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Understanding the Medicaid Fraud Control Unit’s 2023 Annual Report

Provider Trust

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). for every $1 spent How ProviderTrust Can Help With nearly 80 million individuals covered by Medicaid, every data point counts.

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Licensed Professional Counselor Sentenced to Prison for $1.3 Million Medicaid Fraud Scheme

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S. District of Connecticut. [.]

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Dental Fraud Schemes Uncovered

Compliancy Group

This month, fraud in the medical industry has been making headlines fairly frequently. In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received.

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Ongoing License Monitoring Critical to Prevent Healthcare Fraud

Provider Trust

A 49-year-old Brownsville, TX man named Fernando Mendez was taken into custody in early September after being charged with defrauding Medicaid. Mendez, who was a physician assistant at CCI Therapy Counseling Centers International, was working with a suspended medical license. How Often Should You Verify Employee Licenses?

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Medicaid Fraud Control Unit’s 2022 Annual Report Key Takeaways

Provider Trust

What is a Medicaid Fraud Control Unit (MFCU)? Fraud and abuse are unfortunate realities of the healthcare industry. Hundreds of claims and investigations are carried out yearly to combat the growing number of providers, organizations, and entities contributing to fraud and abuse within state and federal healthcare programs.

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Essentials of Medicare Fraud, Waste, and Abuse Training

Compliancy Group

Components of Medicare Fraud, Waste, and Abuse Training One of the most important elements of CMS Medicare fraud, waste, and abuse training is defining and differentiating these three terms : Fraud is the deliberate attempt to obtain financial gain through deceptive means, such as providing false information. See how it works!

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Analysis finds uptick in telehealth fraud enforcement

Healthcare IT News - Telehealth

A survey put forward by the national healthcare, life science and workforce management law firm Epstein Becker Green found that telemental health services have increased in quantity this year – as have fraud-related enforcement actions at the state and federal levels. For instance, it cited efforts this year from the U.S.

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