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More “Bounty Hunters” Conducting Medicare Audits?
More “Bounty Hunters” Conducting Medicare Audits? More Medicare Audits on the Way? Yesterday, the White House announced that President Obama intends to back additional bipartisan plans to stamp out...
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Data Mining Used by DOJ to Target Health Care Providers
Data Mining Used by DOJ to Target Health Care Providers (August 31, 2010): Introduction: Last week, department heads of the U.S. Department of Justice (DOJ) and the Department of Health and Human...
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South Texas Health Care Providers Remain Under Considerable Scrutiny by HEAT...
South Texas Health Care Providers Remain Under Considerable Scrutiny by HEAT Prosecutors and Investigators (January 6, 2011): Three Houston-area residents, one of whom is a physician, were sentenced...
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Medicare Audits – RACs, ZPICs, MICs, OIG and Now. . . Patients?
Medicare Audits – RACs, ZPICs, MICs, OIG and Now. . . Patients? I. Medicare Audits and Senior Medicare Patrol Background The Department of Health and Human Services (HHS) has long used reports and...
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100 Involved in Health Care Fraud Arrests
100 Involved in Health Care Fraud Arrests Largest Health Care Fraud Bust in History Update (May 3): In total, 107 individuals were charged yesterday in connection with a health care fraud scheme...
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Data Mining in Medicare Fraud: Usage and Effects on Healthcare Providers
Data Mining in Medicare Fraud: Usage and Effects on Healthcare Providers I. Medicare Fraud Introduction Recently, a psychologist in Missouri was indicted and arrested on two counts of healthcare...
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Medicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of...
Medicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of Medicaid Fraud. Dentists around the country are being audited by State MFCUs. Are your billing practices compliant? Avoid...
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Medicare Fraud: Texas Health Care Fraud Enforcement Efforts Continue to Rise
Medicare Fraud: Texas Health Care Fraud Enforcement Efforts Continue to Rise (October 27, 2015): Over the past year, health care fraud enforcement efforts throughout Texas have resulted in multiple...
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Will Another Bounty Hunter Be Conducting Medicare Audits?
Will Another Bounty Hunter Be Conducting Medicare Audits? (March 25, 2010): Yesterday, the White House announced that President Obama intends to back additional bipartisan plans to stamp out waste in...
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DOJ is Using Medicare Billing Data to Target Health Care Providers
DOJ is Using Medicare Billing Data to Target Health Care Providers (August 31, 2010): Last week, department heads of the U.S. Department of Justice (DOJ) and the Department of Health and Human...
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HEAT Investigations of Health Care Fraud in South Texas
HEAT Investigations of Health Care Fraud in South Texas (January 6, 2011): Three Houston-area residents, one of whom is a physician, were sentenced to prison on January 4th for their roles in a...
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The Senior Medicare Patrol is Here!
The Senior Medicare Patrol is Here! (January 20, 2012): The Department of Health and Human Services (HHS) has long used reports and complaints from affected patients to further conduct Medicare audits...
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100 Involved in Health Care Fraud Arrests
100 Involved in Health Care Fraud Arrests Update (May 3): In total, 107 individuals were charged yesterday in connection with a health care fraud scheme comprising $452 million in false billing. 91 of...
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Healthcare Data Mining Audits: Impact on Medicare Providers and Suppliers
Healthcare Data Mining Audits: Impact on Medicare Providers and Suppliers (June 27, 2012): Healthcare data mining has become quite routine. For instance, in a recent case involving a Missouri...
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Medicare Fraud Enforcement Efforts Are Rising in Texas
Medicare Fraud Enforcement Efforts Are Rising in Texas (October 27, 2015): Over the past year, Medicare fraud enforcement efforts throughout Texas have resulted in multiple convictions. These...
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