From: HHS Office of Inspector General <donotreply@subscriptions.hhs.gov>
Date: Mon, Jun 30, 2014 at 7:10 AM
Subject: OIG posts 2 reports and news about enforcement actions - 6/30
To: iammejtm@gmail.com
Good morning from Washington, DC. Today OIG posts 2 reports and news about enforcement actions. As always, you can use the links provided to go directly to the new material.
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Pennsylvania Complied With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud (A-03-14-00202) http://go.usa.gov/9efV
Pennsylvania complied with the requirements of the Affordable Care Act to implement regulations (42 CFR § 455.23) for the review of cases for which there were credible allegations of Medicaid fraud.
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California Claimed Medicaid Reimbursement for Some Nonemergency Medical Transportation Services in Los Angeles County That Did Not Comply With Federal and State Requirements (A-09-12-02083) http://go.usa.gov/9efH
The California Department of Health Care Services claimed at least $265,000 in Federal Medicaid reimbursement from July 1, 2010, through June 30, 2011, for nonemergency medical transportation services in Los Angeles County that did not comply with Federal and State requirements. In addition, transportation providers did not always maintain documentation for drivers and vehicles associated with these transportation services in compliance with State requirements.
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June 27, 2014; U.S. Department of Justice Patient Recruiter Pleads Guilty For Role in $6.5 Million Health Care Fraud Scheme http://go.usa.gov/8d3Q
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June 27, 2014; U.S. Attorney; Southern District of New York Manhattan U.S. Attorney Files Civil Fraud Suit against Hospital Group for Fraudulently Delaying Repayment of Nearly $1 Million of Medicaid Overcharges http://go.usa.gov/8d3Q
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State Enforcement Actions Updated http://go.usa.gov/8d3e
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That's all we have for today. If we can be of any further assistance, please send an Email to public.affairs@oig.hhs.gov
I hope your week has started well.
Marc Wolfson – Office of External Affairs
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Jeremy Tobias Matthews
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