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1.
Federal Government Increasing Fraud Enforcement for Medicare, Medicaid
(Matching tags: Medicare fraud,HHS,DOJ) New provisions to crack down on fraud could help the federal government surpass the $2.9 billion in Medicare and Medicaid overpayments recovered last year, a 29 percent increase from the year before, according ... -
2.
BCBS of Michigan Abandons Plans to Purchase Physicians Health Plan After Threat of Antitrust Suit
(Matching tags: insurance,DOJ,antitrust,Blue Cross-Michigan,Physicians Health Plan) ... that it would file an antitrust lawsuit to block the acquisition, according to a DOJ news release. ... -
3.
Device Maker AtriCure to Pay $3.76M to Resolve Medicare Fraud Allegations
(Matching tags: Medicare fraud,settlement,DOJ,AtriCure) Medical device manufacturer AtriCure has agreed to pay $3.76 million to resolve civil Medicare fraud allegations that it marketed its medical devices to treat atrial fibrillation, a use not approved by ... -
4.
Federal Officials Cite Record Number of Fraud Prosecutions, but See More to Do
(Matching tags: False Claims Act,DOJ,healthcare fraud,HEAT task force) Attorney General Eric Holder said federal prosecutors charged a record number of people with medical fraud in 2009, but there is still a lot more work to be done, according to a release from the Justice ... -
5.
Senators Ask to Clear Legal Path for Collaborative Care Models
(Matching tags: hospitals,DOJ,antitrust,FTC,collaborative care) Nine U.S. senators are urging the U.S. Department of Justice and Federal Trade Commission to develop guidance for hospitals, physicians and others developing collaborative care models that could avert ... -
6.
Justice Department to Provide Guidance to Providers on Clinical Integration to Withstand Antitrust Laws
(Matching tags: DOJ,antitrust,clinical integration) A representative of the U.S. Department of Justice said he department will work with hospitals and other providers to create models of clinical integration that do not violate antitrust laws, according ... -
7.
Sen. Grassley: Over 1,000 Healthcare Fraud Cases Await Government Action
(Matching tags: whistleblower lawsuits,healthcare fraud,DOJ,Charles Grassley) Sen. Charles Grassley (R-Iowa) reported that around 1,040 qui tam cases remain unresolved because the federal government has yet to decide whether to get involved, according to a news release from Sen. ... -
8.
32 Physicians and Healthcare Executives Indicted for Medicare Fraud
(Matching tags: Medicare fraud,HHS,DOJ,Strike Force) Thirty-two people have been indicted for their roles in schemes to submit more than $16 million in false Medicare claims, according to a news release by the Department of Justice and the Department of ... -
9.
Texas Insurance Agents Charged With Defrauding Valley Baptist Hospital
(Matching tags: Texas,DOJ,Valley Baptist Hospital,insurance fraud) Two insurance agents — Brent A. Carter of Harlington, Texas, and Michael N. Swetnam, Jr., of Los Fresnos, Texas — were charged with conspiracy, mail fraud and wire fraud in a scheme against Valley Baptist ... -
10.
53 People Indicted for Detroit-Based Medicare Fraud Schemes
(Matching tags: Medicare fraud,Michigan,HHS,DOJ,Detroit,HEAT,Strike Force) Fifty-three physicians, healthcare executives and beneficiaries have been indicted in Detroit-based Medicare fraud schemes, which are estimated to have cost Medicare $50 million, according to a Department ... -
11.
Eight Florida Residents Indicted in Medicare Fraud Scheme
(Matching tags: Medicare,Florida,fraud,DOJ,Medicaid Advantage,indictment) Eight Miami residents were indicted by the Department of Justice on charges that they were involved in two Medicare and Medicaid Advantage fraud schemes, according to a DOJ news release. ...
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