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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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December 13, 2017
General
Whistleblowing in Nursing
Nurses have long been a crucial part of the healthcare system, and they can be just as crucial when it comes to reporting fraud within that system. As insiders and observers of many healthcare procedures and billing practices, nurses have much-needed visibility into wrongdoing being committed by hospitals, physician-practice groups, […]
November 10, 2017
General
Florida False Claims Act
In 1994, the Florida Legislature adopted the Florida False Claims Act (“Florida FCA”),[1] which, generally speaking, “authorizes a private person or the State to initiate a civil action against a person or company who knowingly presents a false claim to the State for payment.”[2] Like the federal False Claims Act, […]
October 30, 2017
General
What is Medi-Cal Fraud?
Medi-Cal is the name of the State of California’s Medicaid program, as well as certain state healthcare programs. Medi-Cal is administered by the California Department of Health Services and accounts for more than $40 billion in annual expenditures – nearly one-quarter of the state’s entire budget. Medi-Cal provides health coverage […]
October 23, 2017
General
NIH Grants: A Risk Area for Fraud
By Sherrie Savett Background The National Institutes of Health (“NIH”) awards billions of dollars to support medical and scientific research in the area of health and diseases. NIH invests approximately $32.3 billion each year in research grants to recipient organizations.[1] There are strict requirements for grant approval. Only 7 – […]
October 20, 2017
General
Medicare Fraud: Billing for Services Not Rendered
Imagine the following scenario: a patient with Medicare sprains her ankle and sees a doctor for one 15 minute appointment. The doctor then bills Medicare as if he had seen the patient for five 15 minute appointments over the course of a month. The doctor figures that Medicare will never […]
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