The Health Law Firm Blog

MARCH 14, 2024

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida.

Fraud 52

Fraud Medicaid Medicaid Overpayment 52

The Health Law Firm Blog

FEBRUARY 1, 2024

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida.

Fraud 52

Fraud Medicaid Medicaid Overpayment 52

The Health Law Firm Blog

DECEMBER 19, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida.

Fraud 52

Fraud Medicaid Medicaid Overpayment 52

The Health Law Firm Blog

NOVEMBER 7, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida.

Fraud 52

Fraud Medicaid Medicaid Overpayment 52

Healthicity

APRIL 12, 2022

The OIG’s Annual Workplan for 2022 includes the continuous auditing and monitoring of items and services.

Overpayment 52

Overpayment Overpayments Fraud Medicare 52

The Health Law Firm Blog

JANUARY 8, 2024

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida.

Fraud 40

Fraud Medicaid Medicaid Overpayment 40

Healthcare Law Blog

FEBRUARY 3, 2023

1] Although the regulations were adopted on December 28, 2022, and became effective immediately, OMIG announced in the Compliance Program Guidance that required providers will have until March 28, 2023 , to adopt and implement the necessary changes to their compliance programs.

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Medicaid Medicaid Compliance Overpayments 52

Health Care Law Brief

APRIL 12, 2023

79452 (2022)). 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. Any overpayment retained by a person after the deadline for reporting and returning an overpayment is an obligation under the FCA.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

Health Law Advisor

AUGUST 25, 2023

In July 2022, the New York State Office of the Medicaid Inspector General (“OMIG”) proposed extensive modifications to the regulatory requirements governing compliance programs for entities receiving “significant” Medicaid revenue (increased by these regulations from a threshold of $500,000 to $1 million). Lines of Communication.

Compliance 52

Compliance Overpayments Overpayment Compliance Officers 52

AIHC

APRIL 5, 2022

Read Part 1 entitled “ Managing Denials Is Important to Good A/R Hygiene ” posted March 22, 2022, and Part 2 entitled “ Understanding How Payers Deny Claims. Read Part 1 entitled “ Managing Denials Is Important to Good A/R Hygiene ” posted March 22, 2022, and Part 2 entitled “ Understanding How Payers Deny Claims.

Fraud 52

Fraud Medicare Medicare Compliance 52

Hall Render

DECEMBER 6, 2022

The $5,000 limit is adjusted annually for inflation and will increase from the 2022 limit of $5,270 to $5,702 beginning January 1, 2023 for the 2023 calendar year. The post 2023 Non-Monetary Compensation to Physicians (and Chance to Review 2022) appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.

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COVID-19 Hospitals Overpayment Overpayments 40

Healthcare IT Today

FEBRUARY 2, 2023

It has given every indication that it intends to investigate fraud, waste, and abuse more robustly in the foreseeable future. To that end, the agency doubled its budget for audits in 2022. The Justice Department has joined the fraud case against one large national insurer. These actions are more than just saber-rattling.

Medicare 64

Medicare Medicare Overpayment Overpayments 64

Healthcare Compliance Blog

JUNE 9, 2022

In March of 2022, in a related matter, the man pleaded guilty to Healthcare Fraud, Money Laundering, and Theft of Public Money for defrauding Medicare, Medicaid, and the US Department of Health and Human Services between 2016 and 2020. Providers also can disclose billing errors to the OIG through the OIG Self-Disclosure Protocol.

US Department of Health and Human Services 59

US Department of Health and Human Services Overpayment Overpayments Medicare 59

The Health Law Firm Blog

APRIL 19, 2024

Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] By George F. Indest III, J.D.,

Malpractice 52

Malpractice Overpayment Overpayments Licensing 52

The Health Law Firm Blog

JANUARY 24, 2023

Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] By George F. Indest III, J.D.,

Malpractice 52

Malpractice Overpayment Overpayments Licensing 52

AIHC

SEPTEMBER 5, 2023

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. This includes understanding various fraud and abuse laws. The use of these telehealth appointments boomed during the pandemic.

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COVID-19 Telemedicine Informed Consent Compliance 59

Healthcare IT News - Telehealth

JUNE 8, 2022

While it is important to carefully consider the most effective methods of providing care and the intended purpose behind various reimbursement, privacy, and fraud and abuse regulations, it is also clear that healthcare delivery has always and continues to evolve, and the regulatory framework needs to do the same.

US Department of Health and Human Services 209

US Department of Health and Human Services Compliance COVID-19 Overpayment 209

Hall Render

OCTOBER 7, 2022

Hospitals likely to end 2022 in the red despite August boost, report says. Judge orders Anthem to face lawsuit over alleged Medicare overpayments. Judge rules that HHS must immediately halt unlawful reimbursement cuts to certain 340B hospitals for rest of 2022. Million Health Care Fraud. 2022 Healthcare Heroes.

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COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

AUGUST 26, 2022

AHA files reply brief as district court considers 340B payment remedy for the remainder of 2022. Beaumont Health lost $100M in first half of 2022; Spectrum and Priority Health gains offset losses for BHSH System. 2022 Top Doctors: Recognizing some of the best doctors in Las Vegas. CHS faces class-action fraud suit.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

MARCH 15, 2024

expansion Legal exam removed from pharmacist certification in Michigan Michigan physician charged with fraud Physician’s union at Ascension St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 19, 2024

in costs, report finds Pennsylvania hospital staff vote for union removal St.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

NOVEMBER 10, 2023

California physician convicted of healthcare fraud, kickbacks California’s healthcare minimum wage boost to cost $4B City Council upholds approval of Hollywood Presbyterian medical offices at 1321 N. Will it survive the next few years?

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MARCH 7, 2025

Million in Medicaid Fraud Lawsuit Inside Ochsner, Oceans joint behavioral project COVID-19 pandemic erupted 5 years ago. expansion Mayo Clinic to invest nearly $2 billion in Valley hospital campus, hire thousands Mayo plans $1.9B 11 Fee Demand Physician found guilty for $1.5M Here’s what Louisiana hospitals learned since.

US Department of Health and Human Services 40

US Department of Health and Human Services Medicaid Medicaid Nursing Homes 40

Drug & Device Law

AUGUST 24, 2022

2022 WL 3357575(M. August 15, 2022), the plaintiff claimed that a cough syrup was falsely advertised as non-drowsy. He filed a putative class action based on various state consumer fraud laws, breach of contract, breach of warranty, etc., If we advertised our blog as being non-drowsy, would that be false advertising?

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Fraud Overpayment Overpayments FDA 119