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July 23, 2015
Healthcare Fraud
The Children’s Hospital Agrees to Pay Nearly $13 Million to Settle False Claims Act Allegations
Proving that healthcare fraud truly knows no bounds, the Children’s National Medical Center – through its Children’s Hospital Medical Graduate Program – is accused of engaging in costly and wasteful healthcare fraud involving various pediatric patients enrolled in the Medicaid program. Consequently, the hospital has agreed to pay a staggering […]
July 21, 2015
Healthcare Fraud
Lawsuits Allege Inflated Risk Adjustment Scores, Resulting in False Claims
In yesterday’s post, we introduced the concept of risk assessment scores, and how the Center for Medicaid and Medicare Services (CMS) relies on information reported by healthcare facilities to adjust reimbursement rates [1. Medicare Managed Care Manual, Chapter 7. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/mc86c07.pdf] for certain demographics and regional areas. As a review, certain […]
July 20, 2015
Healthcare Fraud
Courts Considering Concept of Inflated ‘Risk Adjustment Scores’ Under the False Claims Act
According to a report published by the Center for Public Integrity, as many as six separate whistleblower lawsuits have been filed since 2010 alleging inflated ‘risk adjustment scores’ submitted to the Center for Medicare and Medicaid Services (CMS). This paradigm shift in alleging false claims centers on the notion that […]
July 17, 2015
Healthcare Fraud
Hamilton Healthcare Accused of Allowing Excluded Practitioner to Treat Medicare and Medicaid Patients
As a healthcare practitioner, permission to work with Medicaid and Medicare participants can be an extremely lucrative area of practice. For many physicians working in areas with an aging or low-income demographic, government healthcare enrollees can quickly become a large majority of the patient load – which can often invite […]
July 6, 2015
Healthcare Fraud
Tulsa Doctor and Clinic to Settle Allegations of Medicare Fraud for $105,000
In today’s post, we will explore a recent $105,000 settlement involving a Tulsa, Oklahoma, physician accused of defrauding the taxpayer-funded Medicare system, which serves millions of Americans aged 65 and older with affordable health insurance coverage.[1. Department of Justice Press Release, “Settlement Reached In Medicare Fraud Lawsuit Against Tulsa Doctor And […]
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