Sentences with phrase «provider fraud and abuse»
His representation of managed care clients focuses on significant commercial disputes involving provider fraud and abuse, class actions, drug coverage, insured class actions, and commercial contract disputes.
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As a candidate for Erie County executive, I promised to take action, and I am proud to announce the creation of the Erie County Medicaid Anti-Fraud Task Force, which will have the sole purpose of rooting out the provider - level waste, fraud and abuse that exists within Medicaid.
Poloncarz added, «This task force will serve as a strong deterrent against local providers» taking advantage of the system and, in instances when we identify waste, fraud or abuse, we now will have the ability to actually recover improper or illegal payments made to these providers.
ERIE COUNTY, NY — Today, Erie County Executive Mark C. Poloncarz announced the creation of the Erie County («County») Medicaid Anti-Fraud Task Force, which will be tasked with rooting out provider - level waste, fraud and abuse in Medicaid.
An intensified focus on rooting out provider - level waste, fraud, and abuse in the Medicaid system through the new County Medicaid Inspector General's Office,
The Medicaid Inspector General will oversee the newly created Medicaid Anti-Fraud Task Force, which will utilize the latest data - mining and investigatory tools to root out provider - level waste, fraud, and abuse in Medicaid.
«Medicaid represents the single largest cost to Erie County, and with the creation of the Erie County Medicaid Anti-Fraud Task Force earlier this summer, my administration intends to take aggressive action to root out the provider - level waste, fraud, and abuse that inherently exist within Medicaid,» said Poloncarz.
Additionally, the public presence of the unit will act as a strong deterrent to future waste, fraud, and abuse by providers.
Erie County Executive Mark Poloncarz has long advocated for working to lower the costs associated with Medicaid that are within our control — rooting out provider - level waste, fraud and abuse — and the creation of the Office of the Erie County Medicaid Inspector General is the culmination of years of work dating back to his days as Erie County Comptroller.
I find it interesting that in 2012, the County Executive pushed for the creation of the Medicaid Anti-Fraud Task Force to investigate and expose provider - level waste, fraud, and abuse within the system.
For example, as Comptroller, I issued a report examining Erie County's Medicaid Anti-Fraud Procedures and found, while the County actively worked to prevent waste, fraud and abuse of Medicaid by recipients, we did absolutely nothing when it came to abusive Medicaid providers.
He says the new task force will root out «provider - level» waste, fraud, and abuse from doctors, dentists, transportation services and pharmacists.
Through a partnership with New York State, we have created the Office of the Erie County Medicaid Inspector General, which has the sole purpose of rooting out this provider - level waste, fraud and abuse.
BUSINESS WIRE - Feb 4 - iovation, provider of the device reputation service for preventing online fraud and abuse, was presented with the award for Best New Technology at the first Internet Dating Awards ceremony which took place during the 7th annual Internet Dating Conference in Miami.
BUSINESS WIRE - Apr 9 - iovation, provider of the first device reputation service for preventing online fraud and abuse, has been chosen by AlwaysOn as one of the OnDemand Top 100 winners.
BUSINESS WIRE - Apr 20 - iovation, provider of the world's first device reputation service for preventing online fraud and abuse, partners with BoonEx, a white - label platform provider for community, social networking and dating sites.
PRESS RELEASE - Dec 4 - iovation, provider of the world's first device reputation service for preventing online fraud and abuse, has been recognized as a top finalist in the category of Best New Technology for the 2010 iDate Awards.
BUSINESS WIRE - Jan 26 - iovation, provider of the reputation service for preventing online fraud and abuse, today announced monthly recurring revenues are up 50 % over the beginning of 2009.
MARKETWIRE - Feb 21 - iovation, the provider of device reputation protection against online fraud and abuse, found that Africa had the highest rate of online fraud when compared to all other continents in 2012.
She also advises clients on physician self - referral (Stark law), fraud and abuse, Medicare and Medi - Cal provider enrollment and payment appeals, reimbursement, licensing, corporate practice of medicine, antitrust and other health care regulatory compliance matters.
Her experience includes advising health care providers and organizations on fraud and abuse laws, the corporate practice of medicine, and health care reform.
Selesnick and Medina also defend providers in government investigations for fraud and abuse, and routinely represent health care providers in complex business disputes.
Mr. Wasserman has represented a diverse group of health care providers and entities including hospitals, hospital medical staffs, long - term care facilities, physicians, physician specialty organizations, and other health - related entities in matters of health and hospital law, including, without limitation: the analysis of health care fraud and abuse matters, JCAHO matters, reimbursement issues, tax - exempt issues, and other corporate compliance and federal and state regulatory matters.
He has represented health care providers in government and internal investigations of alleged fraud and abuse.
He handles matters for clients involving: Medicare and Medicaid program certification, coverage, billing, and payment; hospital, physician, and other provider transactions; fraud and abuse; compliance; internal and external audits; disclosures and repayments; graduate medical education accreditation and payment; physician and non-physician practitioner scope of practice, coverage, coding and billing; and federal health care legislation and rulemaking.
Andy Fontalbert has 20 + years of health care experience: 15 + years of consulting, fraud and abuse projects, provider and member portal projects, Project Management of Private Health Exchange, multiple management positions for Medicaid projects, 20 + years claims experience, 15 + years Project Management, 20 + years Prescription Benefits Management, 20 + years complex policy and procedures within health care, multiple system imp...