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Massachusetts Medicaid Fraud Division Recovers Over $55 Million in 2021

Healthcare Compliance Blog

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Led by acting Inspector General Christi A. What is the HHS-OIG Semiannual Report to Congress?

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South Carolina Woman Arrested for Exploiting Residents of an Assisted Living Facility

Healthcare Compliance Blog

The South Carolina Attorney General announced that his office’s Medicaid Fraud Control Unit (SCMFCU) had arrested a 57-year-old woman on two counts of Exploitation of a Vulnerable Adult and two counts of Breach of Trust with Fraudulent Intent, value of $10,000 or more.

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Private Equity: Investigation and Enforcement

Med Law Blog

In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021. In February of 2021, the National Bureau of Economic Research published a paper by Atul Gupta, Sabrina T. Similar issues were raised with respect to the private equity acquisition of Hahnemann Hospital.

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State and Federal enforcement agencies anticipating more complex investigations as COVID-era practices emerge

YouCompli

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Read a summary.

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Health Provider News – April 22, 2022

Hall Render

GAO investigating private equity ownership of nursing homes. Supreme Court tosses Medicaid work requirement cases. This nursing home chain reported the highest COVID death rate. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. Nursing Home Will Settle COVID-19 Death Suit.

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Health Provider News – September 16, 2022

Hall Render

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. billion in profit in 2021. Hartford HealthCare nurses give strike notice. Iowa nurse fired for incorrectly administering monkeypox shots. CONNECTICUT.