Sunshine Health Medicaid Fraud

Listing Websites about Sunshine Health Medicaid Fraud

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Reporting Healthcare Fraud, Waste & Abuse Sunshine Health

(7 days ago) WebWhen reporting about someone who gets benefits, include: Potential Fraud, Waste or Abuse reporting may be called to Sunshine Health's anonymous and confidential hotline at 1 …

https://www.sunshinehealth.com/members/medicaid/resources/reducing-fraud.html

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Fraud, Waste and Abuse Provider Resources Sunshine Health

(6 days ago) WebPotential Fraud, Waste or Abuse reporting may be called to Sunshine Health's anonymous and confidential hotline at 1-866-685-8664 or by contacting the Compliance Officer at 1 …

https://www.sunshinehealth.com/providers/provider-training/report-fraud.html

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Reporting Healthcare Fraud, Waste & Abuse Sunshine Health

(Just Now) WebSunshine Health is serious about finding and reporting times when Florida Medicaid funds are used in the wrong way. Learn what you can do about healthcare fraud. Reporting …

https://www.sunshinehealth.com/content/sunshine-new/en_us/members/cms/resources/reducing-fraud.html/

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Sunshine Health Plan settles $9M+ fine for violating Medicaid …

(1 days ago) WebSunshine Health Plan paid the fine early. Florida’s largest Medicaid managed care plan paid a $9 million fine this week for failing to pay, or to timely pay, …

https://floridapolitics.com/archives/517178-sunshine-health-plan-settles-9m-plus-fine-with-florida-for-violating-medicaid-contract/

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MEDICAID AND MEDICARE FRAUD, WASTE AND ABUSE …

(8 days ago) WebWhen in doubt, call the Plan’s Medicaid/Medicare Compliance hotline at 1-800-345-1642 or Sunshine Health’s anonymous and confidential hotline at 1-866-685-8664 or the Interim …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/2018-FWA-Training-Providers%20-Medicaid.pdf

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Fraud, Waste and Abuse - Wellcare

(9 days ago) WebSunshine Health; A A A. Search. Enter Keyword Search. Fraud, Waste and Abuse Fraud, Waste and Abuse . You Can Make a Difference. Report Suspected Fraud. Medicare …

https://wellcare.sunshinehealth.com/member-resources/member-rights/fraud-waste-abuse.html

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We Asked Prosecutors if Health Insurance Companies …

(1 days ago) WebCalifornia is known for sunshine, surf and health care scams. It’s so rife with suspicious bills and kickbacks that the feds based a Medicare Fraud Strike Force in its ground zero for schemes

https://www.propublica.org/article/we-asked-prosecutors-if-health-insurance-companies-care-about-fraud-they-laughed-at-us

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Florida fines largest Medicaid payment vendor - Health News …

(5 days ago) WebThe Agency for Health Care Administration in its letter acknowledged that Sunshine State’s billing problems were “non-willful.” The letter, signed by Florida’s …

https://health.wusf.usf.edu/health-news-florida/2022-03-24/florida-fines-largest-medicaid-payment-vendor-nearly-9-1-million-over-billing-glitches

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PROCEDURE - Brevard Family Partnership

(7 days ago) WebSunshine Health Fraud and Abuse Compliance and Anti-Fraud Plan as it relates to clients enrolled in the Medicaid funded integrated health plan, as well as to ensure that BFP …

https://brevardfp.org/wp-content/uploads/2020/08/OP1168-Fraud-Waste-Abuse-Prevention-Reporting-and-Training-Anti-Fraud-Plan.pdf

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Fraud, Waste and Abuse Provider Resources Sunshine Health

(5 days ago) WebPotential Fraud, Squander or Abuses report may remain called to Sunshine Health's anonymous and confidential hotline at 1-866-685-8664 or by contacted the Compliance …

https://bclgcommunity.com/free-fraud-waste-and-abuse-training-certification

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Laws Against Health Care Fraud Fact Sheet - Centers for …

