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. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

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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. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

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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. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

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Fraud Medicaid Medicaid Overpayment 52

The Health Law Firm Blog

APRIL 15, 2024

Board Certified by The Florida Bar in Health Law On February 16, 2024, a Parkland, Florida, man agreed to plead guilty to organizing a Medicare fraud scheme worth $110 million. Indest III, J.D., The federal prosecution is taking place in the U.S. District Court for the District of Massachusetts.

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The Health Law Firm Blog

MARCH 25, 2024

Board Certified by The Florida Bar in Health Law On February 16, 2024, a Parkland, Florida, man agreed to plead guilty to organizing a Medicare fraud scheme worth $110 million. Indest III, J.D., The federal prosecution is taking place in the U.S. District Court for the District of Massachusetts.

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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. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

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Innovaare Compliance

MARCH 24, 2024

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.

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Innovaare Compliance

MARCH 24, 2024

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.

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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. Not all forms of technology are recognized as services which can be reimbursed by health insurance.

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CMS.gov

NOVEMBER 16, 2018

Fraud, waste, & abuse. Even more significant for CMS, is that for the first time in improper payment reporting history, we have achieved improper payment rate reductions across the board in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Jeremy.Booth@c…. Fri, 11/16/2018 - 18:46. Seema Verma. Leadership.

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Healthcare IT Today

FEBRUARY 17, 2023

This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

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Hall Render

APRIL 26, 2024

New California rule aims to limit health care cost increases to 3% annually UC San Diego Health operations deal with California hospital slows to crawl Kaiser reports data breach affecting 13.4M health dept. processed 1.5

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Hall Render

AUGUST 26, 2022

The New 988 Mental Health Hotline Is Off To A Busy Start In Hawaii. Luke’s is joining the health insurance business. Judge Halts Part of Idaho’s Abortion Ban, Saying It Violates Health Law. Idaho Business for Education releases report on health care worker shortage in Idaho. CHS faces class-action fraud suit.

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Hall Render

JUNE 30, 2023

spoiler bid for home health care company Thousands of Minnesotans at risk of losing health insurance get a one-month reprieve MISSISSIPPI $5.3M for stroke and kidney treatment Optum wins $3.2B

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Hall Render

APRIL 19, 2024

Cedars Leads Latest Round Of Funding In Yolo County, 16,000 Medi-Cal patients lose doctors in Dignity Health dispute with Partnership HealthPlan Kaiser med school names CEO Kaiser Permanente launches food-is-medicine hub Kaiser, Vizient target healthcare greenhouse gas emissions L.A. Can lawmakers do anything about it?

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Hall Render

MARCH 15, 2024

Trinity: How the 3 largest nonprofit systems’ finances compare BAMF, Corewell Health partner on clinical trial for advanced cancer treatment Doctor files whistleblower lawsuit against DMC after patient becomes quadriplegic Lakeshore outpatient surgery center completes $9.3M

US Department of Health and Human Services 40

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

Hall Render

MARCH 22, 2024

Banner Health to expand clinical AI to 33 hospitals, 6 states Banner reports $282.8M family sues hospital over life-altering injuries Calif.

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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?

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Hall Render

MARCH 7, 2025

in 2024 Lilly cuts undisclosed number of jobs, nothing large scale Several Indiana health care measures focus on the 340B Drug Pricing Program. in 2024 Lilly cuts undisclosed number of jobs, nothing large scale Several Indiana health care measures focus on the 340B Drug Pricing Program. 11 Fee Demand Physician found guilty for $1.5M

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

Hall Render

FEBRUARY 21, 2025

Louis urgent care operator sentenced in fraud scheme Washington University looks to bring business of health insights to medical pros Where Ascension stands in post-cyberattack recovery plan Boone Health, MU Health Care urge telehealth as flu cases surge in mid-Missouri Doctor who operated urgent care centers in St.

US Department of Health and Human Services 40

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

Hall Render

APRIL 4, 2025

Colorado Has the 9th Largest Mental Health Workforce per Capita CONNECTICUT 5 New Haven health jobs, vaccine program impacted by federal funding cut, mayor says ‘A dark day for public health’: CT health officials outline impact of federal cuts to state health programs A new nursing education opportunity is coming to CT.

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