Medicare Behavioral Health Fraud
Listing Websites about Medicare Behavioral Health Fraud
DOJ wraps up $189M Medicare fraud scam with executives' …
(8 days ago) WEBThe U.S. Attorney’s Office for the Southern District of Texas announced Friday the final four sentences of a $189 million Medicare fraud scam dating back about a decade. Bobby Rouse, Steven
https://www.fiercehealthcare.com/payer/doj-wraps-up-189m-medicare-fraud-scam-executives-sentencing
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Justice Department Charges Dozens for $1.2 Billion in Health Care …
(3 days ago) WEBAdditionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI) announced today that it took administrative actions against …
https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud
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Twenty-Three Individuals Charged in $61.5 Million Medicare Fraud …
(8 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …
https://www.justice.gov/opa/pr/twenty-three-individuals-charged-615-million-medicare-fraud-schemes
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A Lack of Behavioral Health Providers in Medicare and Medicaid …
(Just Now) WEBMost enrollees saw their behavioral health providers in person; however, many enrollees traveled long distances to see them. What OIG Recommends. OIG …
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Medicare and Medicaid fraudsters continue to steal taxpayer money
(1 days ago) WEBFiscal year 2023 proved to be a high value one for healthcare frauds and settlements, with the DOJ totaling $2 billion dollars in illicit activity. The U.S. Department …
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UPCODING MEDICARE: IS HEALTHCARE FRAUD AND ABUSE …
(3 days ago) WEBIntroduction. Medicare fraud has been defined by the Centers for Medicare and Medicaid Services (CMS) as submitted or caused to have been submitted, false …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/
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DOJ Announces Coordinated Law Enforcement Action to Combat …
(1 days ago) WEBThe law enforcement action was brought in coordination with the Health Care Fraud Unit’s COVID-19 Interagency Working Group, which is chaired by the …
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State response to medicaid fraud creates ‘pure chaos’ for patients
(6 days ago) WEBOn May 16, as cameras flashed and tribal leaders looked on, Arizona’s governor and attorney general announced a statewide crackdown on behavioral health …
https://azcir.org/news/2023/11/02/state-response-medicaid-fraud-creates-patient-chaos/
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Provider Alert: Enforcement Targets Unqualified Behavioral Health …
(2 days ago) WEBOn October 15, 2021, the U.S. Attorneys’ Office for the District of Connecticut announced the sentencing [1] of an unlicensed and unqualified individual posing as an applied …
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Reporting Medicare fraud & abuse Medicare
(6 days ago) WEBFrom a US national health authority. 0:00 / 0:31. If you suspect fraud call 1-800-MEDICARE (1-800-633-4227) or online: Report Medicare Fraud. If you have a …
https://www.medicare.gov/basics/reporting-medicare-fraud-and-abuse
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Medicaid Investigators Recovered $98M Through Fraud and …
(4 days ago) WEBThe Medicaid program is a vital source of funding for behavioral health in the U.S. It’s the largest single payer for mental health services and has an increasing …
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Fake drug and alcohol treatment centers cause a big scandal in
(2 days ago) WEBThey also implemented new policies hoping to mitigate fraud. The state's Medicaid provider suspended payments to over 300 behavioral health treatment …
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Providers Beware: Behavioral Health Fraud Investigations, …
(3 days ago) WEBIn fiscal year 2019, the U.S. Department of Justice (DOJ) collected $2.6 billion in civil fraud recoveries from health care companies, up slightly from $2.5 billion …
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What Are the Most Common Types of Medicare Fraud?
