A recently proposed rule would codify several statutory changes involving Medicaid Fraud Control Units, including the authority to investigate patient and abuse cases at healthcare facilities...
The Centers for Medicare and Medicaid Services (CMS) is calling on healthcare stakeholders to comment on a proposed rule that would change how states identify improper payments stemming from Medicaid and...
The Centers for Medicare & Medicaid Services’ (CMS) provider enrollment screening process is vulnerable to fraud because many ineligible providers are still being entered into the Provider...
Ineligible managed care providers currently receive $3 million in Medicaid reimbursements annually, the Government Accountability Office (GAO) said in a report, due to the lack of effective screening...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...
New York City and a contracting company are accused of a massive Medicaid fraud scheme relying on automated software.
Federal prosecutors are suing New York City and Computer Sciences Corporation (CSC)...
In fiscal year 2011, Texas HHS wrongly claimed $30.3 in Medicaid nonemergency medical transportation in multiple offenses.
According to a new report released by the Department of Health and Human...
Last week, the Texas Sunset Advisory Commission issued a less than positive report of the Texas Health and Human Services Commission (HHSC). The main takeaway is that the organization needs to undergo a...
On October 10, the Justice Department and the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) jointly announced the largest failure of care settlement with a...
Last week, the Office of Inspector General (OIG) released the results of a comprehensive review of the Connecticut State Medicaid Fraud Control Unit (MFCU) between the fiscal years of 2010 and...
Catholic Charities West Michigan reached a settlement with the US Attorney’s Office for the Western District of Michigan over the non-profit organization submitting false Medicaid claims....
