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DHHS, through its Centers for Medicare and Medicaid Services (CMS) branch, began the program in 2005, using Recovery Audit Contractors to perform the actual work of reviewing, auditing, and identifying improper Medicare payments. At the inception of the program, it focused on Medicare payments in the states of California, New York, and Florida.
Provider fraud consists of claims submitted by medical care providers, and may include billing for services not rendered, billing for higher level of services than those provided, making false statements on claims submissions, double-billing by doctors who charge more than once for the same service, performance of unnecessary medical treatments ...
The Texas Health and Human Services Commission (HHSC) is an agency within the Texas Health and Human Services System. It was established by House Bill 2292 in 2003 during the 78th Legislature, [ 1 ] which consolidated twelve different healthcare agencies into five entities under the oversight of HHSC.
Ten doctors, two pharmaceutical executives and two businesses have been indicted in a scheme to bribe doctors for prescriptions, U.S. Attorney for the Northern District of Texas Leigha Simonton ...
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
The Texas bar association is investigating whether Ken Paxton's failed efforts to overturn the 2020 presidential election based on bogus claims of fraud amounted to professional misconduct.
Nationwide, there was a 2348% increase in hotline calls from 150,000 in 1963 to 3.3 million in 2009. [7] In 2011, there were 3.4 million calls. [8] From 1992 to 2009 in the US, substantiated cases of sexual abuse declined 62%, physical abuse decreased 56% and neglect 10%.
DISA Global Solutions, a company specializing in employee screening services, recently disclosed a major data breach affecting over 3.3 million individuals. The Texas-based firm serves more than ...