Molina Healthcare Fraud Laws

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Fraud Prevention - Molina Healthcare

(8 days ago) WEBHere are a few helpful tips on how you can help prevent healthcare fraud and abuse: • Do not give you Molina ID card or number to anyone except your doctor, clinic, hospital or other healthcare provider. • Do not let anyone borrow your Molina ID card. • …

https://www.molinahealthcare.com/members/common/en-US/mem/marketplace/quality/fraud.aspx

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Fraud - Molina Healthcare

(8 days ago) WEBTo report suspected Medicaid fraud, contact Molina Healthcare AlertLine at: Toll free, 866-606-3889. or. Complete a report form online at: …

https://www.molinahealthcare.com/members/fl/en-US/mem/medicaid/overvw/quality/fraud.aspx

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Molina to pay $4.6M to settle False Claim Act allegations

(9 days ago) WEBDive Insight: The Long Beach, California-based managed care company is the latest to settle a False Claim Act violation with the DOJ, which settled over $5.6 …

https://www.healthcaredive.com/news/molina-healthcare-agrees-pay-over-46-million-false-claim-act-suit/625846/

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Fraud - Molina Healthcare

(8 days ago) WEBYou may report fraud and abuse to Molina Healthcare by phone, online or by mail: Phone Confidential Compliance Hotline at (866) 606-3889. Online …

https://www.molinahealthcare.com/members/oh/en-US/mem/medicaid/overvw/quality/fraud.aspx

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2022 Molina Compliance Program - Molina Healthcare

(6 days ago) WEBThe Molina Compliance Program strives to improve operational quality by fulfilling four primary goals: Demonstrate our commitment to compliance and ethical and legal …

https://myhealthinhand.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/ma/materials/swh-compliance-program.pdf

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Molina Healthcare Fraud Allegations Will Go Back to Trial Court

(3 days ago) WEBMolina Healthcare Fraud Allegations Will Go Back to Trial Court. A whistleblower will have another chance to allege Molina Healthcare of Illinois Inc. …

https://news.bloomberglaw.com/federal-contracting/molina-healthcare-fraud-allegations-will-go-back-to-trial-court

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Molina whistleblower case moves forward after SCOTUS

(5 days ago) WEBListen to the article 3 min. A whistleblower case claiming Molina Healthcare overbilled the Illinois Medicaid program will move forward after the U.S. Supreme Court …

https://www.healthcaredive.com/news/supreme-court-molina-false-claims-act-whistleblower/634504/

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Molina must face claim of false billing for nursing home - Reuters

(5 days ago) WEBManaged care company Molina Healthcare must face a whistleblower lawsuit accusing it of fraudulently billing Illinois' Medicaid program for nursing home …

https://www.reuters.com/legal/litigation/molina-must-face-claim-false-billing-nursing-home-patient-care-2021-08-19/

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Molina Healthcare settles False Claims Act allegations

(3 days ago) WEBMolina Healthcare and its former subsidiary, Pathways of Massachusetts, agreed to pay more than $4.6 million to resolve false claims and whistleblower …

https://www.modernhealthcare.com/legal/molina-healthcare-settles-false-claims-act-allegations

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Molina Healthcare of Florida Agreed to Pay $257,000 for Allegedly

(4 days ago) WEBAfter it self-disclosed conduct to the OIG, Molina Healthcare of Florida, Inc. (Molina), Florida, agreed to pay $257,111 for allegedly violating the Monetary Penalties …

https://oig.hhs.gov/fraud/enforcement/molina-healthcare-of-florida-agreed-to-pay-257000-for-allegedly-violating-the-civil-monetary-penalties-law-by-paying-remuneration-in-the-form-of-above-fair-market-value-capitation-rates/

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Healthcare Fraud: A World Beyond the Anti-Kickback Statute

(8 days ago) WEBTraditionally, the Anti-Kickback Statute (42 U.S.C. § 1320a-7b)—alone or in conjunction with the Federal False Claims Act (31 U.S.C. § 3729 et seq. )—has been the …

https://www.jdsupra.com/legalnews/healthcare-fraud-a-world-beyond-the-5156658/

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Whistleblower News: Molina Healthcare Whistleblower, Wirecard, …

(2 days ago) WEBAXIOS. A newly unsealed lawsuit accuses Molina Healthcare of cutting corners in its mental health services for children and defrauding Medicaid in the process. …

https://www.hbsslaw.com/blog/whistleblower-news-molina-healthcare-whistleblower-wirecard-ponzi-schemes

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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …

