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Feds target FHA mortgage lenders in False Claims Act cases

USA - May 31 2013 Recent cases have shown a trend of financial institutions, including FHA mortgage lenders, being targeted in claims brought by the government under...

Camden R. Webb, Kacy L. Hunt.

CMS issues proposed rule on 60-day reportingrepayment obligation for overpayments to Medicare providers

USA - February 22 2012 As part of 2010's Affordable Care Act, a new section was added to the Social Security Act (Section 1128J(d)), which requires providers to report and return any overpayments they receive from Medicare or Medicaid within 60 days....

Civil suit challenging North Carolina Medicaid appeal procedures

USA - February 15 2012 A civil suit recently filed in North Carolina could affect who decides appeals of agency decisions related to the North Carolina Medicaid program, which could in turn affect the difficulty of appealing agency decisions by the Division of Medical Assistance....

Courts’ treatment of N.C. CON decisions uncertain in wake of procedural changes

USA - November 29 2011 Until now, in appeals challenging decisions by North Carolina’s Certificate of Need (CON) agency to approve or deny CON applications, it has not been unusual for administrative law judges (ALJs) to find that the agency was wrong and recommend that its decision be reversed only to have his or her recommendation rejected by the final agency decision maker in favor of the original agency decision....

CMS final rule mandates North Carolina Medicaid RAC program by January 2012

USA - November 18 2011 Healthcare providers are already familiar with Medicare RACs (Recovery Audit Contractors) established by the Centers for Medicare and Medicaid Services (CMS) to identify overpayments of federal dollars to Medicare providers....