Medicaid penalties: crackdown or shakedown?
Hospitals that file inaccurate Medicaid claims may be the dupes in a new federal initiative to finance expansion of the government's civil enforcement efforts, a Modern Healthcare reveals. A look at eight settlements by hospitals in Pennsylvania over false claims shows growing collaboration between the state, HHS' office of the inspector general and the U.S. Justice Dept. Modern Healthcare found that the amount of the Pennsylvania settlements, some $500,000, was identical to the amount given back to the Justice Dept. to further boost their policing efforts. Attorneys believe such collaborative efforts are likely to spread nationwide.
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D005377:Financial Management, Hospital / Q000331:legislation & jurisprudence*; D005607:Fraud / Q000331:legislation & jurisprudence*; D007344:Insurance Claim Reporting / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D010414:Pennsylvania; D014481:United States