Corporate integrity agreements are often part of the deal when the Office of Inspector General settles false claims cases with providers and organizations. Entities agree to the terms of these agreements, and the government agrees not to exclude them (at least at that time) from participation in federal programs. Read more...
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Many illegal online outlets distribute dangerous and addictive drugs without a valid prescription or medical supervision, and this contributes to drug abuse, customer endangerment and increased healthcare costs.
The Texas state office responsible for countering Medicaid fraud is on the verge of signing a $90 million contract with an analytics firm that has limited experience with the program, according to the Austin American-Statesman.
CareAll Management, LLC, one of Tennessee's largest home healthcare providers, agreed to pay $25 million plus interest to resolve allegations of filing false and upcoded Medicare and Medicaid claims, the Department of Justice announced.
Hospitals that received manufacturer credits for replacing cardiac medical devices didn't to pass the savings along to Medicare through required claims adjustments, an Office of Inspector General audit found.
The federal government has expanded undercover operations, with staff from at least 40 agencies assuming false identities to expose corruption, The New York Times reported.
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While digital tools enhancing communication between physicians and patients has been proven an effective method for boosting medication adherence for some patients, their use should be approached with caution, according to Esther Choo, an assistant professor at Warren Alpert Medical School in Providence, Rhode Island.
Big data continues to dominate the 2015 predictions for health IT from IDC Health Insights, though security plays a major role as well.