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California Doctor to Pay over $9.48M, Sentenced to Prison, to Settle Fraud Allegations

Med-Net Compliance

California Attorney General Rob Bonta announced a settlement against a Southern California doctor for submitting false claims to Medicare and Medi-Cal between the years of 2011 and 2018 for drugs, procedures, services, and tests that were never administered to patients. As part of the settlement, the doctor will pay a total of more than $9.48

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

YouCompli

Unger reported that her unit is focused on about 65% Medicare fraud and about 35% abuse and neglect. When people defraud the system they don’t just defraud Medicaid, they also get Medicare and private insurance. Her office has seen an increase in elder abuse reports since the beginning of the pandemic.

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Compliance officers reflect on COVID pivots and preparing for the end of the public health emergency

YouCompli

General Counsel & Chief Compliance Officer, Director, Center for the Prevention of Elder Abuse and Neglect, Hebrew SeniorLife; Maria Palumbo , Chief Compliance & Privacy Officer, Lawrence General Hospital. Featured speakers: Craig Bennett , Vice President and Chief Compliance Officer, Boston Medical Center; Rachel Lerner , Esq.,

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Health Provider News

Hall Render

attorney general settles lawsuit against SmileDirectClub Embattled board chair resigns from struggling Tennessee hospital HCA buys Nolensville site eyed for satellite facility Memphis nursing home under investigation for allegations of elder abuse Monroe Carell Jr. MedStar Transport Celebrates 40 years of service C.

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Health Provider News

Hall Render

NATIONAL AHA shares proposals for drug shortage legislation with House committee America’s biggest hospital landlord sees deals souring Babylon Health files for bankruptcy Bankruptcies mounting in troubled nursing home industry Calls grow for national patient safety board: 3 leaders weigh in CMS details plan to allow Part D beneficiaries to pay (..)

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Health Provider News

Hall Render

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

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California Supreme Court Issues Landmark Opinion On Express Preemption

Drug & Device Law

That is why we took notice last week when the California Supreme Court ruled unanimously that the Medicare Act expressly preempted state common-law and statutory claims against a health maintenance organization and a healthcare plan administrator. at *3 (citing 42 U.S.C. 1395w-26(b)(3)).