Page 37 - Program Integrity News Today

Because Medicare and Medicaid claims audit requests can look like routine billing-related correspondence, they can be easy to miss, leading to expensive and potentially catastrophic...

The Department of Justice and other federal enforcement agencies continued to hotly pursue individuals and entities involved in criminal telefraud schemes in 2022, as evidenced...

Department of Justice and other federal enforcement agencies continued to pursue criminal telefraud schemes in 2022, evidenced by national coordinated law enforcement action announced on July 20, 2022, indictments, pleas, and convictions related to telefraud schemes.

Note From the Editors - We bring you Vital Signs, a curated, one-stop resource on the most notable digital health law updates from our U.S. and global contributors. In...

We bring you Vital Signs, a curated, one-stop resource on the most notable digital health law updates from our U.S. and…

Healthcare

The insurance industry has hinted at litigation against the rule, which aims to reclaim overpayments to Medicare Advantage carriers.

Meet the women and men being honored for their exceptional contributions to federal IT in 2021.

Pandemic Response Accountability Committee Health Care Subgroup issued report on fraud, waste, abuse risks that arose due to increase in telehealth services during COVID-19. PRAC was created under CARES Act to oversee historic spending of federal government’s Covid response.

Lakeisha Becker was charged with TennCare fraud and theft of property between $2,500 and $10,000, the TBI said.