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For example, Cigna Group agreed to pay $172 million last year to settle a lawsuit filed by the Justice Department over its Medicare Advantage practices for allegedly using in-home health risk ...
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 Senior Medicare Patrols (SMP) are a group of volunteer organizations funded by the United States Department of Health and Human Services, which educate U.S. senior citizens on how to prevent, detect, and report Medicare and Medicaid fraud, error, and abuse.
The Center for Medicare and Medicaid services evaluated Georgia nursing homes and rated each based on health inspections, staffing and quality measures like the number of residents in pain or up ...
Based on the Centers for Medicare and Medicaid Services’ five-star rating system for nursing homes, of the 199 homes examined in Washington, 31, or about 15.6%, have the worst one-star rating ...
The scandal at Walter Reed led to an extensive analysis of the veterans' healthcare system as well, managed by the United States Department of Veterans' Affairs. Amidst accusations of mismanagement and excessive bureaucracy, [24] [25] the VA announced an extensive review of all of their medical facilities to ensure healthcare standards are ...
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The Zone Program Integrity Contractor (ZPIC) is an entity established in the United States by the Centers for Medicare & Medicaid Services (CMS) to combat fraud, waste and abuse in the Medicare program.