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Cleveland Clinic Accused of Medicare Fraud in Lawsuit
A federal lawsuit accuses the Cleveland Clinic Health System of performing more tests and procedures on patients than necessary in order to obtain more Medicare payouts.
A federal lawsuit accuses the Cleveland Clinic Health System of performing more tests and procedures on patients than necessary in order to obtain more Medicare payouts.
The lawsuit, which was filed under seal in March 2014 but unsealed on Tuesday, says the health system performs tests "that have already been done to confirm a diagnosis that has already been made for the purpose of financial gain." It accuses the clinic of "improper and excessive billing."
The suit was filed under the False Claims Act, a law used to prosecute companies that defraud governmental programs. Under the law, a claim is brought by a plaintiff called a "relator," who files the case on behalf of the US government.
Read more: http://bit.ly/1xKh1MT
Source: cleveland.com
Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care Enrollees
January 23rd 2025On this episode of Managed Care Cast, we speak with the author of a study published in the January 2025 issue of The American Journal of Managed Care® to examine the association between quantitative network adequacy standards and mental health care access among adult Medicaid enrollees.
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