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Report: CMMI has raised federal spending, not lowered it

FierceHealthIT

The Center for Medicare and Medicaid Innovation (CMMI), once expected to save money and deliver healthcare at a lower cost, is increasing federal spending after all. CMMI was designed to reduce federal healthcare spending, but a new CBO reports shows its had the opposite effect.

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DOJ charges dozens in $1.1B telehealth fraud crackdown

Healthcare IT News - Telehealth

"We have seen all too often criminals who engage in health care fraud – stealing from taxpayers while jeopardizing the health of Medicare and Medicaid beneficiaries," said Deputy Inspector General for Investigations Gary L. More than $1.1 billion of that loss involved allegedly fraudulent claims related to telemedicine.

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

Healthcare IT News - Telehealth

Meanwhile, the Centers for Medicare and Medicaid Services' Center for Program Integrity also announced that it has taken administrative actions against more than 50 healthcare providers alleged to be involved in similar schemes. healthcare system at the expense of patients." billion, according to the department.

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Genetic testing company agrees to $42.6M settlement and 25-year ban in Medicare fraud case

FierceHealthIT

million to resolve charges they defrauded the federal government by paying kickbacks in exchange for laboratory referrals and pharmacogenetic testing. The company also agreed to a 25-year ban from participating in any federal healthcare program. A New Orleans-based genetic testing company and its three principals will pay $42.6

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Arizona telehealth company owners plead guilty in $64M scheme

Healthcare IT News - Telehealth

"From September 2017 through December 2019, Luke and Laughlin conspired together and with others to unlawfully enrich themselves by submitting and causing to be submitted false and fraudulent claims to federal healthcare benefit programs," the officials alleged. " WHY IT MATTERS. ON THE RECORD.

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Florida man pleads guilty in scheme exploiting amended telehealth restrictions

Healthcare IT News - Telehealth

Department of Justice announced this week that a Florida laboratory owner had pleaded guilty for his role in a $73 million Medicare kickback scheme. Although these changes were intended to safeguard access to care for Medicare beneficiaries, DOJ says some fraudsters have used them for their own benefit.

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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.