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Recent report finds that the government significantly underestimates the benefits of its health care fraud recoveries

The Taxpayers Against Fraud (“TAF”) Education Fund recently reported that the Department of Justice’s (“DOJ’s”) False Claims Act data dramatically underestimates the amount of money actually recovered to the government. In fact, according to TAF, the federal government’s return on …

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Insurance Authorization (Milliman) Challenges

Having trouble with Pre authorizations for surgery! Healthcare reform has dramatically changed how spinal surgical procedures are authorized by payors. Payors have adopted diagnostic and treatment algorithm such as the Milliman Care Guidelines with requisite diagnostic documentary criteria and non-operative …

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Many Doctors Don’t Secure Medical Devices From Hackers, Study Finds

Your doctor’s office likely doesn’t have any digital security for its mammography machines, heart pumps and other devices that are vulnerable to hacking, according to a new study. In a survey of 80 health care organizations in the U.S., the …

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CMS violated data breach notification requirements

The Centers for Medicare & Medicaid Services failed to meet federal  notification requirements when its Medicare patient database was breached, or  offer much help to beneficiaries whose protected health information was  compromised, an audit by the Department of Health & …

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