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Justice Department Charges Dozens for $1.2 Billion in Healthcare Fraud

Med-Net Compliance

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Often, these test results or durable medical equipment were not provided to the patients or were worthless to their primary care doctors.?. Billion in Healthcare Fraud appeared first on Med-Net.

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Bad Actors Round Up (November)

Verisys

If you are looking for something to read prior to turkey or afterwards, here is a round up of bad actors: Pharma Fraud: . Pharma Fraud. Pharma Fraud . Pain management doctor gave patients steroid injections even after patients complained of negative side effects. Pharma Fraud. Fraud Scheme. Fraud Scheme.

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HHS Findings from Semiannual Report to Congress

American Medical Compliance

By analyzing fraud, waste, and abuse occurring in the medical system, the HHS is able to put regulations in place to minimize risks for patients and providers. While some had previously visited their doctors in person, the use of Telehealth for medical services has increased since the pandemic.

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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud.

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HHS Findings from Semiannual Report to Congress

American Medical Compliance

By analyzing fraud, waste, and abuse occurring in the medical system, the HHS is able to put regulations in place to minimize risks for patients and providers. While some had previously visited their doctors in person, the use of Telehealth for medical services has increased since the pandemic.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

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State and Federal enforcement agencies anticipating more complex investigations as COVID-era practices emerge

YouCompli

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger reported that her unit is focused on about 65% Medicare fraud and about 35% abuse and neglect. Featured speakers: Toby R. Read a summary.

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