Medicare Behavioral Health Fraud

Listing Websites about Medicare Behavioral Health Fraud

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DOJ wraps up $189M Medicare fraud scam with …

(8 days ago) WEBThe U.S. Attorney’s Office for the Southern District of Texas announced Friday the final four sentences of a $189 million Medicare fraud scam dating back about a decade. Bobby Rouse, Steven

https://www.fiercehealthcare.com/payer/doj-wraps-up-189m-medicare-fraud-scam-executives-sentencing

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Doctor Convicted of $6.3M Medicare Fraud Scheme

(3 days ago) WEBToya’s false prescriptions were used by brace supply companies to bill Medicare more than $6.3 million. Toya was paid approximately $120,000 in exchange …

https://www.justice.gov/opa/pr/doctor-convicted-63m-medicare-fraud-scheme

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Twenty-Three Individuals Charged in $61.5 Million …

(8 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/twenty-three-individuals-charged-615-million-medicare-fraud-schemes

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Medicare Fraud & Abuse: Prevent, Detect, Report

(1 days ago) WEBThe diference between “fraud” and “abuse” depends on specific facts, circumstances, intent, and knowledge. Examples of Medicare abuse include: Billing for unnecessary …

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

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Justice Department Charges Dozens for $1.2 Billion in …

(3 days ago) WEBAdditionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI) announced today that it took administrative actions against …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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A Lack of Behavioral Health Providers in Medicare and …

(Just Now) WEBMost enrollees saw their behavioral health providers in person; however, many enrollees traveled long distances to see them. What OIG Recommends. OIG …

https://oig.hhs.gov/reports-and-publications/all-reports-and-publications/a-lack-of-behavioral-health-providers-in-medicare-and-medicaid-impedes-enrollees-access-to-care/

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UPCODING MEDICARE: IS HEALTHCARE FRAUD AND …

(3 days ago) WEBIntroduction. Medicare fraud has been defined by the Centers for Medicare and Medicaid Services (CMS) as submitted or caused to have been submitted, false …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/

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Medicare and Medicaid fraudsters continue to steal …

(1 days ago) WEBFiscal year 2023 proved to be a high value one for healthcare frauds and settlements, with the DOJ totaling $2 billion dollars in illicit activity. The U.S. Department …

https://www.thomsonreuters.com/en-us/posts/investigation-fraud-and-risk/medicare-medicaid-fraud-2024/

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Reporting Medicare fraud & abuse Medicare

(6 days ago) WEBFrom a US national health authority. 0:00 / 0:31. If you suspect fraud call 1-800-MEDICARE (1-800-633-4227) or online: Report Medicare Fraud. If you have a …

https://www.medicare.gov/basics/reporting-medicare-fraud-and-abuse

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Provider Alert: Enforcement Targets Unqualified Behavioral Health …

(2 days ago) WEBOn October 15, 2021, the U.S. Attorneys’ Office for the District of Connecticut announced the sentencing [1] of an unlicensed and unqualified individual posing as an applied …

https://www.frierlevitt.com/articles/provider-alert-enforcement-targets-unqualified-behavioral-health-providers/

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State response to medicaid fraud creates ‘pure chaos’ for patients

(6 days ago) WEBOn May 16, as cameras flashed and tribal leaders looked on, Arizona’s governor and attorney general announced a statewide crackdown on behavioral health …

https://azcir.org/news/2023/11/02/state-response-medicaid-fraud-creates-patient-chaos/

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Tele-Behavioral Health Use Among Medicare Beneficiaries During …

(4 days ago) WEBThis issue brief summarizes analyses of Medicare fee-for-service data examining beneficiary use of tele-behavioral health services during 2019 and 2020. …

https://aspe.hhs.gov/reports/tele-bh-use-beneficiaries

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What Are the Most Common Types of Medicare Fraud?

(9 days ago) WEBLearn about some examples of Medicare fraud and find out how you can prevent yourself or a loved one from becoming a victim. Speak with a licensed insurance …

https://www.medicareadvantage.com/enrollment/medicare-fraud

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Providers Beware: Behavioral Health Fraud Investigations, …

(3 days ago) WEBIn fiscal year 2019, the U.S. Department of Justice (DOJ) collected $2.6 billion in civil fraud recoveries from health care companies, up slightly from $2.5 billion …

https://bhbusiness.com/2020/02/21/providers-beware-behavioral-health-fraud-investigations-recoveries-on-the-rise/

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Behavioral Health Medical Records - Centers for Medicare

(8 days ago) WEBThere are five basic self-audit rules behavioral health practitioners can use to get started: Develop and implement a solid medical record documentation policy if there is not one in …

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/docmatters-behavioralhealth-factsheet.pdf

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Fake drug and alcohol treatment centers cause a big scandal in

(2 days ago) WEBThey also implemented new policies hoping to mitigate fraud. The state's Medicaid provider suspended payments to over 300 behavioral health treatment …

https://www.npr.org/2024/05/14/1251200117/fake-drug-and-alcohol-treatment-centers-cause-a-big-scandal-in-arizona

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Charlotte Licensed Clinical Social Worker Convicted Of Medicaid …

(1 days ago) WEBCHARLOTTE, N.C. – A Charlotte behavioral health services provider was convicted today by a federal jury following a nine-day trial, for defrauding the South …

https://oig.hhs.gov/fraud/enforcement/charlotte-licensed-clinical-social-worker-convicted-of-medicaid-fraud-covid-19-relief-fraud-and-money-laundering/

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DOJ Announces Coordinated Law Enforcement Action to Combat …

