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California Doctor to Pay over $9.48M, Sentenced to Prison, to Settle Fraud Allegations

Med-Net Compliance

California Attorney General Rob Bonta announced a settlement against a Southern California doctor for submitting false claims to Medicare and Medi-Cal between the years of 2011 and 2018 for drugs, procedures, services, and tests that were never administered to patients. As part of the settlement, the doctor will pay a total of more than $9.48

Fraud 59
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Editorial: 5 Gaps in HIPAA and How They Are Being Filled

HIPAA Journal

For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing. Consequently, when data breaches occurred due to a lack of compliance by Business Associates, there was no accountability. billion and $11.5

HIPAA 95
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President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions

C&M Health Law

hospitalizations and emergency department visits) and to audit Medicare claims to assess potential fraud. In November 2020, the Centers for Medicare & Medicaid Services (CMS) announced the Acute Hospital Care At Home program to provide hospitals expanded regulatory flexibility and allow them to care for eligible patients in their homes.

Medicaid 104