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A September to Remember for Healthcare Fraud

To say that federal healthcare fraud investigators have been busy in September would be an understatement. In the last few ...
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Telemedicine Company Owner, Doctor Plead Guilty in Multimillion-Dollar Fraud

The owner and chief executive of a telemedicine company, along with a New Jersey physician, have pleaded guilty for their ...
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Watchdog Agency Cracking Down on Improper Billing by HHAs

Last month, the U.S. Department of Health and Human Services Office of the Inspector General issued its latest report on ...
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DOJ Cites Significant Costs and Burdens on Request to Dismiss Qui Tam Case

The Department of Justice has once again exercised its authority under the False Claims Act in seeking the dismissal of ...
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CMS Program to Give Providers Access to Medicare Patient Data

In an effort to accelerate the transformation of the nation’s healthcare system to one that is value-based, the Centers for ...
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MedPAC: Eliminate “Incident to” Billing for ARNPs and NPs

If Congress adopts the Medicare Payment Advisory Commission’s (MedPAC), most recent recommendations, “incident to” billing could become a thing of ...
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Healthcare Data Breaches Continue to Break Records

There isn’t a day that goes by that some healthcare organization hasn’t fallen victim to a data breach. Thousands of ...
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DOJ Intervenes in FCA Lawsuit Filed Against Medical Device Maker

The U.S. Department of Justice has intervened in a whistleblower lawsuit filed against medical device maker Life Spine Inc., along ...
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Labs Settle With UnitedHealthcare For $56.2 Million

UnitedHealthcare Insurance Co. has agreed to settle a lawsuit it filed in 2016 against five toxicology laboratory companies for $56.2 ...
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Report: Many High-Risk Medicaid Providers Not Undergoing Critical Background Checks

Eighteen states failed to properly screen high-risk providers before allowing them to receive Medicaid payments by the July 2018 deadline ...
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