Molina Healthcare Fraud Law

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Molina whistleblower case moves forward after SCOTUS

(5 days ago) WEBA whistleblower case claiming Molina Healthcare overbilled the Illinois Medicaid program will move forward after the U.S. Supreme Court declined to hear a …

https://www.healthcaredive.com/news/supreme-court-molina-false-claims-act-whistleblower/634504/

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Molina to pay $4.6M to settle False Claim Act allegations

(9 days ago) WEBDive Insight: The Long Beach, California-based managed care company is the latest to settle a False Claim Act violation with the DOJ, which settled over $5.6 …

https://www.healthcaredive.com/news/molina-healthcare-agrees-pay-over-46-million-false-claim-act-suit/625846/

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Molina Healthcare settles False Claims Act allegations

(3 days ago) WEBMolina Healthcare and its former subsidiary, Pathways of Massachusetts, agreed to pay more than $4.6 million to resolve false claims and whistleblower …

https://www.modernhealthcare.com/legal/molina-healthcare-settles-false-claims-act-allegations

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Fraud Prevention - Molina Healthcare

(8 days ago) WEBHere are a few helpful tips on how you can help prevent healthcare fraud and abuse: • Do not give you Molina ID card or number to anyone except your doctor, clinic, hospital or other healthcare provider. • …

https://www.molinahealthcare.com/members/common/en-US/mem/marketplace/quality/fraud.aspx

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Molina must face claim of false billing for nursing home - Reuters

(5 days ago) WEBManaged care company Molina Healthcare must face a whistleblower lawsuit accusing it of fraudulently billing Illinois' Medicaid program for nursing home …

https://www.reuters.com/legal/litigation/molina-must-face-claim-false-billing-nursing-home-patient-care-2021-08-19/

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Fraud - Molina Healthcare

(8 days ago) WEBTo report suspected Medicaid fraud, contact Molina Healthcare AlertLine at: Toll free, 866-606-3889. or. Complete a report form online at: …

https://www.molinahealthcare.com/members/fl/en-US/mem/medicaid/overvw/quality/fraud.aspx

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Molina Healthcare Fraud Allegations Will Go Back to Trial Court

(3 days ago) WEBMolina Healthcare Fraud Allegations Will Go Back to Trial Court. A whistleblower will have another chance to allege Molina Healthcare of Illinois Inc. …

https://news.bloomberglaw.com/federal-contracting/molina-healthcare-fraud-allegations-will-go-back-to-trial-court

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Fraud Medicare - Molina Healthcare

(1 days ago) WEBHealth care fraud is: Call the Toll-Free number of the Molina Healthcare Anti-Fraud Line: (866) 606-3889 TTY/TTD: 711. 24 hours a day, 7 days a week . (Information …

https://www.molinahealthcare.com/members/sc/en-US/mem/medicare/quality/fraud.aspx

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Molina Healthcare of Florida Agreed to Pay $257,000 for …

(4 days ago) WEBAfter it self-disclosed conduct to the OIG, Molina Healthcare of Florida, Inc. (Molina), Florida, agreed to pay $257,111 for allegedly violating the Monetary Penalties …

https://oig.hhs.gov/fraud/enforcement/molina-healthcare-of-florida-agreed-to-pay-257000-for-allegedly-violating-the-civil-monetary-penalties-law-by-paying-remuneration-in-the-form-of-above-fair-market-value-capitation-rates/

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Unsealed whistleblower lawsuit accuses Molina of fraud in Illinois …

(9 days ago) WEBMolina covered 233,000 people across the state as of Sept. 30, 2018. RELATED: The lawsuit was filed by Thomas Prose, M.D., the CEO and founder of …

https://www.fiercehealthcare.com/payer/unsealed-whistleblower-lawsuit-accuses-molina-medicaid-fraud

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New York Fraud and Abuse - Molina Healthcare

(4 days ago) WEBThe names of individuals and/or entity involved in suspected fraud and/or abuse including address, phone number, Medicaid ID number and any other identifying information. You …

https://www.molinahealthcare.com/providers/ny/medicaid/policies/fraud.aspx

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Fraud - Molina Healthcare

(9 days ago) WEBYou may report fraud and abuse to Molina Healthcare through one of the following: Telephone. The Molina Healthcare AlertLine is available 24/7. It can be …

https://www.molinahealthcare.com/members/ca/en-US/mem/medicaid/medical/quality/fraud.aspx

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2022 Molina Compliance Program - Molina Healthcare

(6 days ago) WEBThe Molina Compliance Program strives to improve operational quality by fulfilling four primary goals: Demonstrate our commitment to compliance and ethical and legal …

https://myhealthinhand.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/ma/materials/swh-compliance-program.pdf

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Whistleblower News: Molina Healthcare Whistleblower, Wirecard, …

(2 days ago) WEBAXIOS. A newly unsealed lawsuit accuses Molina Healthcare of cutting corners in its mental health services for children and defrauding Medicaid in the process. …

https://www.hbsslaw.com/blog/whistleblower-news-molina-healthcare-whistleblower-wirecard-ponzi-schemes

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SEC Filing Molina Healthcare Inc.

