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Georgia Nursing Home Settles to Resolve Allegations of False Claims for Therapy Services

Healthcare Compliance Blog

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. This amount was based on the nursing home’s ability to pay.

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Five Individuals and Two Nursing Facilities Indicted on Healthcare Fraud Charges

Med-Net Compliance

Five individuals and two for-profit skilled nursing facilities (SNFs) in Pennsylvania were indicted on charges of conspiracy to defraud the United States and related healthcare fraud charges.

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DOJ charges four in $37M global telehealth fraud scheme

Healthcare IT News - Telehealth

According to the indictment , starting in May 2014 the defendants and their co-conspirators allegedly used telehealth to generate prescriptions for compounded medications and durable medical equipment, regardless of medical necessity. The agency said that patient information had been provided by marketing companies. THE LARGER TREND.

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Appeals Court Rules Against Nursing Home: Bankruptcy Cannot Affect Prevent Cancellation of Medicare or Medicaid Contacts

The Health Law Firm

Board Certified by The Florida Bar in Health Law On July 11, 2016, a federal appeals court stated that a bankruptcy judge did not have the authority to block government health officials from cutting off Medicare and Medicaid payments to a Florida nursing home that was alleged to have violated patient-care regulations. Indest III, J.D.,

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False Claims Act Settlements Exceed $5.6 Billion in Fiscal Year 2021

Healthcare Compliance Blog

This is the second largest annual total in False Claims Act history, and the largest since 2014. Congress strengthened the False Claims Act by increasing incentives for whistleblowers to file lawsuits alleging false claims on behalf of the government. More than $5.6 Total recovery now totals more than $70 billion.

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HIMSS names 2021 Changemaker Award winners

Healthcare IT News - Telehealth

President, Emirates Nursing Association. Al Mahri is also group chief nursing officer at Abu Dhabi Health Services Company, or "SEHA," where she was the first senior nursing leader to identify the importance of the nursing informatics specialty. They are: Aysha Al Mahri. Abu Dhabi, UAE.

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Preventing Unlicensed Individuals and Subsequent Fraudulent Claims Submission

Provider Trust

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. According to the U.S. The Importance of Conducting License Verification and Monitoring.