There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.
Tag: Claims
Nudge Triggers a $17 Million False Claims Act Settlement
A fraud by any other name would smell as bad.
Will the Whistleblower Law Be Whistled Out?
Is the False Claims Act’s whistleblower provision illegal?
Federal District Court Finds Whistleblower Actions Unconstitutional
What if someone blows the whistle but it makes no sound? The federal False Claims Act (“FCA”) traces its history back to the Civil War, a time at which unscrupulous vendors sold defective goods such as blankets and boots to the Union army. The result was to adopt legislation, the FCA, both penalizing the filing…
Beware of Bogus Medicare and Medicaid Billings
Certifying to Medicare that you’re here when you’re really there is a ticket to nowhere, or maybe to jail.
“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Medical Group Minute
With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.
“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Podcast
With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.
Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Medical Group Minute
The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.
Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Podcast
The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.
Are Medicare Recovery Auditors Submitting False Claims? – Success in Motion
Ride along with Mark as he muses over whether Medicare recovery auditors are themselves committing fraud.