Tuesday, October 17, 2006
Deadline looms for New Compliance Policies on Medicaid Anti-Fraud Laws
Many health care providers and health plans will be required, effective January 1, 2007, to have compliance policies that inform their employees about federal and state False Claims Act laws and whistleblower protections. These requirements, which states must implement to comply with the Deficit Reduction Act of 2005 (DRA), apply to health care organizations that make or receive payments of $5 million or more under a state Medicaid program. Health care organizations that fail to comply with these requirements risk losing Medicaid payments.
Click the following link to read a detailed paper on the compliance policies at mondaq.com.
Posted by Quitam Help Admin on 10/17 at 06:31 AM
Thursday, October 12, 2006
Business Week Story profiles Federal Task Force to stop Fraud
Federal agencies led by the U.S. Justice Department have formed a national procurement task force to investigate, prosecute and seek civil penalties from businesses and executives that pad prices, sell faulty goods or otherwise illicitly profit when doing business with the U.S. government, according to a Business Week story by Dawn Kopecki that appears in the Oct. 11 edition of the magazine. Click the following link to read the entire Business Week article on the federal task force against fraud.
Posted by Quitam Help Admin on 10/12 at 06:36 AM
Monday, October 09, 2006
Michigan announces Record $52.5 Million Medicaid Fraud Settlement
The State of Michigan has announced a $52.5 million settlement in a civil suit filed against Specialized Pharmacy Services and its parent corporation, Omnicare, Inc. The settlement is the largest Medicaid fraud recovery in Michigan history. In August of this year the Attorney General also filed criminal charges against the President of Specialized Pharmacy Services, Daniel Lohmeier.
Click the following link to read the full Medicaid fraud press release issued by the Michigan Attorney General.
Posted by Quitam Help Admin on 10/09 at 12:15 PM
False Claims Act Recoveries reach Record $3.1 Billion
The federal government recovered a record $3.1 billion from False Claims Act lawsuits in fiscal 2006, according to Taxpayers Against Fraud (TAF), a public interest group that supports whistleblowers. That topped the previous record of $2.2 billion in fiscal 2003, according to TAF. Settlements reached in fiscal 2006, which ended Sept 30, included $900 million from Tenet Healthcare Corp., $567 million from biotechnology firm Serono, $435 million from drugmaker Schering-Plough Corp., and $265 million from St. Barnabas Health Care System, West Orange, N.J. Read the group’s tally. Click the following link for the Modern Health Care report on the record false claims settlements.
Posted by Quitam Help Admin on 10/09 at 12:09 PM
Friday, October 06, 2006
Colorado Ambulance Provider pays U.S. to Resolve Allegations
One of the nation’s largest ambulance providers is paying the federal government more than $9 million to settle charges that it offered kickbacks to Texas hospitals in exchange for referrals, the Justice Department said yesterday. Two former employees who raised allegations against the ambulance company in the False Claims Act lawsuit will get $1.62 million in the settlement.
The government alleged that Greenwood Village, Colo.-based American Medical Response provided or offered inducements to Texas hospitals in contracts known as “swapping arrangements.” Click the following link to read the full account of the Qui Tam settlement in the Rocky Mountain News.
Posted by Quitam Help Admin on 10/06 at 12:21 PM
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