Health Care Law Brief

APRIL 12, 2023

. § 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. Notable Omissions from Proposed Rule CMS declined to adopt previously proposed amendments to the standard for “identified overpayments” under Medicare Parts A, B, C, and D. 3729(b)(1)(A) of the False Claims Act (“FCA”). See Proposed Rule at 79559.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

AIHC

APRIL 5, 2022

Due to the huge volume of claims payers receive to process, deny and pay, they have implemented various methods to track providers to detect potential waste, fraud and/or abuse. It can result in a situation where insurance opens an investigation or decides to initiate periodic audits on your claims and records. They can, sometimes!

Fraud 52

Fraud Compliance Medicare Medicare 52

Hall Render

OCTOBER 7, 2022

Judge orders Anthem to face lawsuit over alleged Medicare overpayments. Medical groups want lawmakers to bolster safety for health care workforce. University of Florida, Jupiter Medical Center to build hospital. Local Jax health care provider settles fraud allegations by paying $700,000. Million Health Care Fraud.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40