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Kmart Agrees to Pay $32.3 million to Settle Whistle Blower’s False Claims Act Suit

The Health Law Firm

million to settle a whistle blower lawsuit alleging its pharmacies caused federal health programs to overpay for prescription drugs by not telling the government about discounted prices. The new agreement resolves allegations arising from a 2008 lawsuit brought under the qui tam, or whistle blower, provisions of the False Claims Act (FCA).

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Monitor Improper Payments for Part C and Part D with Medicare Audit and Monitoring Software

Innovaare Compliance

6] Improper payments can be overpayments and underpayments. Overpayments put an MAO at risk in a bid and a one-third financial audit while underpayments consume valuable staff time in resolving provider disputes and can also be a jeopardy in a one-third financial audit.

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Avoiding “Gotcha” Moments in Compliance 

YouCompli

As a result, the department now has to refund several thousand dollars in overpayments and implement a corrective action plan. In tackling the countless regulatory and operational issues for these diverse organization types, he has developed a deep understanding of the business of healthcare and the regulations governing the industry.

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OIG Issues Highly Anticipated Industry Segment-Specific Compliance Program Guidance for Nursing Facilities

Hall Render

Previously, OIG released voluntary compliance program guidance (“CPG”) for nursing facilities in 2000 and supplemented the CPG in 2008. The CPG was designed to encourage nursing facilities to develop and implement internal monitoring controls to assure adherence to applicable statutes, regulations and compliance program requirements.

Nurses 40
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Why Medicaid Programs Need to Update Their Information Systems

HIT Consultant

In Ohio, unemployment overpayments reached $3.86 Consider more CMS oversight : Between 2008 and 2018, states spent a total of $44.1 billion on their MES and eligibility and enrollment systems, according to a 2020 report by the Government Accountability Office (GAO). billion during the pandemic. billion of that amount.