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DOJ charges more than 300 in $14.6B healthcare fraud bust

Healthcare Dive

Matthew Galeotti, head of the justice department’s criminal division, called the operation “the beginning of a new era of aggressive prosecution and data driven prevention” of healthcare fraud.

Fraud 289
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CVS Omnicare ordered to pay $949 million in government fraud case

Healthcare Dive

CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally charged Medicare, Medicaid and Tricare for prescription drugs for almost a decade.

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Kinetik CEO Sufian Chowdhury on Fighting NEMT Fraud & Waste

HIT Consultant

However, this essential service operates within a highly fragmented landscape, often relying on antiquated technology or manual processes, making it susceptible to significant fraud, waste, and abuse a long-standing challenge nationwide. Can you elaborate on the common types of fraud and abuse that occur within the current NEMT system?

Fraud 102
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Government watchdog warns of Medicare fraud after relaxing provider requirements

Healthcare Dive

The Government Accountability Office is urging the CMS to resume certain eligibility checks on providers whom they consider at high risk of fraud to the Medicare program.

Fraud 321
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Everything You Wanted to Know About FACIS, but Didn’t Know to Ask

Speaker: Amy Anderson

Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. FACIS® helps organizations mitigate patient and organizational risk. Most healthcare organizations screen and monitor providers against the OIG but that’s only ONE of FACIS®’ primary sources.

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RFK Jr. calls GOP Medicaid plans ‘not true cuts’

Healthcare Dive

Republicans’ plan to reduce spending on Medicaid would eliminate waste, fraud and abuse, the HHS secretary said in hearings Wednesday. Millions could become uninsured under the proposal.

Medicaid 277
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Progressive lawmakers call on CMS to cull companies with history of Medicare fraud from ACO REACH

Healthcare Dive

At least 10 organizations with records of healthcare fraud and abuse prior to 2021 participated in the direct contracting program last year despite CMS screening requirements, the letter said.

Fraud 338