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What's Been Missing: District Court Orders the Government to Produce Complete Universe of Claims in Provider's Due Process...

On 5 March 2024, in an issue of first impression in the District of South Carolina, a district court judge overseeing judicial review of a final agency decision in a Medicare claims appeal ordered the Government to complete...more

Health Care Triage: Health Care Audit and Reimbursement Trends and Challenges

In this week’s episode, Richard Church interviews Stephen Bittinger about current trends and points of concern in the areas of health care reimbursement and integrity audit activity. The presenters discuss increases in...more

Veteran Affairs Auditing US$35 Billion in Payments to Community Care Providers

The Department of Veteran Affairs (VA) has long outsourced care for veterans that the VA could not provide and for veterans’ emergency care (community care). Over the past decade, the VA has experienced significant...more

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