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AHA wants False Claims Act enforcement of Medicare Advantage care denials

There is debate over whether insurers could be subject to the False Claims Act if they routinely deny care they told CMS they would cover.

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False Claims Act-related settlements top $5.6B in 2021

False Claims Act-related settlements top $5.6B in 2021
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UCSD Health pays nearly $3M to resolve allegations of unneeded genetic testing

The settlement, which contains no determination of liability, stems from allegations that UCSD Health ordered and submitted referrals for medically unnecessary testing between December 2015 to October 2019, in violation of the False Claims Act.

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U.S. Attorney General seeks Puerto Rico bankruptcy confirmation delay

U.S. Attorney General seeks Puerto Rico bankruptcy confirmation delay
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Court orders Florida pharmacy to close in opioid distribution case

A Florida federal court has ordered a Tampa-area pharmacy to close down and barred the couple who runs it from operating a business where controlled substances are dispensed after they were accused of illegally distributing opioids.

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Montana Man Facing Nearly $10 Million in Fines for Hateful Robocalls

Montana Man Facing Nearly $10 Million in Fines for Hateful Robocalls
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Montana man faces $9.9M in fines for racist and anti-Semitic robocalls

The Department of Justice announced on Thursday that it is seeking $9.9 million from a Montana man who has allegedly made nearly 5,000 robocalls, many of which were xenophobic, racist and threatening, to people across several states.

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Department of Justice Files Suit to Recover Forfeiture Penalty for Nearly 5,000 Illegally Spoofed Robocalls

Department of Justice Files Suit to Recover Forfeiture Penalty for Nearly 5,000 Illegally Spoofed Robocalls
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Department of Justice seeking nearly $10 million from man who allegedly made thousands of racist and anti-Semitic robocalls

The man made racist and harassing calls to people people about the murders of Mollie Tibbetts and Heather Heyer, as well as about various political campaigns.

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Montana man faces $9.9 million in fines for racist robocalls

The Department of Justice announced on Thursday that it is seeking $9.9 million from a Montana man who has allegedly made nearly 5,000 robocalls, many of which were xenophobic, racist and threatening, to people across several states. The massive fine was first imposed by the Federal Communications Commission on January 14. The agency said at […]

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