrative Burdens

The Centers for Medicare & Medicaid Services (CMS) has released its 2019 Physician Fee Schedule (PFS) and the Quality Payment ...
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CMS to Draft Rule Requiring Prior Authorization for Chiropractors

Look for a proposed rule later this year that could make it harder for some chiropractors to submit Medicare claims. ...
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CMS Proposes Changes Designed to Speed up Medicare Appeals Process

It’s been a while since we last updated you on the latest about the Medicare appeals backlog, which although it ...
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Healthcare exec pleads guilty to multimillion-dollar opioid scheme

A Michigan healthcare CEOrecently pleaded guilty to taking part in a $300 million healthcare fraud scheme that, in the words ...
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OIG Unveils Fraud Risk Indicator

The Health and Human Services Office of Inspector General has launched a new initiative designed to draw attention to those ...
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