MedProComp

Healthcare Compliance, Easy & Affordable

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21st Century Cures Bill Passes Senate

Dive Brief: The Senate voted 94-5 on Wednesday to pass the 21st Century Cures Act. The legislative package will now head to President Obama’s desk, who is expected to sign the bill into law. Over the course of 10 years, the Cures bill authorizes the National Institutes of Health to spend $4.8 billion toward funding…

21st Century Cures Bill Passes Senate was originally published on

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Iowa Dental Chain Settles Federal Whistleblower Lawsuit

An Iowa dental office chain has settled a whistleblower lawsuit alleging Medicaid fraud. The Des Moines Register reports  that Lifepoint Dental Partners, which has five clinics in Iowa, agreed to pay $300,000 to settle the lawsuit filed in April by federal prosecutors and the company’s former chief financial officer, Todd Willson, and a former financial…

Iowa Dental Chain Settles Federal Whistleblower Lawsuit was originally published on

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FLSA Overtime Rule Hearing Decision Expected Next Week

UPDATE: A ruling is expected to be issued on November 22, National Law Review reported. Another hearing trial could be set on November 28 if the motion is denied, NLR reported. This doesn’t leave much time to wait out whether the rule will stay in place or not. Thus, it’d be best to prep a…

FLSA Overtime Rule Hearing Decision Expected Next Week was originally published on

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Obama Administration Disperses Last of Grants to Fund Health Information Exchanges

With its economic stimulus funds dwindling, the out-going Obama administration is still backing health information exchanges meant to spur better patient care. Using leftover money from a $2 billion appropriation, the Office of the National Coordinator for Health Information Technology at HHS awarded grants totaling nearly $2.4 million to four state HIEs. The Delaware Health…

Obama Administration Disperses Last of Grants to Fund Health Information Exchanges was originally published on

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Is Paul Ryan Already Eyeing Medicare Cuts?

House Speaker Paul D. Ryan said Thursday that Medicare has “serious problems” that would need to be addressed when Congress moves to repeal and replace President Obama’s health-care reform law — a signal that he is willing to immediately enter the treacherous politics of entitlement reform and perhaps break with President-elect Donald Trump. “When Obamacare…

Is Paul Ryan Already Eyeing Medicare Cuts? was originally published on

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Mother, Son Face Prison Time for Pharmacy Fraud

A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud conspiracy that targeted Medicare Part D. Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Wifredo A. Ferrer of the…

Mother, Son Face Prison Time for Pharmacy Fraud was originally published on

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Senators Demand Mylan Repay $50M to the Pentagon for EpiPen

A group of senators wants to know if Mylan Pharmaceuticals will refund $50 million for charging the Department of Defense “exorbitant rates” at retail pharmacies for the EpiPen emergency allergy device. Their demand followed a Reuters report last week that Pentagon spending on EpiPen rose to $57 million over the past year from $9 million in 2008.…

Senators Demand Mylan Repay $50M to the Pentagon for EpiPen was originally published on

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Feds Probing Express Scripts' Relationships with Drugmakers, Specialty Pharmacies

Federal investigators are looking into Express Scripts’ dealings with pharma companies, charitable foundations and specialty pharmacies. The nation’s largest pharmacy benefit manager on Tuesday revealed it received a civil investigative demand in August from the U.S. Attorney’s Office for the Southern District of New York asking for information about the firm’s relationships with drug makers and…

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2017 Trial for Alleged Leader in $1B Health Care Fraud

A fall 2017 trial date is set for a South Florida businessman accused of orchestrating a $1 billion Medicare and Medicaid fraud scheme. Court records show a Miami federal judge on Wednesday scheduled 48-year-old Philip Esformes’ trial for Sept. 18. Esformes, who has pleaded not guilty, faces a potential life prison sentence if convicted of…

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CHS Ups Hospital Divestitures to 17

Community Health Systems is now working on seven transactions to sell 17 hospitals, its home-care business and other real estate, CEO Wayne Smith said during a third-quarter earnings call with analysts Wednesday. The developing divestitures have combined revenue of about $2 billion and should yield net proceeds of about $1.2 billion, Smith said. Some of…

CHS Ups Hospital Divestitures to 17 was originally published on

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What the 2016 Presidential Election Could Mean for ACA's Future

At the federal level, the nation’s two major political parties have vastly different visions for the future of healthcare. The election will help to determine which course the nation follows for the foreseeable future. What are the likely outcomes depending on who wins the presidency? A Republican in the White House could spell the end…

What the 2016 Presidential Election Could Mean for ACA’s Future was originally published on

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CMS' Slavitt Signals Tough Stance on Drug Costs

Dive Brief: As the U.S. faces increasing drug costs, pharmaceutical companies and investors can either continue to fight reality or to face it, CMS acting Administrator Andy Slavitt told attendees at last week’s Biopharma Congress in Washington, DC. As things stand, the cost increases are putting excessive pressure on the Medicare program, as well as state…

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Dental Clinic Owners Indicted for Health Care, Payroll Tax Fraud

Tammy Dickinson, United States Attorney for the Western District of Missouri, announced today that Marshfield, Mo., husband and wife have been indicted by a federal grand jury for their roles in health care fraud and payroll tax fraud schemes that totaled more than $1 million. Pamela Van Drie, 57, and her husband, Lorin G. Van…

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Walgreens Clinical Pharmacy Manager Pleads Guilty to Fraud Scheme

On Oct. 25, 2016, Amber Reilly, 33, of Jonesborough, Tenn., pleaded guilty to one count of healthcare fraud contained in a federal information, before the Honorable J. Ronnie Greer, U.S. District Judge.  Reilly was the former Clinical Pharmacy Manager at the Walgreens Specialty Pharmacy located in the Holston Valley Hospital in Kingsport, Tenn. Sentencing has…

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Former American Senior Communities Executives Indicted

United States Attorney Josh J. Minkler announced the indictment of four individuals for their roles in a vast fraud, kickback, and money laundering scheme involving Indiana nursing home chain American Senior Communities (ASC).  Those charged include James Burkhart, 51, of Carmel, who formerly served as ASC’s Chief Executive Officer, and Daniel Benson, 51, of Fishers, who…

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Lifecare Settles Whistleblower Lawsuit for $145 Million

Life Care Centers of America Inc. (Life Care) and its owner, Forrest L. Preston, have agreed to pay $145 million to resolve a government lawsuit alleging that Life Care violated the False Claims Act by knowingly causing skilled nursing facilities (SNFs) to submit false claims to Medicare and TRICARE for rehabilitation therapy services that were…

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Treating The Patient vs. The Healthcare System

The Physicians Foundation recently released its findings from this year’s biennial physician survey.  What surprised us the most, or should we say amazed us, were the 10,170 physicians who took the additional time to send us commentaries that filled more pages than in Gone with the Wind.  That act alone demonstrates how strongly physicians feel…

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