Healthcare Law Today
JANUARY 2, 2023
” The currently proposed provision has similar effect to the language CMS proposed in 2012 and, after consideration of comments, ultimately rejected in the 2014 Final Rule (Medicare Advantage and Part D) and 2016 Final Rule (Medicare Part A and Part B). The FCA is a fraud statute, requiring intent. 3729(b)(1)(A).
Health Populi
APRIL 24, 2018
” The brief answer is that the country experienced a huge fraud incident discovered in 2017 , involving 18 networks of corruption leading to at least 42 criminal cases. The resulting monetary loss was calculated to be at least $160 mm of fraud in 2017 alone. But you may be asking, “What happened in Colombia?”
Health Populi
OCTOBER 8, 2019
The study reviewed reports and articles published between January 1, 2012 and May 15, 2019, dressing the topic of waste across six domains previously identified by the Institute of Medicine: Failure of care delivery, with waste ranging between $102 bn and $166 bn. Failure of care coordination, with a waste-range of $27 bn – $78 bn.
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