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Genesis Healthcare Inc. Agrees to Resolve Whistleblower Case for $53.6 Million
The Department of Justice recently announced that Genesis Healthcare Inc. will pay $53.6 million to resolve A allegations that it and its subsidiaries submitted false claims to government healthcare programs forA medically unnecessary therapy and hospice services, and grossly substandard nursing care. The case was brought by 7 whistleblowers who brought 6 separate federal lawsuits in the [â¦]
The post Genesis Healthcare Inc. Agrees to Resolve Whistleblower Case for $53.6 Million appeared first on Medicare Fraud 101.
Prestige Healthcare Pays Government for its False Billing Role in Genetic Testing Fraud
Prestige Administrative Services, LLC d/b/a Prestige Healthcare (Prestige), headquartered in Louisville, Kentucky has agreed to pay the United States to resolve genetic testing fraud allegations that it violated the False Claims Act. The Medicare false billing allegations involvedA unnecessary and fraudulent genetic testing.A Prestige is an owner/operator of nursing homes in several states, including four facilities [â¦]
The post Prestige Healthcare Pays Government for its False Billing Role in Genetic Testing Fraud appeared first on Medicare Fraud 101.
Hospital Service Provider Pays $60 Million to Settle Healthcare Fraud Allegations
Recently, the Department of Justice announced that TeamHealth Holdings (successor in interest to IPC Healthcare Inc.) has agreed to pay $60 million to resolve upcoding allegations by billing Medicare, Medicaid, the Defense Health Agency and the Federal Employees Health Benefits Program for higher and more expensive levels of medical service than were actually performed.A The [â¦]
The post Hospital Service Provider Pays $60 Million to Settle Healthcare Fraud Allegations appeared first on Medicare Fraud 101.
Medicare Dollars Are Still Siphoned Through Ambulance Fraud
âAmbulance service companies should be focused on the needs of the patients,a said HHS OfficeA of Inspector General Special Agent in Charge Phillip Coyne. He continued: Billing Medicare for ambulance rides thatA were unnecessary or at a higher rate than could be medically justified is unacceptable. Together withA our law enforcement partners, we will seek out and stop [â¦]
The post Medicare Dollars Are Still Siphoned Through Ambulance Fraud appeared first on Medicare Fraud 101.
Civil Health Care Fraud Recoveries Have Exceeded $2 billion for the Seventh Consecutive Year
Deputy Assistant Attorney General Benjamin C. Mizer, head of the Justice Departmentas Civil Division, announced recently that the Department of Justice obtained more than $4.7 billion in settlements and judgments from civil cases involving fraudulent claims against the government in fiscal year 2016. This is the third highest annual recovery in False Claims Act history, [â¦]
The post Civil Health Care Fraud Recoveries Have Exceeded $2 billion for the Seventh Consecutive Year appeared first on Medicare Fraud 101.
Anti-Kickback Statute Reaches Consultants Who Seek to Improperly Influence Healthcare Providers
The vast majority of False Claims Act settlements involving kickback allegations have been instances where healthcare providers have allegedly received kickbacks for utilizing a manufactureras product. Recently, however, there have been a few successful recoveries where the alleged kickback recipient was not the ultimate decision-maker or even healthcare provider. While this is an expansion of [â¦]
The post Anti-Kickback Statute Reaches Consultants Who Seek to Improperly Influence Healthcare Providers appeared first on Medicare Fraud 101.
Government Recovers Millions from Hospital System that Allegedly Wrongfully Retained Medicaid Overpayments for Over 60 Days
Recently, the Justice Department announced a first-of-its-kind settlement involving allegations that a health system violated the False Claims Act by retaining Medicaid overpayments for more than 60 days after identifying that overpayments were made. This $2.95 million settlement with Mount Sinai Health System was the first settlement involving the Affordable Care Act provision that created [â¦]
The post Government Recovers Millions from Hospital System that Allegedly Wrongfully Retained Medicaid Overpayments for Over 60 Days appeared first on Medicare Fraud 101.
Are Medically Unnecessary Tests Driving Growth of In-Office Procedures?
In a recent Wall Street Journal article titled, aIn-Office Testing by Doctors Lifts Medicare Costs,a it was revealed that a sizeable chunk of the Medicare dollars are now going to physicians who utilize newly minted in-office medical devices. In fact, the WSJas analysis of recently released Medicare billing data showed that four of the top [â¦]
The post Are Medically Unnecessary Tests Driving Growth of In-Office Procedures? appeared first on Medicare Fraud 101.
Are Copayment Assistance Nonprofits to Funneling Kickbacks to Patients?
In recent years, the federal government has reviewed the issue of copayment assistance organizations that purport to help Medicare and Medicaid beneficiaries with their pharmaceutical copayments, but has not yet taken any public enforcement action to our knowledge. Now, the media seems to be taking a closer look, as seen in a recent Bloomberg article [â¦]
The post Are Copayment Assistance Nonprofits to Funneling Kickbacks to Patients? appeared first on Medicare Fraud 101.
Are Hospitals Pressuring ER Physicians to Inappropriately Admit Patients?
Over the last few years, the government has devoted substantial resources to pursue hospitals that inappropriately admit patients to inpatient stays. This month, the government intervened after initial declaration in a qui tam case against 14-hospital health system Prime Healthcare. The lawsuit included allegations that senior management would: criticize Emergency Department doctors and demand their [â¦]
The post Are Hospitals Pressuring ER Physicians to Inappropriately Admit Patients? appeared first on Medicare Fraud 101.
