There is little dispute that the False Claims Act (FCA) is among the most potent weapons for fighting fraud and government waste. In just this past fiscal year alone, the DOJ utilized the FCA to ...
As a result of a new rule published on February 1, 2023, at 88 Fed. Reg. 6643, Medicare Advantage (MA) organizations soon will be facing enhanced exposure from Risk Adjustment Data Validation (RADV) ...
Francis J. Serbaroli, in his Health Law column, analyzes a recent decision by a New York State administrative law judge that refused to allow the Office of Medicaid Inspector General to apply ...
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