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A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors.
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An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.? The complaint alleged that the provider had engaged in conduct to defraud the Medicare program.
The USDepartment of Health and HumanServices (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).
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In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and HumanServices’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaidservices. Increased Telehealth Services.
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The Office for Civil Rights (OCR) at the USDepartment of Health and HumanServices (HHS) announced the resolution of eleven investigations in its Health Insurance Portability and Accountability Act (HIPAA) Right of Access Initiative, bringing the total number of these enforcement actions to thirty-eight since the initiative began.
The implication of this requirement if finalized – is that covered entities will only be permitted to contract services from business associates that can demonstrate compliance with HIPAA. Despite the variety of compliance requirements, some areas of HIPAA compliance are common to all business associates.
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On December 5, 2022, the Department of Health and HumanServices (“ HHS ”), Office of Inspector General (“ OIG ”), released their Semiannual Report to Congress for the period beginning on April 1, 2022, and ending on September 30, 2022 (the “ Semiannual Report ”). [1]. million $1.19 billion Questioned Costs $1.17
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