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Massachusetts Medicaid Fraud Division Recovers Over $55 Million in 2021

Healthcare Compliance Blog

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.

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Nursing Home Health System Agrees to Pay $1.75 Million to Settle False Claims Act Allegations

Med-Net Compliance

A nursing home health system has agreed to pay the United States $1.75 A nursing home health system has agreed to pay the United States $1.75 The company is a not-for-profit corporation located in Florida that oversees healthcare facilities on its campus, including a nursing home and an assisted living facility.

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OIG Compliance Program Guidance for Nursing Facilities

Compliancy Group

Health and Human Services (HHS) Department’s efforts to eliminate fraud, waste, and abuse. Its compliance program guidance (CPG) has improved the efficiency and effectiveness of Medicare and many other federal programs. More specifically, the 2024 guidance for nursing facilities focuses on several areas.

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False Claims Lawsuit Filed Against Alabama Psychiatrist  for Improper Prescribing of Nuedexta to Nursing Home Resident

Healthcare Compliance Blog

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. In return, the psychiatrist prescribed Nuedexta to nursing home residents who did not have pseudobulbar affect.

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Spring Forward With 2024 Compliance Changes

MedTrainer

Review Recent Compliance Changes There is a major shift in compliance priorities toward addressing health inequities and improving access to quality healthcare services. The OIG is making major investments to systematically detect and prosecute fraud. We all should be a LOT more prepared!

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Spotting Financial Fraud & Exploitation of the Elderly

AIHC

This can be threat of harming a pet or loved one or threaten nursing home placement, etc. The Transnational Elder Fraud Strike Force provides the following list to warn and educate the public about trending elder fraud threats. Call the Elder Fraud Hotline at 1-833-372-8311 (Monday-Friday, 10:00 a.m.-6:00

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COVID-related enforcement actions 

YouCompli

MorseLife Nursing Home Health System was alleged to have provided vaccines to individuals who were not eligible under this program. It was also alleged the nursing home did not promptly test a symptomatic resident for COVID-19 and did not implement facility-wide infection control and prevention measures.