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Fraud news and information

Information
Deadline looms for Neb. insurance marketplace
By Grant Schulte / Associated Press | September 15, 2013
Community groups are hustling to meet an Oct. 1 deadline to launch a new health insurance marketplace in Nebraska, a key piece of the federal healthcare law designed to steer users toward a coverage plan.
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Information
Medical identity theft a growing problem, report says
By Judy Greenwald, Business Insurance | September 12, 2013
Medical identity theft is a growing problem, but many of the victims know the thief and do not want to report him or her, says a survey released Thursday.
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N.M. cracks down on non-profit leaders' conflicts of interest
By Associated Press | September 08, 2013
The head of New Mexico's Human Services Department says the relationships between six nonprofit behavioral health service providers and a for-profit Arizona company appear fraught with conflicts of interest.
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Magazine
Good, but not perfect | RAC program detects too little fraud: OIG report
By Joe Carlson | September 07, 2013 | Print Magazine Print Magazine Subscription Details
The hospital industry says Medicare's retrospective program of auditing hospital bills challenges too many claims that later turn out to be justified. But a report by HHS' Office of the Inspector General found that the Medicare recovery audit program is more accurate than hospital lobbyists...
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Magazine
Unprotected data | Advocate breach highlights fact that 36% of providers don't use encryption
By Joseph Conn | September 07, 2013 | Print Magazine Print Magazine Subscription Details
One warm night in mid-July, more than 4 million patient records breezed out the door of the Advocate Medical Group administrative office in the arms of an unidentified thief who stole four computers from the largest medical group in Illinois. The 1,100-physician medical group based in Park Ridge is...
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Ex-CEO of Virgin Islands hospital convicted of tax fraud
By Associated Press | September 05, 2013
The former chief executive of a U.S. Virgin Islands hospital has been convicted of tax fraud.
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News
Officials not truly concerned about fighting fraud
September 05, 2013 | Basic Web Basic Web Subscription Details
I was reading with great interest the article by Jessica Zigmond on fraud, and I have to say that HHS' Office of the Inspector General and all the rest of the agencies are interested in nothing but lip service.
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News
RAC program more accurate than lobbyists say, but isn't perfect, OIG report says
By Joe Carlson | September 04, 2013 | Basic Web Basic Web Subscription Details
Medicare's much-criticized recovery audit program is far more accurate than hospital lobbyists say it is, though it's far from perfect and detects too little fraud rather than too much, according to a new report from HHS' inspector general's office.
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Lawsuit: N.M. attorney fired after audit complaint
By Associated Press | September 01, 2013
A lawyer fired by the state Human Services Department says she was let go because of her criticism of an audit of government-funded mental healthcare, according to a lawsuit against the state agency.
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Information
Ex-HealthSouth CEO Scrushy loses bid to end SEC ban
By Reuters via Yahoo | August 29, 2013
A federal judge rejected former HealthSouth Corp. CEO Richard Scrushy's bid to lift a ban on his serving as an officer or director of a public company, which was part of his settlement of U.S. Securities and Exchange Commission charges that he masterminded a $2.6 billion accounting fraud.
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