(9 days ago) WEBLearn about some examples of Medicare fraud and find out how you can prevent yourself or a loved one from becoming a victim. Speak with a licensed insurance …
https://www.medicareadvantage.com/enrollment/medicare-fraud
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Behavioral Health Medical Records - Centers for Medicare
(8 days ago) WEBThere are five basic self-audit rules behavioral health practitioners can use to get started: Develop and implement a solid medical record documentation policy if there is not one in …
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Medicaid fraud: Fake Arizona rehab centers scam Native …
(7 days ago) WEBAHCCCS instituted tighter controls, including a six-month moratorium for enrolling new behavioral health clinics for Medicaid billing. Site visits and background …
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State leaders misled public about scope of Medicaid fraud crisis
(9 days ago) WEBThe scale of Arizona’s behavioral health crisis became evident in May 2023, when state and federal leaders gathered to announce a sweeping investigation …
https://azcir.org/news/2024/03/14/state-leaders-misled-public-about-scope-of-medicaid-fraud-crisis/
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Charlotte health care provider convicted of Medicaid, COVID-19 …
(5 days ago) WEBCHARLOTTE, N.C. (WBTV) - A Charlotte behavioral health services provider was convicted Friday by a federal jury after a nine-day trial, for defrauding the South Carolina …
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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …
(5 days ago) WEBThe Pennsylvania Medicaid Fraud Control Unit receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award …
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Mental Health & Substance Use Disorders Medicare
(Just Now) WEBMedicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders. If you or someone you know is …
https://www.medicare.gov/coverage/mental-health-substance-use-disorder
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Charlotte Licensed Clinical Social Worker Convicted Of Medicaid …
(9 days ago) WEBUnder SC Medicaid rules, beneficiaries are allowed to use providers within 25-miles of the South Carolina border, including Charlotte. From 2016 to 2021, Cross’s …
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Criticism of Arizona's Medicaid fraud crackdown is growing
(9 days ago) WEBA big part of the problem, Adams said, is that much of the fraud began during the height of the COVID-19 pandemic, when demand for behavioral health and …
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Arizona's $2 billion Medicaid fraud was first announced one year ago
(8 days ago) WEBArizona Republic. 0:04. 1:34. Arizona's Medicaid agency is a "completely new" organization one year after a humanitarian crisis caused by massive fraud was …
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AZ Medicaid fraud: It targeted Indigenous people, cost state millions
(8 days ago) WEBSome of the fraud occurred during the height of the COVID-19 pandemic, when demand for behavioral health and substance use disorder treatment was …
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AHCCCS halts payments to 100 providers as officials allege multi
(5 days ago) WEBAHCCCS Director Carmen Heredia said the state Medicaid agency would conduct a financial audit to review potentially fraudulent payments. AHCCCS suspended …
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I’ve been charged with healthcare fraud! What should I do?
(6 days ago) WEBAccording to the National Health Care Anti-Fraud Association, the annual cost of healthcare fraud in the United States is nearly seventy billion dollars. Healthcare …
https://robertjdegrootlaw.com/ive-been-charged-with-healthcare-fraud-what-should-i-do/
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Arizona suspends payments to providers accused of Medicaid …
(8 days ago) WEBGov. Katie Hobbs, alongside Attorney General Kris Mayes and others, said in a press conference that over 100 Medicaid behavioral health residential and …
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District of New Jersey Announces Charges in Health Care Fraud …
(4 days ago) WEBAndrew McCubbins, 39, of Draper, Utah, the owner of a telemedicine company, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District …
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Virtual Mental Health Provider Talkspace Taps Into Medicare …
(1 days ago) WEBThe Medicare market represents a massive new patient population for the provider to tap into. Roughly 25% of people 65 and older are living with mental health …
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Medi-Cal-Behavioral-Health-Policy-Division-CCCPB-and-SMCPB
(3 days ago) WEBThe Special Medi-Cal Projects Branch oversees multiple behavioral health components of CalAIM designed to support whole-person, integrated care; move the administration of …
https://www.dhcs.ca.gov/Pages/Medi-Cal-Behavioral-Health-Policy-Division-CCCPB-and-SMCPB.aspx
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Arizona facing third wrongful death lawsuit related to Medicaid …
(1 days ago) WEB0:03. 1:34. A third Indigenous family is suing Arizona over allegations that state officials failed to stop massive Medicaid fraud schemes that caused the death of …
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Announcing the Launch of the HCBS Referral and Authorization …
(3 days ago) WEBMay 16, 2024. TO: Children's HCBS Providers, Health Homes Serving Children, CMAs, and C-YES. NYSDOH is excited to announce the official launch of the …
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Owners Of Behavioral Health Companies Sentenced For Medicaid …
(4 days ago) WEBLAS VEGAS – The owners of two behavioral health companies in Las Vegas were sentenced yesterday to three years’ probation for their roles in defrauding …
https://www.justice.gov/usao-nv/pr/owners-behavioral-health-companies-sentenced-medicaid-fraud
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Manuals, Rates, and Resources - medicaid.ohio.gov
(Just Now) WEBProvider Manuals and Resources. Manuals. Behavioral Health Provider Manual - Version 1.26 January 24, 2024. Opioid Treatment Program Manual is incorporated into the …
https://medicaid.ohio.gov/resources-for-providers/bh/manuals
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Medical Equipment Suppliers Convicted of Health Care Fraud
(6 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …
https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud
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