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DOJ Releases FY 2022 False Claims Act Enforcement Data

U.S. Department of Justice DOJ in fiscal year ending Sept. 30, 2022, government recovered more than $2.2 billion from 351 settlements and judgments under False Claims Act, for average recovery of $6.2 million per settlement/judgment.

Kaiser permanenteHealth corporationHealth resources services administrationUs department of justicePaycheck protection programCenters for medicare medicaid serviceFalse claims actMedicaid programsMedicare advantageIndependent health corporationMedicaid serviceRisk adjustment data validationClaims actHealth resourcesServices administrationOj false claims act

False Claims Act settlements exceeded $2 2 billion in 2022, DOJ says

Settlements and judgments under the False Claims Act exceeded $2.2 billion in the fiscal year that ended on September 30, more than $1.7 billion of which pertained to matters that involved the healthcare industry – including drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organizations and

United statesKaiser permanenteServices washingtonSamaritan care centerDepartment of justiceHealth benefits programElevance healthQuestcor pharmaceuticalsAmerican health foundationUnitedhealth groupCompounding centers of americaHealth corporationProvidence healthCigna corpRehabilitation centerFalse claims act

DOJ Intervenes in Another Medicare Advantage FCA Suit | Vinson & Elkins LLP

DOJ Intervenes in Another Medicare Advantage FCA Suit | Vinson & Elkins LLP
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New yorkUnited statesHealth complaintHealth associationHealth corporationDistrict courtHealth assocMedicare advantageIndependent healthIndependent health associationIndependent health corporationProblem listsPast medical historyDurable medical equipmentWestern districtCivil investigative demand

Investigations Newsletter: Drugmaker Settles New York Opioid Lawsuit for $50 Million | Arent Fox

Investigations Newsletter: Drugmaker Settles New York Opioid Lawsuit for $50 Million | Arent Fox
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New yorkUnited statesSuffolk countySuffolk county state supreme courtHealth associationEndo health solutionsHealth corporationArnold porterDistrict courtFriday enforcementSettles new york opioid lawsuitNew york attorney generalAlleging submissionUnsupported diagnosesMedicare advantageWestern district

DOJ: Independent Health, DxID allegedly inflated MA reimbursement through unsupported diagnosis codes

DOJ: Independent Health, DxID allegedly inflated MA reimbursement through unsupported diagnosis codes
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New yorkUnited statesTeresa rossBetsy gaffneyInsurer independent healthGroup health cooperativeUs district courtCenters for medicareHealth associationHealth corporationUs department of justiceMedicaid servicesIndependent healthMedicare advantageFalse claims actWestern district