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Barr v. American Assn. of Political Consultants, Inc., No. 19-631, 591 U.S. ___ (2020) The Telephone Consumer Protection Act of 1991 ( TCPA) was passed by the United States Congress in 1991 and signed into law by President George H. W. Bush as Public Law 102-243. It amended the Communications Act of 1934. The TCPA is codified as 47 U.S.C. § 227.
The National Health Care Anti-Fraud Association estimates that 3% of the health care industry's expenditures in the United States are due to fraudulent activities, amounting to a cost of about $51 billion. [9] Other estimates attribute as much as 10% of the total healthcare spending in the United States to fraud—about $115 billion annually. [10]
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 ...
Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
The National Practitioner Data Bank ( NPDB) is a database operated by the U.S. Department of Health and Human Services that contains medical malpractice payment and adverse action reports on health care professionals. Hospitals and state licensing boards submit information on physicians and other health care practitioners, including clinical ...
Certified Fraud Examiner. The Certified Fraud Examiner (CFE) is a credential awarded by the Association of Certified Fraud Examiners (ACFE) since 1989. [ 1] The ACFE association is a provider of anti-fraud training and education. Founded in 1988 by Dr. Joseph T Wells.
August 7, 2024 at 5:00 AM. Kentucky’s largest addiction recovery group is being investigated by the FBI for alleged health care fraud, federal officials say. Since 2008, Addiction Recovery Care ...
No. 21-1052, 599 U.S. ___ (2023) The False Claims Act of 1863 ( FCA) [ 1] is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs. It is the federal government's primary litigation tool in combating fraud against the government. [ 2]