Internet Banking and Privacy Policies
Privacy policy legislation affects internet banking just as it does any other type of banking establishment. You might want to keep your personal information private. If so, it is good to know how your bank treats privacy policy. A study was done to determine how well different banks, including internet banking companies, dealt with privacy [...] Books on Internet Banking
There are many intellectual books on internet banking. There seem to be few that the average person can read and understand. With a little investigation at your local bookstore and online, you can find some fairly recent books that have something to say to the average consumer about internet banking. Scams and Swindles: Phishing, Spoofing, [...] Problems with Internet Banking
Most people who have accounts with traditional banks do some internet banking now. Some are hesitant because of problems they see in the industry. While there are some disadvantages to internet banking, many of the problems start with the consumer. For example, there are still quite a few people who do not use internet banking [...] Time Management – It’s Not Work That Kills You
Talking of good time management, the first thing that comes to our mind is our professional work or household duties. People say they spend a lot of time in the workplace, hence, do not have time to spend with their family or on themselves. Wrong! The fact is people waste a large amount of time [...] Phishing And Fraud – What Is It?
Phishing is a very sneaky type of fraud conducted over the Internet. Its name is a throw back to the early days of hacking and identity theft and the practice of phone phreaking. While there can be very complicated schemes devised, they are all based on a very simple concept. Phishers try to persuade you, [...] Steps To Take If You Are A Victim Of Identity Theft
Identity theft can be one of our worst nightmares, since the stolen identity is always used for illegal purposes. Apart from having your identity stolen from you, you could also become a target of litigation from parties hurt by the actions of the identity thief. So what should you do if you ever become a [...] How to Prevent Identity Theft
In 1996, Mari Frank lost her identity to an internet hacker when a stranger accessed her credit report online. Ten months later, Frank, of Laguna Niguel, California, had a creditor call him about âherâ outstanding debt and it was a lot, a huge lot, including payments for a red convertible that she apparently bought. What [...] Understanding An Adjustable Rate Mortgage
Among the options you have when choosing a mortgage loan, there are those of a fixed or adjustable interest rate. While the fixed rate is easy to understand â the same interest throughout the life of the loan, it could be a good idea to have a closer look at how an adjustable rate mortgage [...] Questions From an Identity Theft Victim
Identity theft is a crime in which the imposter obtains key pieces of information such as Social Security and driverâs license numbers to obtain credit, merchandise and services in the name of the victim. The victim is left with a ruined credit history and the time-consuming and complicated task of regaining financial health. The imposter [...] APR and FEES Credit Cards
Many card providers calculate APR based on several tables. The APR is part of the package when receiving a credit card that you must understand to avoid debt. Nowadays, nearly any company that offers consumers the ability to pay their debts via phone will charge a fee. The fee sometimes starts at $1.50 and reaches [...] Get a credit card with a low interest rate
Before you choose a credit card it would be wise to first find out the interest rates offered by all the credit card companies and banks. While you compare credit card companies and banks, take note of the ones with low interest rates and offer the best benefits. Donât miss the fine print as that [...] What You Need to Know about Identity Theft
When somebody uses your personal information, such as your name, address, phone number, credit card number, social security number and so on, with the intent to fraud or deceive, then they are committing identity theft. Typically, the information is used for financial gain by the thief. It may be to make unauthorized charges on your [...] A Credit-free Card: What is a prepaid credit card?
In this high-tech era of computers and machines, the purchasing power of people is mostly based on credit. Nowadays, credit cards are almost indispensable in almost any business transaction. For one, nobody can purchase anything online without a credit card. People who have a poor credit history though, will have a hard time getting or [...] How to Prevent Internet Banking Fraud
Internet banking, like any other business arena, is susceptible to fraud. Phonies abound in every type of business, and this is no different. Yet, there are some ways you can prevent being taken. One kind of fraud is done on fake bank sites. These are look-alike sites that imitate your internet banking website. They sometimes [...] Capital One Financial Cards
We all need money to live to tell the tale and from time to time when our cash is low, a credit card can come in handy. Credit cards can also come in handy if you are traveling. Since, most people hate to carry cash while traveling they will often use a major credit card. [...] How to Keep Your Internet Banking Account in the Black
If you keep a large balance in your internet banking account, it may be easy for you to keep it in good standing. However, if you are like many people, you might be running on a tight budget. If so, you will need to be careful about how you handle your account. One of the [...] Red Alert Credit Cards
Therefore, you think you want a credit card and only know that the cards will provide you credit when you are low on funds. Nowadays, you need to know more that defaults, late fees, APR, annual fees, cash advance, rewards, and so forth to understand credit cards. Recent reports have clearly made known that these [...] More Than Meets The Eye: What Is A Chase Credit Card?
With so many credit cards dominating the market these days, people can no longer tell the difference between one card to another. It all seems like a wide array of credit cards all committed to provide the consumers with substantial means in cashless shopping. However, there is one credit card that aims to be above [...] For Reality: What Is A Low Apr Credit Card
Shopping had never been lousy since the advent of credit cards. Since then, people had always been indulging into various cashless shopping due to the convenience of the credit card. However, most people get credit cards only for the sake of shopping. They do not even read the fine print on their credit card and [...] Asian Countries Worried About Identity Theft
For many people in Singapore and other Asian countries, theft of their identities is the biggest worry they face, according to the latest Security Index. Eighty percent of people who were surveyed in Singapore along are worried about others stealing their identities or using their credit cards without their knowledge. Hong Kong and Malaysia had [...] Page took 2 seconds to load.
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