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Scams and Fraud
Scams and Fraud in Health Insurance: the news, the names and what changed.
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Tenant claims metro Atlanta group-home operator billed Medicaid without consent, report shows
1+ hour, 11+ min ago (99+ words) Atlanta News First Tenant claims metro Atlanta group-home operator billed Medicaid without consent, report shows Family of man killed during Six Flags roller coaster ride speaks out Vendors make their case as state lawmakers look to replace Georgia’s voting systems…...
What to know ahead of Open Enrollment to avoid health insurance scams
3+ hour, 41+ min ago (197+ words) Health insurance scams happen year-round, but they pick up during Open Enrollment for Medicare and the Marketplace. If you’re looking to find a new plan, you might search online. But before you click on a search result, remember: scammers and…...
Medicare open enrollment begins, Tri-State residents warned of scams
6+ hour ago (280+ words) FILE - A Medicare Advantage PPO card rests on top of a Medicare card in Portland, Ore., June 10, 2024. As Medicare open enrollment begins Thursday, officials are warning Tri-State residents to be on the lookout for scams targeting older adults. Open enrollment…...
Accused, Then Abandoned: The Empty Chair in Medicare Overpayment Appeals
8+ hour, 50+ min ago (616+ words) Imagine a prosecutor who files charges, seizes the defendant’s assets before trial, and then never appears in court. No opening statement, no witnesses, no cross-examination. The defendant hires counsel assembles the record, and argues to an empty table while the…...
Healthcare monopoly myth: Why CON’s ‘cream-skimming’ defense fails
3+ day, 5+ hour ago (887+ words) If you have ever tried to open a standalone imaging center or outpatient surgical clinic in a state with Certificate of Need (CON) laws, you likely ran into a wall of government regulation. CON laws require providers to obtain state…...
Is the government privatising healthcare?
1+ day, 58+ min ago (609+ words) The Budget 2027 allocation for the health ministry (MOH) and public healthcare has been raised to RM47.7bil, only RM1.2 billion extra which is the smallest increase in five years. This falls well short of the Pakatan Harapan election promise to target 5% of GDP…...
Inside the sober living network accused of fraudulently billing Medicaid more than $50M
20+ hour, 19+ min ago (741+ words) A former employee of an alleged sober living home network is providing exclusive insight on FOX 10 Investigates. Previous reporting detailed eight defendants charged in connection to tens of millions in Medicaid fraud two years ago. Now, obtained court records provide…...
Remedi SeniorCare Settles Federal Claims for $5.3M
21+ hour, 49+ min ago (1551+ words) Home » US News » Remedi SeniorCare Settles Federal Claims for $5.3M The U.S. Department of Justice announced the latest settlement Thursday, Sept. 17, saying the alleged conduct occurred over more than six years, from Jan. 1, 2015, through March 31, 2021. Remedi, headquartered in Towson, Maryland, did…...
What to look out for to avoid Medicare scams ahead of open enrollment
22+ hour, 24+ min ago (268+ words) OKLAHOMA (KXII) - Medicare open enrollment begins Thursday, and scammers may try to take advantage. “We can all become victim of a fraud regardless of your age.” said Oklahoma Insurance Department Medicare Assistance Program Divisional Director Ray Walker. $60 billion dollars, that’s…...
Michigan officials warn seniors about Medicare scams ahead of open enrollment
1+ day, 14+ hour ago (317+ words) LANSING, Mich. — Michigan officials are warning older adults to watch for scams and high-pressure sales tactics as Medicare open enrollment begins Oct. 15. The Michigan Department of Insurance and Financial Services and the Michigan Department of Health and Human Services are…...