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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 ...
Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...
In the United States, other than in the military departments, the first Office of Inspector General was established by act of Congress in 1976 [1] under the Department of Health and Human Services to eliminate waste, fraud, and abuse in Medicare, Medicaid, and more than 100 other departmental programs. [2]
With investigators working in almost every State, OI coordinates with DOJ and other Federal, State, and local law enforcement authorities. OI also coordinates with OAS and OEI when audits and evaluations uncover potential fraud. Office of Counsel to the Inspector General (OCIG). OCIG is an in-house, full-service law office, providing legal ...
Stolen IDs, electronic billing and the growth of telemedicine have caused Medicare fraud to spike and spread, with South Florida accounting for more than half of all criminal cases in U.S.
A Maryland firm that oversees the nation’s largest independent network of primary care medical practices is facing a whistleblower lawsuit alleging it cheated Medicare out of millions of dollars ...
Whistleblowers are protected from retaliation for disclosing information that the employee or applicant reasonably believes provides evidence of a violation of any law, rule, regulation, gross mismanagement, gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety. [1]
Aug. 28—A company that provides oxygen equipment agreed to a $29 million settlement to resolve claims, brought by whistleblowers, that they were overbilling Medicare. It's the largest-ever ...