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

The Health Law Firm

Board Certified by The Florida Bar in Health Law On December 22, 2017, Kmart Corporation agreed to pay $32.3 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. Indest III, J.D.,

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

Innovaare Compliance

Since 2017, benchmarks have been rising and in 2019, Medicare spent $321 more per person for MA enrollees than it would have spent for the same beneficiaries under traditional Medicare fee-for-service (FFS). 6] Improper payments can be overpayments and underpayments. 3] The bid is prepared from credible baseline pricing data.

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ChristianaCare Settlement Drives New Legal Theory in False Claims Act Litigation: Hospitals Take Note When Providing Clinical Services to Their Private Physician Groups

Healthcare Law Blog

The ChristianaCare Lawsuit Sherman’s 2017 complaint alleged that ChristianaCare provided prohibited remuneration to Neonatology Associates, a private physician group with an exclusive contract to manage all care in Christiana Hospital’s Neonatal Intensive Care Unit (NICU).

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Post-Acute Compliance Program Update: OIG Proposes Amendments to Exclusion Rules

Hall Render

The Proposed Rule would revise the section governing exclusions under section 1128(b)(14) of the Act based on an individual’s default on a health education loan or scholarship obligation.

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Health Provider News

Hall Render

Vincent reopens Westside Crossing Walk-In Care Indiana’s 2017 abortion law violates free speech, federal judge rules Ind. Parkview Hospitals Awarded ‘A’ In Hospital Safety Grades From Leapfrog Group New nurse apprenticeship program starts at Ascension St. ranks second nationwide in hospital patient safety, with 7 Central Va.

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Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Kaiser Health News

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. billion in 2017 for diagnoses backed up only by the health assessments; she said 3.5

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