Fraud Governance Licensing Medicaid 
Compliancy Group
DECEMBER 15, 2023
Unfortunately, some Medicare and Medicaid funds are lost to fraudulent and wasteful behaviors. Knowing how to detect, report, and prevent inappropriate use of funds associated with the Centers for Medicare and Medicaid Services (CMS) is essential. What is Healthcare Fraud? taxpayers over $100 billion annually.
Med-Net Compliance
NOVEMBER 1, 2022
South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties. Update as necessary.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Verisys
FEBRUARY 9, 2024
Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2
MedTrainer
JULY 28, 2023
Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.
Provider Trust
AUGUST 9, 2022
The Health Care Fraud and Abuse Control Program (HCFAC) protects patients and consumers by combating healthcare fraud and abuse. During the fiscal year 2021, the report states that the federal government won or negotiated over $5 billion in healthcare fraud judgments and settlements. Because of these efforts, close to $1.9
Verisys
JANUARY 8, 2024
Verisys Corporation, through its FACIS (Fraud and Abuse Control Information System), plays a crucial role in ensuring OIG compliance for healthcare organizations. Verisys provides various products for this purpose, including FACIS, License Searches, Verified License Searches, the Abuse Registry, and the Sex Offender Registry.
MedTrainer
FEBRUARY 5, 2024
Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses.
Expert insights. Personalized for you.
52 
Let's personalize your content