Page 46 - Program Integrity News Today

The 2021 Telemental Health Laws Survey cites actions taken by legal agencies to crack down on providers accused of abusing the system.

More broadly, Medicaid Modularity is about improving states’ Medicaid Management Information Systems (MMIS).

A former doctor from Hampton who pleaded guilty in July to health care fraud and money laundering for illegally writing prescriptions for painkillers has been sentenced to home detention and probation. Andrzej Kazimierz Zielke, 66, of Hampton, who was initially arrested in 2017, operated Medical Frontiers LLC, a pain management

Departments

As discussed in a prior blog post, in May of this year, the Department of Justice (DOJ), through its Fraud Section and in conjunction with the Center for Program Integrity, Centers for Medicare & Medicaid Services (CPI/CMS)...

The DOJ’s Health Care Fraud Unit, in coordination with other entities, announced a new wave of enforcement actions against 138 individuals, including 42 licensed medical professionals, who have participated in health care schemes that resulted in $1.4 billion in losses.

As discussed in a prior blog post, in May of this year, the Department of Justice (DOJ), through its Fraud Section and in conjunction with the Center for Program Integrity, Centers for...

Oversight Committee and Natural Resources Committee kicked off the markup sprint this week, which the House aims to complete by September 15. Delayed Medicare Trustees Report Maintained 2026 Insolvency Projection. CMS Appointed Two New Directors and Added Dental Chief.

Tuesday, July 20, 2021 On May 26, 2021, the Department of Justice (“DOJ”) announced a coordinated law enforcement action against 14 telehealth executives, physicians, marketers, and healthcare business owners for their alleged fraudulent COVID-19 related Medicare claims resulting in over $143 million in false billing.[1] This coordinated effort highlights the increased scrutiny telehealth providers are facing as rapid expansion efforts due to COVID-19 shape industry standards. Si...

  Share Source: AP Photo/Ng Han Guan On Tuesday, Sen. Joni Ernst (R-IA) introduced the Stop the Outlay of Payments (STOP) Act, a bill that will deny taxpayer funding from organizations not properly transparent about their projects. The legislation will effectively serve to provide accountability and enforcement, to protect taxpayers from groups like the EcoHealth Alliance, an NIH grant recipient which has not been forthcoming about what it does with funds. "Under the STOP Act, grant recipie...