Autumn has arrived in the US, and with it the corporate compliance season. Nearly all the companies I’ve worked for do their mandatory training programs in September, October, and November, so I’m getting hit…
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What You Should Know:
– The Centers for Medicare & Medicaid (CMS) has launched a new market-based research challenge called the Crushing Fraud Chili Cook-Off Competition. The goal of the competition is to use explainable…
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What You Should Know:
– Less than a week after the resignation of UnitedHealth Group (UHG) CEO Andrew Witty, two whistleblowers have come forward with significant evidence alleging that Optum, a…
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Hilton Hudson, MD, FACS, and CEO of HPC International
In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. His crime: performing unnecessary…
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By Mark Melchionna
July 27, 2023 – The owner of Conclave Media (Conclave) and Nationwide Health Advocates (Nationwide) pleaded guilty to a telehealth fraud scheme that involved ordering medically unnecessary durable medical equipment (DME) on behalf…
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The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti
In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often…
