Over the past year, the federal government has taken concrete steps to fulfill its promise of a heightened commitment to investigating and enforcing health care fraud within the Medicare Advantage program (Medicare Part C). ...more
9/27/2021
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Medical Reimbursement ,
Medicare ,
Medicare Advantage ,
Medicare Advantage Organizations (MAOs) ,
Medicare Part C
In one of the largest ever health care fraud schemes charged by the Department of Justice, cancer genetic testing and telemedicine are at the center of the scheme. On September 27, the DOJ announced charges against 35...more
10/2/2019
/ Anti-Kickback Statute ,
Criminal Investigations ,
Department of Justice (DOJ) ,
False Billing ,
False Claims Act (FCA) ,
Genetic Testing ,
Government Investigations ,
Healthcare Fraud ,
Kickbacks ,
Life Sciences ,
Medicare ,
Telemedicine
Since the United States Department of Health and Human Services Office of Inspector General (HHS-OIG) alerted the industry about genetic testing scams two months ago, the public, multiple government agencies, and Congress...more
8/16/2019
/ Department of Health and Human Services (HHS) ,
False Billing ,
Genetic Testing ,
Government Investigations ,
Healthcare Fraud ,
Identity Theft ,
Life Sciences ,
Medicare ,
OIG ,
Popular ,
Scams