South Carolina Family Defrauded Medicaid of over $3.6 Million

A South Carolina family has been sentenced to federal prison for conspiracy to commit wire fraud in a scheme to defraud South Carolina Medicaid of over $3.6 million. The family…

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Healthcare Fraud Self-Disclosure Protocol Revised by OIG

On November 8, 2021, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released an update to the Health Care Fraud Self-Disclosure Protocol (SDP). This revision,…

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Former Nurse Found Guilty of Drug Diversion and Sentenced to 36 Months in Federal Prison

On October 21, 2021, a former Utah Nurse was sentenced to 36 months in federal prison after being convicted in a federal jury trial for three counts related to fraudulently…

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FDA Warns Healthcare Facilities against Purchasing Certain Imported Medical Gloves

The Food and Drug Administration (FDA) recommends that healthcare facilities and providers NOT purchase or use medical gloves that are imported from companies that are included on Import Alert 80-04…

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COVID-19 Vaccine for All Eligible Staff at Healthcare Facilities Participating in Medicare and Medicaid Programs

On November 4, 2021, the Biden-Harris Administration announced that all eligible staff employed at healthcare facilities that participate in Medicare and Medicaid programs will be required to be vaccinated against…

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Yale of School of Nursing Releases Resource for Infection Prevention for Long-Term Care Facilities

The Yale School of Nursing recently developed an infection prevention resource for long-term care facilities. The resource is known as Infection Prevention Compendium for Long-Term Care Facilities. The resources were…

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A Former CFO of 17 Skilled Nursing Facilities Accused of Extensive Fraud

A company that operates seventeen skilled nursing facilities has filed a lawsuit against their former Chief Financial Officer (CFO) for defrauding their company to obtain double paychecks for more than…

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Two Major Health Insurance Companies Impacted by Third Party Ransomware

A third-party vendor, who specializes in billing and IT solutions, was a victim of a ransomware attack that has impacted two major health insurance companies. Both of the major health…

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PA Caregiver Arrested for Using Fraudulent and Stolen Information of Intellectually Disabled Clients

A Pennsylvania caregiver has been arrested stealing the personal identifying information of several intellectually disabled persons in his care. The stolen information was used fraudulently to apply and to receive…

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Managed Care Provider in GA Found Liable for Violating Federal Law by Refusing Reasonable Accommodation

The US Equal Employment Opportunity Commission (EEOC) has announced that a managed care provider in Georgia has agreed to settle a lawsuit after it was found liable for violating the…

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