Recent Medical Fraud Cases 2018



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Recent Medical Fraud Cases 2018

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CMS Needs to Fully Align Its Antifraud Efforts with the Fraud … – GAO

www.gao.gov

Dec 5, 2017 MEDICAID. CMS Needs to Fully. Align Its Antifraud. Efforts with the Fraud. Risk
Framework. Report to Congressional Addressees. December 2017. GAO-18-88
…. Every year, the federal government investigates hundreds of fraud cases
involving CMS … agency's new approach to address fraud. 7Medicare …

A New Foundation For American Greatness – The White House

www.whitehouse.gov

May 23, 2017 Office of Management and Budget. BUDGET OF THE U. S. GOVERNMENT. A
New Foundation For. American Greatness. Fiscal Year 2018 ….. care so that
more Americans can get the medical attention they need. Additionally, Medicaid,
which ….. cesses that in some cases take multiple years to complete.

Combating Medicare Parts C and D Fraud, Waste, and … – CMS.gov

www.cms.gov

Combating Fraud, Waste, and Abuse in Medicare Parts C and D with Compliance
Training. Medicare Learning Network®. 2 … This Web-Based Training (WBT)
course was current at the time it was published or uploaded onto the web.
Medicare policy changes ….. cases, criminal penalties may apply. EXAMPLE. A
former …

HHS OIG Work Plan Fall 2017 – OIG .HHS .gov

oig.hhs.gov

Nov 15, 2016 General (OIG), Work Plan for fiscal year (FY) 2017 summarizes new and ongoing
reviews … OCIG represents OIG in all civil and administrative fraud and abuse
cases involving HHS programs, including …. NEW: Medicare Hospice Benefit
Vulnerabilities and Recommendations for Improvement, A Portfolio.

Medicaid Oversight: Existing Problems and Ways to Strengthen the …

oig.hhs.gov

Jan 31, 2017 Protecting Medicaid from fraud, waste, and abuse is an urgent priority because of
its impact on … Today, I would like to focus on recent challenges facing Medicaid
and ways we believe States,. CMS, and … disturbingly high number of cases of
fraud and abuse by Medicaid personal care services providers.

Putting America's Health First: FY 2018 President's … – HHS.gov

www.hhs.gov

The FY 2017 and FY 2018 mandatory figures reflect current law and mandatory
proposals reflected in the Budget. Putting America's Health First. 1 …. cases
reported by the World Health Organization to. 1,364. The FY 2018 Budget
includes ….. $70 million in new Health Care Fraud and Abuse. Control Program
funding in FY …

Medicare & You 2018Medicare.gov

www.medicare.gov

You 2018. This is the official U.S. government. Medicare handbook. Learn about
your new Medicare card. (inside front cover). What Medicare covers (page 29) …..
Fraud 91, 114–116. G. Gap (coverage). See Coverage Gap. General Enrollment
Period 22, 27, 75, 84. Glaucoma test 46. H. Health Insurance Marketplace 23.

GHI Health Plan – OPM

www.opm.gov

GHI Health Plan www.EMBLEMHEALTH.com. 877-VIA-EMBLEM (877-842-3625)
. 2018. A Prepaid Comprehensive Medical Plan. IMPORTANT. • Rates: Back
Cover … High Option Plan Serving: All of New York and Northern New. Jersey.
Standard Option Plan Serving: New York City plus most New York. Counties, and
 …

MVP Health Care – OPM

www.opm.gov

MVP Health Care www.mvphealthcare.com. Customer Care Center. 888-687-
6277. 2018. A Health Maintenance Organization. IMPORTANT. • Rates: Back
Cover … Serving: Upstate New York ….. Fraud increases the cost of health care
for everyone and increases your Federal Employees Health Benefits Program
premium.

Home health care services – Medicare Payment Advisory Commission

www.medpac.gov

The Congress should reduce home health payment rates by 5 percent in 2018
and implement …. 236 Home health care services: Assessing payment adequacy
and updating payments number of agencies in 2015 was 12,346. Almost all the
new agencies since ….. prosecutions for home health fraud, most notably in
Detroit.

FY 2018 Authorization and Budget Request to Congress

www.justice.gov

Feb 28, 2017 Budget Request Summary: The Federal Bureau of Investigation's (FBI's) Fiscal
Year (FY) 2018 budget request proposes ….. securities and commodities fraud,
mortgage fraud and other financial institution fraud, health care fraud, … Indeed,
the FBI still continues to open new Ponzi scheme cases on a weekly …

Health Insurance Market Overview – Centers for Disease Control …

www.cdc.gov

Aug 15, 2013 reporting requirements. Health Care. Choice Compacts. (2016). Excise Tax: $8.0
B in 2014 -. $14.3B 2018. Medicare Adv. Payment Changes. / quality bonus.
Medicaid. Expansion. Cadillac Tax. (2018). 2011. 2012. 2013. 2014. 2015. Early
Groundwork. 2010 – 2013. Market Transition. 2014. New Status Quo.

the economic case for health care reform: update – Obama White …

obamawhitehouse.archives.gov

Dec 14, 2009 Economic Case for Health Care Reform, the CEA reviews the case for reform that
genuinely reduces the growth rate of health care costs, and presents new
findings on the economic impact of recent … through a reduction in wasteful
spending, fraud, inefficiencies and abuse in both programs, along with a …

legislative appropriations request for fiscal years 2018 and 2019

www.texasattorneygeneral.gov

Aug 26, 2016 actions. The OAG Civil Litigation Divisions filed 27,247 cases and recovered over
$160 million to state GR in FY 2015. From FY. 2011-15, these divisions
recovered more than $1 billion to state GR. These cases include matters
involving bankruptcy and collections, civil Medicaid fraud, consumer protection, …

guide for aviation medical examiners – Federal Aviation Administration

www.faa.gov

Dec 27, 2017 2018. GUIDE FOR AVIATION MEDICAL EXAMINERS. Welcome to the Guide for
Aviation Medical Examiners. The format of this version of the … FAA Form 8500-8,
Application for Airman Medical Certificate. To navigate … The most current
version of this guide may be found and downloaded at the following.

Conditions of Participation for Home Health Agencies

www.gpo.gov

Jan 13, 2017 Current regulations at 42 CFR 440.70(d) specify that HHAs participating in the
Medicaid program must also meet the Medicare. Conditions of Participation (
CoPs). Section 1861(o)(6) of the Act requires that an HHA must meet the CoPs
specified in section 1891(a) of the Act, and other CoPs as the Secretary …

January 2018 Holiday Thanks – Georgetown MA

www.georgetownma.gov

19/Iss. 7. January 2018. Email: cfiorello@georgetownma.gov. Website: www.
georgetownma.gov. “A Few Gray Hairs” Newsletter is made possible by a grant
from the Massachusetts … The COA and all activities will be closed on Monday,
January 1, 2018 for New Year's Day …. medical identity safe and avoid Medicare
fraud.

Comprehensive Healthcare Inspection Program Review of the New

www.va.gov

17-01741-58. Comprehensive Healthcare. Inspection Program Review of the.
New Mexico VA Health Care System. Albuquerque, New Mexico. January 4,
2018. Washington, DC 20420 ….. case-specific examples illustrating procurement
fraud, conflicts of interest, and bribery. Recommendations for improvement in this
 …