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A Home Health Provider Agrees To Pay $22.9 Million In False Claims Act Case

Home Health Care

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. We are committed to pursuing entities and individuals that offer kickbacks and the doctors that solicit or accept them.”.

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While Home Infusion Is The Next Big Thing In Home-Based Care, Barriers Remain  

Home Health Care

The quarterly average of HIT service visits was about 7,500 from 2021 to 2023, according to the Centers for Medicare & Medicaid Services (CMS). At Compassus, our care coordinators work with referring doctors and insurance providers to determine eligibility and coverage limits so patients understand their options.”

Tricare 93
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To Stay On Right Side Of Referral Relationships, Here’s What Home-Based Care Providers Should Know

Home Health Care

If a provider receives funding under the Medicare, Medicaid, TRICARE, Veterans Health Administration or Indian Health Services, they are subject to the federal Anti-Kickback Statute, the Stark Law and the Civil Monetary Penalties Statutes. They’re incredibly well staffed. They’re well-resourced and sophisticated teams.”.

Tricare 88
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Humana Details CenterWell Home Health Growth, MA Success

Home Health Care

During the call, Humana CEO Bruce Broussard applauded the Centers for Medicare & Medicaid Services (CMS) for adopting a three year phase-in in the risk model changes for the 2024 MA rate notice. “It It serves to mitigate the impact of unintended consequences to beneficiaries resulting from these changes,” he said.

Tricare 71
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Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act. Not one of those people who comes from a family of doctors or anything like that either. All this really affects clinicians.

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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

They argued the procedures were done needlessly, in keeping with a corporate strategy to maximize profits by overtreating kids from lower-income families enrolled in Medicaid. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit. Five years later, a U.S.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

They argued the procedures were done needlessly, in keeping with a corporate strategy to maximize profits by overtreating kids from lower-income families enrolled in Medicaid. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit. Five years later, a U.S.

Doctors 52