(5 days ago) WebThe Health Care Fraud Statute makes it a criminal offense to knowingly and willfully execute a scheme to defraud a health care benefit program. Health care fraud is …

https://www.cms.gov/files/document/overviewfwalawsagainstfactsheet072616pdf

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Reporting Healthcare Fraud, Waste & Abuse Sunshine Health

(2 days ago) WebPotential Fraud, Waste or Abuse reporting may be called to CMS Health Plan's anonymous and confidential hotline at 1-866-685-8664 or by contacting the Compliance Officer at 1 …

https://www.sunshinehealth.com/members/cms/resources/reducing-fraud.html

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Doctor And Three Others In Bergen County Charged In $10 Million …

(6 days ago) WebThe count of conspiracy to commit health care fraud is punishable by a maximum of 10 years in prison; the count of violating the federal anti-kickback statute is …

https://www.justice.gov/usao-nj/pr/doctor-and-three-others-bergen-county-charged-10-million-health-care-fraud-scheme

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State of New Jersey

(4 days ago) Web“This brazen raid on the Medicaid system is a crime against all New Jersey taxpayers. We urge everyone to fight back by reporting insurance fraud that makes …

https://www.nj.gov/oag/newsreleases19/pr20190509c.html

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Three Home Health Aides Indicted on - State of New Jersey

(Just Now) WebElhan Gurban, 52, of Fort Lee, was charged with 45 counts of second-degree health care claims fraud and one count each of third-degree Medicaid fraud and third …

https://nj.gov/oag/newsreleases14/pr20140709b.html

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Florida Medicaid & Health Insurance Sunshine Health

(1 days ago) WebDiscover job opportunities with Sunshine Health Works. We urge all providers to utilize the prior authorization form alongside the dedicated fax line for DME/HHC …

https://www.sunshinehealth.com/

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WebThe only entity that Sunshine Health delegates grievance and appeals to is Cenpatico. All other vendors must send complaints, grievances, and appeals pursuant to the process …

https://physicianscarenetwork.org/images/stories/NEW_Sunshine-quick_reference.pdf

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Las Vegas doctor found guilty in $2 million Medicare, Medicaid …

(5 days ago) WebDr. Eduardo Abellana, a 75-year-old Las Vegas doctor, was convicted of conspiracy to commit health care fraud and conspiracy to defraud the United States and …

https://www.ktnv.com/news/crime/las-vegas-doctor-found-guilty-in-2-million-medicare-medicaid-fraud-scheme

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Sunshine Health Works Sunshine Health

(6 days ago) WebThe Sunshine Health Works program pioneers a transformative approach to combat healthcare labor shortages across Florida. Report Fraud, Waste and Abuse

https://www.sunshinehealth.com/newsroom/sunshine-health-works.html

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Member FAQ - Wellcare

(Just Now) WebWellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D …

https://wellcare.sunshinehealth.com/member-resources/new-members/member-faq.html

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Fraud, Waste and Abuse Sunshine Health

(5 days ago) WebLas denuncias sobre posible fraude, derroche o abuso se pueden hacer a la línea directa anónima y confidencial de Sunshine Health al 1-866-685-8664 o poniéndose en …

https://www-es.sunshinehealth.com/members/smi/resources/reducing-fraud.html

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Reporting Healthcare Fraud, Waste & Abuse Sunshine Health

(9 days ago) WebTo report suspected fraud, waste, abuse, or neglect in the Florida Healthy Kids programs, please use one of the following avenues: AHCA Consumer Complaint Hotline: 1-888-419 …

https://www.sunshinehealth.com/members/cms/resources/reducing-fraud/reducing-fraud21.html

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Action Details - Office of Inspector General

(8 days ago) WebDamian Williams, the United States Attorney for the Southern District of New York, and Naomi Gruchacz, the Special Agent in Charge of the New York Regional …

https://oig.hhs.gov/fraud/enforcement/us-attorney-announces-101-million-settlement-with-managed-long-term-care-plan-for-improper-receipt-of-medicaid-payments/

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