(5 days ago) WEBIn February, Satine pleaded guilty to felony Medicaid fraud and theft by deception and was sentenced to 1½ to 5 years in state prison. He is required to pay $2.8 …

https://www.attorneygeneral.gov/taking-action/four-people-plead-guilty-sentenced-for-multi-million-dollar-medicaid-fraud-scheme-that-involved-inflated-transportation-costs-other-phantom-services/

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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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Fraud Medicare - Molina Healthcare

(1 days ago) WEBMolina Healthcare seeks to uphold high ethical standards for health care benefits and services to its members. Health care fraud is: (Information Relative to the …

https://www.molinahealthcare.com/members/il/en-us/mem/medicare/quality/fraud.aspx

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Search Remote Jobs at Molina Healthcare

(9 days ago) WEBSr Business Analyst - Healthplan Enrollment Operations (834 EDI file experience) United States, Owensboro Kentucky, Covington Kentucky, Georgetown …

https://careers.molinahealthcare.com/location/remote-jobs/21726/6252001-5744337-5747996/4

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBThe announcements are part of a federal law enforcement effort to crack down on health care fraud nationwide. U.S. Attorney Craig Carpenito, District of New …

https://www.justice.gov/usao-nj/pr/district-new-jersey-announces-charges-health-care-fraud-cases-part-nationwide-federal-law

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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 …

https://www.thomsonreuters.com/en-us/posts/investigation-fraud-and-risk/medicare-medicaid-fraud-2024/

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What Is Prescription Drug Fraud? - Robert J. Degroot Law

(2 days ago) WEBPrescription drug fraud is the illegal procurement of a controlled substance use for medication. This form of fraud can occur in hospitals, pharmacies, and other …

https://robertjdegrootlaw.com/what-is-prescription-drug-fraud/

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Newark Healthcare Fraud Lawyer - Robert J. Degroot Law

(7 days ago) WEBHealthcare Fraud Inquiries by Special Investigation Units If you are facing healthcare fraud charges, you want an criminal defense attorney with nearly 40 years of experience. …

https://robertjdegrootlaw.com/criminal-defense-overview/newark-healthcare-fraud-lawyer/

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Louisiana Hospice Owner Gets 20-Year Prison Sentence for Fraud

(3 days ago) WEBHolly Barker. Legal Reporter. Billed separately for services covered by hospice per diem. Submitted claims for services performed by referring doctors. Louisiana …

https://news.bloomberglaw.com/litigation/louisiana-hospice-owner-gets-20-year-prison-sentence-for-fraud

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United Healthcare fined $450,000 for failure to comply with state …

(Just Now) WEBMinnesota health insurance regulators hit UnitedHealthcare with a fine of $450,000 for their alleged failure to comply with mental health insurance equity laws. This after a consent …

https://www.msn.com/en-us/money/insurance/united-healthcare-fined-450-000-for-failure-to-comply-with-state-insurance-equity-laws/ar-BB1mofYP

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Cal. Health and Safety code sections that define liability for fraud

(5 days ago) WEBA: Under California law, there are several statutes within the California Health and Safety Code that define liability for misrepresentation, concealment, and fraud by …

https://answers.justia.com/question/2024/05/17/cal-health-and-safety-code-sections-that-1014645

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3 admit $500K-plus health care fraud - The Business Journals

(7 days ago) WEBThe owner and two employees of a St. Louis County home health care firm pleaded guilty in a Missouri Medicaid fraud scheme of more than $552,000, the feds …

https://www.bizjournals.com/stlouis/news/2024/05/15/3-admit-500k-health-care-fraud.html

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False Claims Act trends and expected enforcement priorities for 2024

(3 days ago) WEBREUTERS/Andrew Kelly Purchase Licensing Rights. May 13, 2024 - The Department of Justice's (DOJ or Justice Department) Civil Fraud Section recently …

https://www.reuters.com/legal/litigation/false-claims-act-trends-expected-enforcement-priorities-2024-2024-05-13/

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Q: Physician's Liability. Cal. Civ. Code 1572 vs 1573.

(4 days ago) WEBA: Under California law, Sections 1572 and 1573 of the Civil Code address different types of fraud that can result in liability for a physician. Here's a breakdown of …

https://answers.justia.com/question/2024/05/17/physician-s-liability-cal-civ-code-1572-1014676

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Top Antitrust Officials Call for More Health-Care Enforcement

(6 days ago) WEBListen. 2:44. The US hasn’t enforced its antitrust laws enough in the health care industry, top Justice Department officials said, voicing particular concern about …

https://www.bloomberg.com/news/articles/2024-05-08/top-doj-antitrust-officials-call-for-more-health-care-enforcement

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