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The proposed legislation would codify and expand the Attorney General's existing powers under laws governing nonprofit organizations and consumer protection into the Health Care Facilities Act.
Health Insurance Portability and Accountability Act of 1996; Other short titles: Kassebaum–Kennedy Act, Kennedy–Kassebaum Act: Long title: An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use ...
Insurance fraud is any act committed to defraud an insurance process. It occurs when a claimant attempts to obtain some benefit or advantage they are not entitled to, or when an insurer knowingly denies some benefit that is due. According to the United States Federal Bureau of Investigation, the most common schemes include premium diversion ...
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 ...
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 ...
They say that this form of fraud is illogical, as the risks (a fine of up to $10,000 and/or 5 years in prison) far outweigh the benefits (casting one extra vote for the voter's desired candidate). [75] Democrats have alleged that the scale of impersonation fraud has been greatly exaggerated by Republicans for political reasons. [76]
Optum and SAS Align to Help Prevent Health Care Fraud, Waste and Abuse Enhanced anti-fraud, waste and abuse solution builds upon Optum solutions that saved $500 million for health plan clients in ...
Electronic visit verification ( EVV) is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. Beginning January 1, 2020, home care agencies that provide personal care services must have an EVV solution in place or risk having their Medicaid claims denied ...