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OMB to Look Over Overhauled Medicaid Rules

The Centers for Medicare & Medicaid Services has sent an overhauled set of rule changes to the Office of Management and Budget for review which could lead to major changes to the ...
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Flint to Expand Medicaid Coverage in Wake of Water Crisis

Michigan Governor Rick Snyder called for expanded Medicaid coverage to cover the water crisis in Flint to include pregnant women and residents up to 21 years old in order to better ...
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Lower Court Must Rule on Medicare’s Backlog of Claims

A federal appeals court has sent a lawsuit back to lower courts, forcing it to make a decision on the length of time it takes for the government to complete cases of denied Medicare ...
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New York Debates Over Fate Of Struggling Hospitals

In some of the poorest neighborhoods of Brooklyn, some hospitals are struggling thanks to Medicare and Medicaid not keeping up with growing hospital expenditures. New York’s ...
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American Growth Funding Charged with Fraud

American Growth Funding and it’s owner, Ralph Johnson, was charged with fraud after Johnson allegedly lied to investors who purchased high-yield securities, according a complaint ...
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State Street Settles With Ohio for $12 Million

State Street Corp agreed to pay $12 million to settle fraud allegations relating to a pay-to-play scheme to win Ohio pension fund contracts. The company’s former head of public ...
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New Fake Law Enforcement Scam in Kentucky

In Kentucky, a scammer claiming to be a “Sergeant Joe Crews” offers help resolving a federal warrant that has been issued against the victim. The scam is similar to the ...
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Eleven Banks Settle with Virginia Over Fraud Allegations

Eleven banks agreed to pay $63 million to settle allegations that they defrauded the Virginia Retirement System before the economic recession. It was the largest non-health care-related ...
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Missouri to Block Caregiver Pay Increase

On Tuesday, members of Missouri’s House Government Oversight and Accountability Committee voted 7-1 in favor of stopping a plan to raise home health workers’ pay based ...
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Fraud Prone Equipment Subject to Prior Authorization

On Tuesday, the U.S. Centers for Medicare and Medicaid Services (CMS) announced that prior authorization will be required before Medicare will pay for high fraud items, such as wheelchairs, ...
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