Compliance News Roundup: OIG Testimony on Medicaid Fraud and Overpayments

Health Quest and Putnam Hospital Center to Pay $14.7 Million to Resolve False Claims Act Allegations – “Health Quest Systems, Inc. and certain of its subsidiaries (Health Quest) and Putnam Health Center (PHC) have agreed to pay over $14.7 million to resolve allegations of violations of the False Claims Act by submitting inflated and otherwise ineligible claims for payment, the Justice Department announced today. New-York based Health Quest is a family of integrated hospitals and healthcare providers that deliver surgical, medical and home health care services. PHC is a Health Quest subsidiary hospital based in Carmel Hamlet, New York.” Get the full scoop >>

Waterford Psychologist Pays $126,760 to Settle Allegations under the False Claims Act – “United States Attorney John H. Durham and Connecticut Attorney General George Jepsen today announced that ARLENE WERNER, PhD., has entered into a civil settlement agreement with the federal and state governments and has paid more than $126,000 to resolve allegations that she violated the federal and state False Claims Acts.” Get the full scoop >>

Deeper Than the Headlines: OIG Testimony on Medicaid Fraud and Overpayments – Extra, extra, read all about it! The notorious OIG has visited Capitol Hill again. This time, to testify before a U.S. Senate committee on Medicaid Fraud and Overpayments. On June 27, 2018, Brian P. Ritchie, Assistant Inspector General for Audit Services within the OIG, gave testament of the various problems and possible solutions regarding Medicaid fraud and overpayments. There are 67 million Medicaid beneficiaries and an annual price tag of $600 Billion. Medicaid spending represents one‐sixth of the national healthcare economy, and Medicaid serves more people–including some of the nation’s most vulnerable individuals–than any other Federal healthcare program. That’s saying a lot. In FY 2017, projected improper Medicaid payments totaled about $59 billion. Get the full scoop >>

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