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How to prepare for Medicare’s new prior authorization program in Ohio
15 Sep 2025 21:40 GMT
… designed to reduce fraud, waste and abuse in traditional Medicare. It would … who rely on traditional Medicare. Currently, original Medicare generally does not … the major distinctions between traditional Medicare and Medicare Advantage. For years, seniors …
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SelectQuote (SLQT) Faces Investor Lawsuit After DOJ Steps into Medicare Sales Probe – Hagens Berman
15 Sep 2025 17:32 GMT
… insurance platform known for selling Medicare Advantage plans, is facing heightened … : www.hbsslaw.com/investor-fraud/slqt
Contact the Firm … claims that SelectQuote misrepresented its Medicare Advantage sales practices. While the …
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DEADLINE ALERT for LINE, CTO, SLQT, KLC: Law Offices of Howard G. Smith Reminds Investors of Opportunity to Lead Securities Fraud Class Actions
15 Sep 2025 16:00 GMT
BENSALEM, Pa., Sept. 15, 2025 (GLOBE NEWSWIRE) -- Law Offices of Howard G. Smith reminds investors that class action lawsuits have been filed on behalf of shareholders of the following publicly-traded companies. Investors have until the deadlines listed …
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Your doctor says you need pain treatment, but Medicare’s AI might disagree
14 Sep 2025 11:22 GMT
… aimed at curbing waste, fraud and abuse.
Ohio, along … or original Medicare and Medicare Advantage.
Currently, original Medicare does not … insurance companies do.
In Medicare Advantage programs, the … of Ohioans on Medicare belong to Medicare Advantage plans, …
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Michigan woman agrees to settle complaint alleging health care fraud
13 Sep 2025 19:39 GMT
… complaint alleging the business defrauded Medicare and Medicaid, the U.S … her business submitted claims to Medicare and Medicaid seeking reimbursement for … .
Anyone who knows about potential fraud, waste, abuse or mismanagement can …
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Jury trial canceled for Rogers doctor accused of fraud as state seeks mental exam
13 Sep 2025 00:55 GMT
… exam in his ongoing Medicaid fraud case.
Hyatt, the former … for two counts of Medicaid fraud, to which he pleaded … and billings submitted to Medicaid, Medicare, and private insurance" … management.
In addition to his fraud allegations, Hyatt was arrested …
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Three TN pharmacy owners plead guilty in federal drug, fraud case
13 Sep 2025 00:47 GMT
… controlled substances and health care fraud, TBI reports.
Thomas K. Weir … signs of abuse, then billed Medicare and TennCare for fraudulent prescriptions …
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Former operator settles federal fraud claims over unlicensed doctor billing
13 Sep 2025 00:26 GMT
… allegations that she defrauded the Medicare and Medicaid programs. The … Michigan Attorney General Health Care Fraud Division. Assistant United States … emphasis on combating health care fraud. One of the most … Act.”
Tips about potential fraud can be reported to …
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ASC Industry Braces for More Red Tape as CMS Pushes Medicare Prior-Authorization Demo
12 Sep 2025 23:52 GMT
… , as the Centers for Medicare & Medicaid Services (CMS … to keep unnecessary care and fraud in check. Since 2020 … mix of claim volumes, Medicare Administrative Contractor (MAC) jurisdictions … rules, CMS wrote.
Medicare administrators are required to …
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FTC Inquires AI Companies on Safeguards for Children and Pilot Program Uses AI to Authorize Medicare Treatments — AI: The Washington Report
12 Sep 2025 23:44 GMT
… authorize treatments for Medicare patients in six states … to Authorize Treatments for Medicare Patients in New Federal … can be authorized for Medicare patients, prompting Democrats … procedures historically vulnerable to fraud. Representatives Frank Pallone ( …