(4 days ago) WEBMolina Healthcare, Inc., a FORTUNE 500 company (currently ranked 125), provides managed healthcare services under the Medicaid and Medicare programs, and through …

https://investors.molinahealthcare.com/node/22691/html

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Manhattan U.S. Attorney Announces Charges Against 36 …

(Just Now) WEBManhattan U.S. Attorney Announces Charges Against 36 Individuals for Participating in $279 Million Health Care Fraud Scheme Under New York state law, every vehicle …

https://www.fbi.gov/newyork/press-releases/2012/manhattan-u.s.-attorney-announces-charges-against-36-individuals-for-participating-in-279-million-health-care-fraud-scheme

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Healthcare Company Executives Sentenced for $4 Million Fraud

(9 days ago) WEBTwo former executives of OrthoNet, a healthcare claims processing company, have been sentenced for their roles in a scheme to steal millions from their employer, …

https://news.bloomberglaw.com/white-collar-and-criminal-law/healthcare-company-executives-sentenced-for-4-million-fraud

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Mgr, Special Investigative Unit (Remote) at Molina Healthcare

(Just Now) WEBMolina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $65,791.66 - $142,548.59 / ANNUAL *Actual compensation may vary from …

https://careers.molinahealthcare.com/job/united-states/mgr-special-investigative-unit-remote/21726/64467663248

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Kelley Niemeyer - Lead Investigator - Molina Healthcare - LinkedIn

(2 days ago) WEBCompliance Professional · Experienced compliance professional with strong knowledge of regulations, policies and laws governing healthcare compliance, managed care, and …

https://www.linkedin.com/in/kelley-niemeyer-5bb39310

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FTC Finalizes Changes to the Health Breach Notification Rule

(3 days ago) WEBThe Federal Trade Commission today announced it has finalized changes to the Health Breach Notification Rule (HBNR) that will strengthen and modernize the rule …

https://www.ftc.gov/news-events/news/press-releases/2024/04/ftc-finalizes-changes-health-breach-notification-rule

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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) WEB0:26. An Oradell-based hospice company allegedly defrauded the federal and state governments by putting nursing home residents who weren’t dying into hospice …

https://www.northjersey.com/story/news/health/2023/01/03/nurse-alleges-life-source-services-oradell-sent-patients-to-hospice-for-profit/69767967007/

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Fraud - Molina Healthcare

(4 days ago) WEBPlease select one of the states in which Molina Healthcare provides services. Select Your State Arizona California Florida Georgia Idaho Illinois Iowa Kentucky Massachusetts …

https://www.molinahealthcare.com/members/id/en-US/mem/lihp/overvw/quality/fraud.aspx

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Federal Agencies Launch Portal for Public Reporting of …

(2 days ago) WEBWe enforce federal competition and consumer protection laws that prevent anticompetitive, deceptive, and unfair business practices. Older Adults and Fraud: …

https://www.ftc.gov/news-events/news/press-releases/2024/04/federal-agencies-launch-portal-public-reporting-anticompetitive-practices-health-care-sector

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Newark Healthcare Fraud Lawyer - Robert J. Degroot Law

(7 days ago) WEBHealthcare Fraud Inquiries by Special Investigation Units If you are facing healthcare fraud charges, you want an criminal defense attorney with nearly 40 years of experience. …

https://robertjdegrootlaw.com/criminal-defense-overview/newark-healthcare-fraud-lawyer/

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Change Healthcare Finally Admits It Paid Ransomware Hackers

(Just Now) WEBCompounding Change Healthcare's mess is an apparent double-cross within the ransomware underground: AlphV, by all appearances, faked its own law …

https://www.wired.com/story/change-healthcare-admits-it-paid-ransomware-hackers/

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Feds Can Advance Drug Test Fraud Suit Against Oklahoma Clinic

(1 days ago) WEBProsecutors can move forward with a False Claims Act suit alleging that an Oklahoma City pain management clinic and its owner billed federal health-care …

https://news.bloomberglaw.com/federal-contracting/feds-can-advance-drug-test-fraud-suit-against-oklahoma-clinic

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What Is Prescription Drug Fraud? - Robert J. Degroot Law

(2 days ago) WEBPrescription drug fraud is the illegal procurement of a controlled substance use for medication. This form of fraud can occur in hospitals, pharmacies, and other …

https://robertjdegrootlaw.com/what-is-prescription-drug-fraud/

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