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Audit activity by government regulators and private payers has been on the rise. These investigations ramped up throughout 2017 and accelerated through 2018. The dramatic increase in audits is likely connected to the price cuts implemented with the new Medicare Part...
The United States Department of Health and Human Service's (HHS) Office of Inspector General (OIG) recently released a report that states most Medicare claims from durable medical equipment supplies for payment for replacement positive airway pressure (PAP) device...
The Department of Justice (DOJ) recently released the indictment for four men and seven companies the agency has accused of involvement in a billion-dollar health care fraud scheme. The accusations include conspiracy to commit health care fraud, mail fraud and...
After over ten years of investigating and searching, the United States Department of Health and Human Services has recaptured and charged a man with healthcare fraud. In response to the initial charges made ten years ago, the accused fled. He left the country and,...
A sheriff’s department in Texas has charged two office administrators at medical clinics with healthcare fraud. The state has accused the women of conspiring with a doctor at the clinic to file fraudulent claims with the Office of Worker’s...
The New York City Department of Consumer Affairs (DCA) is following the recent practices of the United States Department of Labor. The federal government recently identified a prevalence of labor law violations within the home health care agency industry. As such, the...
Allegations of wrongdoing can haunt the accused for the rest of his or her life. This is particularly true when the allegations involve government allegations of breaking the law. Is it possible to overcome these allegations and move on to live a successful and...
The New York state and federal government recently conducted an investigation into the operations of a local skilled nursing provider. The center under investigation provides long-term care services to patients in the community. These services can include adult day...
The Department of Justice (DOJ) continues to crackdown on allegations of healthcare fraud. The agency’s most recent examples a psychologist and his wife who ran a psychological practice. The government has accused the couple of partaking in an elaborate billing...
New York v. Acosta could change the administration of association health plans throughout the country. This New York case questions a regulation by President Trump's administration. The regulation allegedly makes it easier for smaller groups to buy association health...