(1 days ago) WEBThe law enforcement action was brought in coordination with the Health Care Fraud Unit’s COVID-19 Interagency Working Group, which is chaired by the …

https://www.justice.gov/opa/pr/doj-announces-coordinated-law-enforcement-action-combat-health-care-fraud-related-covid-19

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Medicaid Investigators Recovered $98M Through Fraud and …

(4 days ago) WEBThe Medicaid program is a vital source of funding for behavioral health in the U.S. It’s the largest single payer for mental health services and has an increasing …

https://bhbusiness.com/2022/03/24/medicaid-investigators-recovered-98m-through-fraud-and-abuse-cases-from-behavioral-health-providers/

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State leaders misled public about scope of Medicaid fraud crisis

(9 days ago) WEBThe scale of Arizona’s behavioral health crisis became evident in May 2023, when state and federal leaders gathered to announce a sweeping investigation …

https://azcir.org/news/2024/03/14/state-leaders-misled-public-about-scope-of-medicaid-fraud-crisis/

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Mental Health & Substance Use Disorders Medicare

(Just Now) WEBMedicare covers certain screenings, services, and programs that aid in the treatment and recovery of mental health and substance use disorders. If you or someone you know is …

https://www.medicare.gov/coverage/mental-health-substance-use-disorder

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I’ve been charged with healthcare fraud! What should I do?

(6 days ago) WEBAccording to the National Health Care Anti-Fraud Association, the annual cost of healthcare fraud in the United States is nearly seventy billion dollars. Healthcare …

https://robertjdegrootlaw.com/ive-been-charged-with-healthcare-fraud-what-should-i-do/

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AZ Medicaid fraud: It targeted Indigenous people, cost state millions

(8 days ago) WEBSome of the fraud occurred during the height of the COVID-19 pandemic, when demand for behavioral health and substance use disorder treatment was …

https://www.azcentral.com/story/money/business/health/2023/05/21/here-is-what-we-know-about-a-massive-case-of-medicaid-fraud-in-arizona/70228801007/

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HHS Mental Health Accomplishments by the Numbers

(8 days ago) WEBTo expand the behavioral health workforce, As of January 1, 2024, more than 400,000 Marriage and Family Therapists and Mental Health Counselors are now able to …

https://www.hhs.gov/about/news/2024/05/16/hhs-mental-health-accomplishments-numbers.html

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Charlotte health care provider convicted of Medicaid, COVID-19 …

(5 days ago) WEBCHARLOTTE, N.C. (WBTV) - A Charlotte behavioral health services provider was convicted Friday by a federal jury after a nine-day trial, for defrauding the South Carolina …

https://www.msn.com/en-us/health/other/charlotte-health-care-provider-convicted-of-medicaid-covid-19-relief-fraud/ar-BB1mAqFu

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Arizona suspends payments to providers accused of Medicaid …

(8 days ago) WEBGov. Katie Hobbs, alongside Attorney General Kris Mayes and others, said in a press conference that over 100 Medicaid behavioral health residential and …

https://ktar.com/story/5496494/arizona-suspends-payments-to-providers-accused-of-millions-in-medicaid-fraud/

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBAndrew McCubbins, 39, of Draper, Utah, the owner of a telemedicine company, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District …

https://www.justice.gov/usao-nj/pr/district-new-jersey-announces-charges-health-care-fraud-cases-part-nationwide-federal-law

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New Mexico pressuring firms managing Medicaid to help solve …

(3 days ago) WEBIt shouldn't just be the state of New Mexico. " Most Medicaid patients in New Mexico fall under the managed care program, in which the state government contracts with a …

https://insurancenewsnet.com/oarticle/state-putting-pressure-on-firms-that-manage-medicaid-to-help-solve-behavioral-health-access-problems-the-santa-fe-new-mexican

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Behavioral Health

(9 days ago) WEBExpanding access to services by increasing the number of providers eligible for Medicaid reimbursement is a critical part of LDH’s priority to address these complex …

https://www.ldh.la.gov/news/provisional-licensure

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Arizona facing third wrongful death lawsuit related to Medicaid …

(1 days ago) WEBFernando Largo, 32, was discovered dead of an overdose on March 7, 2023, inside a motel room that was registered to a Mesa outpatient behavioral health provider.

https://www.azcentral.com/story/news/local/arizona-health/2024/05/04/arizona-facing-third-wrongful-death-lawsuit-related-to-medicaid-fraud/73548077007/

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Consolidated Appropriations Act, 2024: Medicaid and CHIP Mental …

(5 days ago) WEBEndnotes. 1 The requirement that state Medicaid programs report annually on the behavioral health quality measures of the adult core set was effective starting FY …

https://ccf.georgetown.edu/2024/05/20/consolidated-appropriations-act-2024-medicaid-and-chip-mental-health-and-substance-use-disorder-provisions-explained/

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United States Files Lawsuit Alleging Medicaid Fraud by …

(2 days ago) WEBThe civil complaint details years of audits of Nueva Vida by Community Behavioral Health (CBH), the managed care organization that contracts with healthcare …

https://www.justice.gov/usao-edpa/pr/united-states-files-lawsuit-alleging-medicaid-fraud-philadelphia-mental-health-clinic

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Medicare Therapists in Paramus, NJ - Psychology Today

(5 days ago) WEBFind Medicare Therapists, Psychologists and Medicare Counseling in Paramus, Bergen County, New Jersey, get help for Medicare in Paramus.

https://www.psychologytoday.com/us/therapists/medicare/nj/paramus

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