only guide their customer from getting imprisoned but also stand along with them throughout the court proceedings and procedures. they will not at all leave you alone. the expertise of our criminal lawyers is accessible for every criminal case including: fraud human right violation financial crimes...
claims, resulting in overpayments of $ for the audit period. the inpatient claims had billing errors, resulting in overpayments of $ , and outpatient claims had billing errors, resulting in overpayments of $ . specifically, the hospital incorrectly billed: " inpatient rehabilitation claims that did not...
clarify that sponsors-the private companies that provide the part d benefit-have the option to cover compounded topical drugs through an exceptions process. cms should also clarify that sponsors may apply utilization management tools to compounded topical drugs, even if individual ingredients would not...
diabetes test strips provided via non-mail order (i.e., from local pharmacies or supplier storefronts). these evaluations will inform future round(s) of the competitive bidding program for diabetes test strips. all competitive bidding program contracts expired on december , , and new contracts are not...
include it in our analysis because we could not confidently project the use of this drug to the entire dual-eligible population. what we found overall, we found that the rate of part d plan formularies' inclusion of the drugs commonly used by dual eligibles is high, with some variation. on average,...
galichia medical group agreed to pay more than $ million to settle a previous false claims act matter. in that case, the government contended that between and , galichia billed medicare for a higher level of services than provided (up-coding), billed twice for the same services, and billed for services not...
"this settlement serves as a reminder that federal health care program beneficiaries' referrals should be based on quality of care for the patient, not the financial benefit for any physician or healthcare company." assistant attorney general west noted that the investigation was a collaborative effort...
settlement announced today resolves allegations that garden state and its principals, jasjit walia m.d. and preet randhawa m.d., submitted claims to medicare for various cardiology diagnostic tests and procedures, including stress tests, cardiac catheterizations, and external counterpulsation, which were not...