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Advize Health’s Prepayment and Postpayment Reviews Webinar

Advize Health will take you step by step through several real life audit example from data selection to extrapolations and recoveries. Find out common pitfalls and areas of your policies and procedures that could be tighten up to guard against FWA. We will present the differences between a postpayment audit and a prepayment audit and…

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Posted and filed under Fraud, FWA.

Fraud Waste and Abuse Fact – October

Whistleblower Lawsuit Leads to Record Setting Settlement for Adventist Health System Adventist Health System will pay $118.7 million to the federal government and four states to settle a whistleblower lawsuit filed in December 2012. The lawsuit alleged that Adventist paid doctors excessive compensation for patient referrals to Adventist-owned health care facilities, including hospitals, clinics and…

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Posted and filed under FWA.

Fraud, Waste and Abuse Fact: September

Affordable Care Act Fraud Criminals Facing Tougher Sentences Due to the Affordable Care Act, criminals convicted of fraud now face tougher sentences and more jail time. Criminals will receive 20 to 50 percent longer sentences for crimes that involve more than $1 million in losses. “The government’s successes in prosecuting and winning health care fraud…

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Fraud Waste and Abuse Fact: August

DOJ and HHS Annual Report Highlights $3.3 Billion in Settlements and Judgments in FY 2014 “On March 19, 2015, the Department of Justice (DOJ) and Department of Health and Human Services (HHS) issued their annual Health Care Fraud and Abuse Control (HCFAC) Program report highlighting that the HCFAC Program obtained $3.3 billion in health care…

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