An East Cobb resident who runs a medical diagnostics lab in the Cumberland area is facing three felony counts of Medicaid fraud. Maged Ahmad Awad has been ...
UPMC Enterprises joins M12 (Microsoft's venture fund) in backing RAAPID's compliance-first Clinical AI Platform for Medicare Advantage risk adjustment ...
The U.S. Centers for Disease Control and Prevention heard from medical advocacy group Do No Harm on Tuesday on adding new medical codes for patient histories of gender transition or detransition. Do ...
On March 11, the U.S. Department of Justice and U.S. Attorney’s Office announced that Aetna, a national health insurer, has agreed to pay ...
Abstract: Models for detecting payment outliers from healthcare claims often rely on sparse, high-dimensional feature vector encodings of diagnosis codes. These encodings tend to lose inherent ...
Aetna, the health insurer subsidiary of CVS Health, has agreed to pay $117.7 million to resolve allegations that it violated ...
The bipartisan group of lawmakers representing the Senate and the House is led by Rep. David Schweikert (R., Ariz.). The committee found that the average American senior’s Medicare premiums rose about ...
Aetna Inc. has agreed to a $117.7 million settlement to resolve claims that it pumped up its Medicare Advantage payments using untruthful patient data, the ...
Kansas anesthesiologist Scott Taggart Roethle, MD, was sentenced to 3 years in prison for taking hundreds of thousands of dollars in kickbacks to order medically unnecessary orthotic braces for ...
Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a single modern procedure coding system to eliminate excess costs and lower ...
Aetna, a unit of CVS Health, agreed to pay $117.7 million to resolve U.S. government charges it defrauded Medicare by knowingly submitting inaccurate diagnosis codes for morbid obesity and other ...
Aetna, the insurance segment of CVS Health, has agreed to pay the federal government $117.7 million to settle allegations it submitted or failed to withdraw inaccurate and untruthful diagnosis codes ...
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