by Advize Admin | Sep 30, 2022 | Compliance, FWA
Massachusetts has become the latest state to settle with health insurance giant Centene Corp. over allegations that it overbilled the state’s Medicaid program for pharmacy services, KHN has learned. Centene, the nation’s largest Medicaid managed-care insurer, will pay...
by Advize Admin | Sep 23, 2022 | FWA, Healthcare
Health insurance giant Centene Corp. has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. It’s the biggest known payout by the nation’s largest Medicaid insurer over its drug pricing...
by Advize Admin | Sep 8, 2022 | FWA, OIG Files
Open enrollment will be upon us in the coming month. With it will come a slew of fraud complaints as it relates to managed care enrollment. Brokers work to enroll eligible members into plans that are supposed to be the best suited for the member. ...
by Advize Admin | Aug 5, 2022 | Commentary, FWA
This week our very own Eric Rubenstein, Sr. Director of FWA and I, flew out to Dallas to present to the Texas Office of the Attorney General Medicaid Fraud Control Unit. The topic was for auditors and was Data Analytics for the Analyst. They shared...
by Advize Admin | Jul 8, 2022 | FWA, Healthcare, Medical Record Auditing
Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Witnesses sharply criticized...
by Advize Admin | May 20, 2022 | FWA, Healthcare
RaDonda Vaught, a former Tennessee nurse convicted of two felonies for a fatal drug error, whose trial became a rallying cry for nurses fearful of the criminalization of medical mistakes, will not be required to spend any time in prison. Davidson County...
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