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In 1995, the State of Texas passed the Texas Medicaid Fraud Prevention Act (TMFPA), which specifically aims at combating fraud against the Texas Medicaid Program, which provides healthcare and prescription drug coverage to low-income individuals. [51]
As Inspector General, Bowen's role involved preventing, detecting, and deterring fraud, waste, and abuse within the Texas Health and Human Services System. [7] On October 22, 2015, Bowen accused Planned Parenthood of misconduct and informed them all of the state's Planned Parenthood affiliates were being dropped as a Medicaid health care provider.
(Reuters) -Planned Parenthood must face a trial in a $1.8 billion lawsuit by Texas accusing the organization of defrauding the Republican-led state's Medicaid health insurance program, a federal ...
The Senior Medicare Patrols (SMP) are a group of volunteer organizations funded by the United States Department of Health and Human Services, which educate U.S. senior citizens on how to prevent, detect, and report Medicare and Medicaid fraud, error, and abuse.
Sen. Ron Wyden (D-Ore.) called for the Department of Justice (DOJ) to investigate youth residential treatment facilities operated by multiple national health care companies, alleging evidence of ...
Conflicting information, computer systems not working, denials before verification and more problems come to the surface from whistleblowers, advocacy groups.
Health care fraud includes health insurance fraud, drug fraud, and medical fraud. Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging in fraud are always ...
Aug. 28—Three principals of Phinaliz Communications LLC, a company based in Otsego County, were arrested Thursday, Aug. 24 in connection with a long-running scheme to steal more than $1 million ...