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FBI, DOJ bust 24 people in $1.2 billion telemedicine fraud scheme

Healthcare IT News - Telehealth

The 24 defendants, among them CEOs associated with five telemedicine companies, the owners of dozens of DME companies and three licensed medical professionals, allegedly participated in healthcare fraud schemes involving more than $1.2 billion in losses. ON THE RECORD.

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How to Increase Your Health Plan’s CMS Star Ratings to Earn More Revenue In 2021

Innovaare Compliance

Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. The higher the ratings, the larger the bonus payments health plans receive from the government. The CMS star ratings challenge. With billions of dollars at stake for payers with CMS star ratings above 3.5,

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Mifepristone Manufacturer Wins First Round in West Virginia

Drug & Device Law

at *1, by threatening to revoke the license, and jail for at least three years, any West Virginia physician so bold as to prescribe the plaintiff’s FDA-approved drug for its FDA-approved use. Sorsaia , 2023 WL 3211847, at *7 (citations omitted). See also GenBioPro, Inc. Sorsaia , C.A. 2023 WL 3451688, at *1 (S.D.W.

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How the Fifty States View Electronic Data as a “Product”

Drug & Device Law

Since digital files were not “articles” under the statute, the government could not rely on this statute to prevent their importation. 2007 WL 2460776, at *6 (D. 2007 WL 218242, at *4 (N.D. 26, 2007) (bespoke software not a UCC good). at 1291-93 (construing 19 U.S.C. at 1291-92. at 1293-94. Similarly, in United States v.

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NPP, DCC, And FDA-Regulated Medical Products

Drug & Device Law

Both talk a fair amount about “commerce” and the respective roles of the states and federal government. You never need an authorization from a licensed professional to buy pork or fireworks. One of those laws, FDAAA in 2007, established the REMS system, which reflects the importance of national uniformity in the delivery of healthcare.

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Suing the Certifiers – A Dangerous Undertaking

Drug & Device Law

For qualified IMGs, it issues a certification, which IMGs can then use to apply to residency and other graduate medical education programs and to apply for state medical licenses. Furthermore, trade associations often serve to assist the government in areas that it does not regulate. at 183 (quoting Meyers v. Donnatacci , 531 A.2d

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The FDA and Feasible Alternative Designs

Drug & Device Law

Without an FDA license to produce another design, [defendant] was legally prohibited from distributing either [alternative design advocated by plaintiffs] at the time [plaintiff] received her vaccinations. As a result, appellee was prohibited by federal law from employing either of these [alternatives]. Wyeth Laboratories, Inc. ,

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