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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

In one incident, a New Jersey pharmacy admitted to conspiracies to defraud benefits providers, including Medicare and Medicaid, of $65 million for medications never provided to patients. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received.

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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. name, phone number).

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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum.

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Health Provider News – August 19, 2022

Hall Render

Amazon to offer behavioral health services through Ginger partnership. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. House approves sweeping climate, tax, health care package. Joint Commission’s New Accreditation Standards Tackle Health Disparities. CALIFORNIA.

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Health Provider News

Hall Render

Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M

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Health Provider News

Hall Render

Some companies claim AI can help States warn of health care worker shortage as they prep for next pandemic How Do Rural Hospitals Survive When Facing Financial Instability? Dignity Health eyes 9th Arizona hospital A nursing shortage is hitting Arizona hard. Sheriff’s deputies had to help 3 of them escape.

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Health Provider News

Hall Render

Vincent’s to begin ER construction, gains CON approval Birmingham CRE firm acquires South Carolina medical office property Encompass Health prepares to open rehab hospital, fill gap in care Nearby ED means more avoidable visits from AL residents, study finds Nurse salaries rose last year, dipped in 2023.