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  1. The confluence of several serious issues includes a general DOJ investigation into Medicare Advantage coding and billing, CMS rule changes regarding risk scores, and the appointment of a key figure to restore operational discipline.

The Department of Justice and CMS are jointly enforcing healthcare fraud.

1 report, 1 independent Updated Jun 26
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What happened

Some supportReported by 1 outlet

The Department of Justice and CMS are jointly enforcing healthcare fraud.

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What this event is mainly about

How it developed

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  1. The Department of Justice is pursuing a resolution regarding a kickback scheme involving Veloxis Pharmaceuticals, a North Carolina-based manufacturer, and failures to report transfers to CMS.Sub-event
  2. The Department of Justice is enforcing federal laws regarding care in Massachusetts and Connecticut, involving state attorneys general.Sub-event
  3. The Justice Department investigated providers of medical treatment for alleged healthcare fraud.Sub-event
  4. DOJ and CMS are jointly enforcing healthcare fraud.1 source

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Coverage

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