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By Russell Paul Medicare Part A covers hospice care when a patient is certified as “terminally ill.” See e.g. 42 C.F.R. §§ 418.20, 418.22. “Terminally ill” means that a patient’s medical prognosis is for a life expectancy of six months or less due to the patient’s particular disease if it [...]
By Joy Clairmont In 2012, the State of Washington passed the Washington State Medicaid Fraud False Claims Act ("Washington Medicaid FCA"), its own version of the federal False Claims Act ("FCA"). The Washington Medicaid FCA allows private individuals who know about Medicaid fraud to bring a qui tam case [...]
By Shauna Itri The state and federal governments pay hundreds of billions of dollars each year for pharmaceutical drugs, medical devices, hospital care, outpatient services, physician visits, and nursing home care. In making payments for these services, the government relies on clinics, companies, and individuals to abide by the [...]