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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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Exploring Cigna's $172 Million Medicare Advantage Settlement

Healthicity

Specifically, the government alleged that Cigna submitted and failed to withdraw inaccurate and untruthful diagnosis codes in order to increase its payments from Medicare. government joined the action. Allegations Against Cigna Group A whistleblower initially brought forward the allegations and the U.S.

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NextGen to Pay $31M Settlement for False Claims Act Allegations

HIT Consultant

FCA Allegations The allegations contends that NextGen falsely obtained certification for its software in connection with the 2014 Edition certification criteria published by HHS’s Office of the National Coordinator.

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Using Legal Preparedness to Minimize Liability Barriers to Accessing Pandemic Vaccine and Medical Countermeasures

Bill of Health

Widespread international health emergencies, and particularly pandemics, can lead to a major imbalance of negotiating power between manufacturers and governments. Governments may face difficult policy decisions in their attempts to expeditiously control the spread of disease. Government, the U.S.

COVID-19 201
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California and North Dakota Hospitals Report Cyberattacks

HIPAA Journal

The Massachusetts Department of Developmental Services has discovered documents containing PHI have been left unsecured for a decade. Complimentary identity monitoring and protection services have been offered to individuals whose Social Security numbers were involved.

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Know Your Adversary: HC3 Shares Details of Chinese APT Groups Targeting the Healthcare Sector

HIPAA Journal

While at least one Chinese state-sponsored hacking group is known to conduct cyberattacks for financial gain, most groups conduct attacks for espionage purposes and to obtain intellectual property (IP) of interest to the government of the People’s Republic of China, such as IP related to medical technology and medicine.

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Two NY Home Healthcare Agencies Settle False Claims Act Allegations for $5.4 Million 

Healthcare Compliance Blog

The agencies received millions of dollars in funding from Medicaid, which is funded in part by the federal government, and much of that money was meant to pay the wages and benefits of their aides. million to New York State for conduct between 2014–2017. Under the terms of agreement, one of the agencies has paid $1.6