Page 38 - Program Integrity News Today

/PRNewswire/ -- Sandatas analytics are being utilized to address Fraud, Waste, and Abuse (FWA) in State Medicaid programs. Working with EVV data and...

/PRNewswire/ -- Sandatas analytics are being utilized to address Fraud, Waste, and Abuse (FWA) in State Medicaid programs. Working with EVV data and...

HICKSVILLE, N.Y., Jan. 11, 2023 /PRNewswire/ -- Sandatas analytics are being utilized to address Fraud, Waste, and Abuse (FWA) in State Medicaid ...

TBI said Gloria Williamson submitted fraudulent time sheets during her time as a care worker in 2020.

On July 20, 2022, the US Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert (Alert) concerning the fraud and abuse risks associated...

On December 29, 2022, President Biden signed into law the Consolidated Appropriations Act, 2023, a $1.7 trillion omnibus that will fund the federal government through the remainder of fiscal...

Pandemic Response Accountability Committee PRAC Health Care Subgroup published report highlighted expanded access telehealth services in certain federal health care programs during the first year of the COVID-19 pandemic. Focused on program integrity risks related to telehealth.

The Pandemic Response Accountability Committee (PRAC) Health Care Subgroup recently published an expansive report that highlighted the sheer volume of expanded access to and use of...

Stephen Bittinger Healthcare Lawyer KL Gates Law Firm Charleston Medicare and Medicaid audits, private payer audits, federal regulatory termination and exclusion proceedings, False Claims Act prosecutions, and health care revenue issues. In addition, he has experience advising clients on defending and appealing audits by Recovery Audit Contractors, Zone Program Integrity

A review of 90 government audits reveals the plans have repeatedly tried to get around mandates to document medical conditions the government paid them to treat.