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Physician Indicted for Medicaid Fraud and Invasive and Medically Unnecessary Testing

Med-Net Compliance

New York Attorney General Letitia James announced the indictment of a physician and his company for defrauding Medicaid by forcing patients to get unnecessary and invasive medical tests. From January 2006 to August 2017, the physician allegedly gave? From January 2006 to August 2017, the physician allegedly gave?gift

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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

What the HHS-OIG says about vendor compliance. Moon , for submitting claims while excluded from March 2006 through July 2013. However, healthcare receives federal funding, and thus OFAC is an additional sanction list that you should add to your vendor compliance plan/program. Case Study: S. Martino-Fleming v.

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What is HIPAA?

HIPAA Journal

Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. The provisions related to administrative simplification are discussed below, while the provisions for medical liability reform (of which there are few) only relate to whistle blower protection for reporting fraud and abuse.

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Seventh Circuit Clarifies “Authoritative Guidance” for the False Claims Act

Hall Render

However, some of the defendant’s customers typically paid less than the retail price for their medications through several discount programs that the defendant offered between 2006 and 2015. This footnote originated as a footnote in a memorandum issued by CMS in October of 2006.