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medicare

Recently-Released Data Portrays Alarming Physician Reimbursement Rate Under Medicare Part B

CMS Director Marilyn Tavenner stood by the decision to release data showing excessive overpayments to physicians under the Medicare Part B program. Early last month, the Centers for Medicare and Medicaid services publicly released their data pertaining to reimbursement amounts provided to physicians under the Medicare Part B program – and many industry [...]

2018-03-27T08:46:57+00:00

Pittsburgh-Area West Penn Allegheny Health System Settles False Claims Act Case

Before its acquisition by Highmark, Inc., West Penn Allegheny Health System owned and operated five hospitals in the city of Pittsburgh. They have settled a False Claims Act case regarding unlawful kickbacks.Image source: Wikimedia Commons In a recent settlement involving the False Claims Act’s anti-kickback provisions and the federal Stark Law, Pittsburgh’s West [...]

2018-03-27T09:04:43+00:00

Hospice Compassus to Pay $3.9 Million to Settle False Claims Act Lawsuit

U.S. Attorney General Joyce Vance of the Northern District of Alabama is involved in the prosecution of a False Claims Act case against a hospice care facility.Image source: Wikimedia Commons The Department of Justice recently announced a $3.9 million settlement with a palliative care company responsible for operating a number of hospice care [...]

2018-03-27T09:06:15+00:00

EndoGastric Solutions Settles False Claims Act Case for Over $5 Million

The Montana District Court is overseeing the settlement agreement between the U.S. Government and EndoGastric Solutions.Image source: Wikimedia Commons The False Claims Act not only covers exaggerated bills for examinations, but also works to help eliminate fraud pertaining to the use of medical devices during surgical procedures. In a recent case against gastrointestinal [...]

2018-03-27T09:08:02+00:00

Proposed Rule Centers on Medicare Overpayment

  New Medicare Part D rules may impose severe False Claims Act penalties against any Plan Sponsor who receives and keeps a Medicare overpayment for prescription drugs.Image source: Wikimedia Commons We often report on the widespread epidemic of healthcare fraud within the United States, particularly occurring in conjunction with Medicare and Medicaid patients. [...]

2014-02-12T21:12:11+00:00

The False Claims Act: A State Perspective

The federal False Claims Act, which has been around since the Civil War era, receives plentiful coverage through the media and blogosphere. However, few people realize that a majority of U.S. states have enacted similar or identical legislation to protect their citizens from fraud on the local level. It is not uncommon for state attorneys [...]

2014-02-04T19:44:56+00:00

South Florida Senior Citizens Work to Stop Medicare Fraud

The Department of Health and Human Services is responsible for the Administration on Aging and is very involved in the detection and investigation of healthcare fraud.Image source: Wikimedia Commons Fraud against Medicare and Medicaid is a growing problem that cost U.S. taxpayers over $68 billion last year. Amid growing concerns about this crime, [...]

2018-03-26T00:24:14+00:00
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