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Florida provider group to pay $24.5M after False Claims Act allegations

Healthcare IT News - Telehealth

"Billing federal healthcare programs for services that providers know are unnecessary or unreasonable undermines the quality of care that patients receive and increases the costs of these taxpayer-funded programs," said Principal Deputy Assistant Attorney General Brian M.

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Dozens charged in sprawling $1.2B telehealth and genetics fraud crackdown

Healthcare IT News - Telehealth

Starting in 2007, the DOJ's healthcare Fraud Strike Force – operating in 27 districts nationwide – has charged more than 5,000 defendants who collectively billed federal healthcare programs and private insurers approximately $24.7 billion, according to the department.

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New Individual Mandate Regulations: What You Need to Know

ACA Times

The California Individual Mandate, in effect since January 1, 2020, will affect significant numbers of individuals and businesses in 2021. 3 minute read: The California Franchise Tax Board (FTB) just published Final Regulations on the Individual Shared Responsibility Penalty. Here’s what you need to know. How Did We Get Here?

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What the Telehealth Expansion Act means for tackling social determinants and boosting health equity

Healthcare IT News - Telehealth

The bill makes permanent telehealth flexibilities that were first introduced in the CARES Act of 2020 in response to the COVID-19 pandemic, flexibilities that were set to expire at the end of December 2024 along with other telehealth extension provisions.

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New Stimulus Plan Expands PTC Eligibility, Employer Penalties

ACA Times

3 minute read: President Joe Biden recently signed into law the American Rescue Plan (ARP) and it includes provisions that make ACA healthcare coverage more accessible to Americans. Changes to Premium Tax Credit affordability thresholds apply to the 2021 and 2020 tax years and go into effect on April 1, 2021.

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Trump administration expands Medicare telehealth benefits for COVID-19 fight

Healthcare IT News - Telehealth

Clinicians can bill immediately for dates of service starting March 6, 2020, said CMS officials, with telehealth services paid under the Physician Fee Schedule at the same amount as in-person services. Medicare coinsurance and deductibles still apply. Medicare coinsurance and deductibles still apply. THE LARGER TREND.

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How The Raise the Wage Act Could Impact ACA Compliance

ACA Times

Employers should also know that the added millions of Americans that could possibly lose their job, may turn to Medicaid/Medicare or a state or federal healthcare exchange for coverage and apply for a PTC. A recent TIGTA report found nearly a third of PTC recipients receive them erroneously as well.