HHS

Multiple Texas Health Care Providers and Suppliers Charged in DOJ’s June 2024 Strike Force Takedown

HEAT Strike Force, Medicare, Medicaid & Private Payor Updates /

(July 11, 2024): Last week, the Department of Justice (DOJ) announced that it has criminally charged 193 defendants with violations of various health care fraud statutes. The government estimates that the fraudulent schemes employed by the defendants resulted in losses of $1.6 billion to Federal, State, and private payor health care programs. These cases are […]

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Can a ZPIC Extrapolate the Alleged Damages in a Medicare Claims Audit?

Medicare, Medicaid & Private Payor Updates /

(July 12, 2010): Can a ZPIC extrapolate the alleged damages in a case. If the ZPIC’s statistical methodology is properly handled, the extrapolation of alleged damages can be a surefire way of destroying a provider’s practice. We’ve known it for years and yet the government’s passion for statistical sampling only seems to be growing. This

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