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Director of Product Policy and Solutions at EnableComp Healthcare providers navigating Veterans Administration (VA) claims face complex eligibility requirements, multiple payer systems, and stringent documentation demands. The Complex World of Military Healthcare Claims The complexity begins with eligibility determination.
The Oklahoma City-based home health provider Carter Healthcare will pay $22.9 million in order to resolve allegations that it paid physicians to induce referrals of patients that led to false claims to the Medicare and TRICARE programs. Gray said in the statement. It also requires compliance-related certifications from executives.
Episode Introduction Jonathan explains why the value of healthcare related cases under the False Claims Act ($1.8 He also urges hospitals to focus on mission over money and explains why compliance isn’t the enemy of healthcare. It’s any type of fraud scheme that is impacting the healthcare system.
In another whistleblower case, a South Florida pharmacy owned by RLH Equity Partners raked in what the lawsuit called an “extraordinarily high” profit on more than $68 million in painkilling and scar creams billed to the military health insurance plan Tricare.
In another whistleblower case, a South Florida pharmacy owned by RLH Equity Partners raked in what the lawsuit called an “extraordinarily high” profit on more than $68 million in painkilling and scar creams billed to the military health insurance plan Tricare.
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