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U.S. Department of Health and Human Services (HHS) News

U.S. secures $1.25 million from nursing home operators after False Claims Act violations

WASHINGTON (Legal Newsline) — The U.S. Department of Justice announced Nov. 16 it had settled for $1.25 million with a group of Mississippi companies after allegations of violating the False Claims Act by providing grossly substandard care to nursing home residents at the Oxford Health and Rehabilitation nursing home in Lumberton, Mississippi, from 2005 to 2012.

Company that submitted Medicare claims for the deceased claims it was targeted by CMS

WALTHAM, Mass. (Legal Newsline) – An appeal by health diagnostics company Alere to get Medicare billing privileges reinstated for a subsidiary diabetes unit, Arriva Medical, claims that the unit was targeted by the Centers for Medicare & Medicaid Services (CMS) to clear an administrative backlog, according to an Alere press release.

Pharmaceutical wholesale group says accreditation policy will ‘irreparably damage’ the nation’s prescription drug delivery system

The Association of Independent Pharmaceutical Wholesalers Inc. filed its complaint against a pharmacy benefit manager and the federal government in the U.S. District Court for the District of Columbia earlier this month. It contends the Verified-Accredited-Wholesale Distributor policy violates various state and federal laws.

Emergency physicians organization fights for fair payment from insurance companies

An emergency physicians’ organization is taking aim at a ruling that decides how much insurance companies compensate emergency physicians for their services.