Blog - Archive for Fraud Investigation

Nicholson & Eastin Successfully Defends RN Associated With Nursing School Scam and Accused of Obtaining License by Fraud

Posted on Firm News, Fraud Investigation, Professional Licensure Investigations November 21, 2023 by Parker Eastin

The Firm successfully defended the license of a Florida registered nurse wrongfully accused of obtaining her nursing license by fraud. The RN was one of many victims of a scam carried out by a criminal syndicate currently being prosecuted by the U.S. Department of Justice that involved alleged fraudulent nursing school transcripts and diplomas. The Read more →

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A Glimpse Into AHCA’s Oversight of Fraud, Waste, and Abuse in Florida’s Medicaid Program

Posted on Fraud Investigation, Health Care Law News October 6, 2023 by Rachel Broughton

The Agency for Health Care Administration (AHCA) is the state agency responsible for the licensure and regulation of health care providers in Florida as well as the administration and regulation of the state Medicaid program. Maintaining compliance with AHCA is extremely important for professionals in the healthcare industry and can oftentimes be challenging to navigate Read more →

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A Fraudulent Nursing Diploma Scheme Results in Federal Charges Against 25; DOH Rolls Out Enforcement Action Against Nursing Students

Posted on Firm News, Fraud Investigation, Health Care Law News, Professional Licensure Investigations, Uncategorized February 28, 2023 by Parker Eastin

The U.S. Attorney’s office for the Southern District of Florida has announced its pursuit of a fraudulent scheme whereby the administrators of three Florida nursing schools, along with employees at several nursing test prep academies in other states allegedly “created an illegal licensing and employment shortcut for aspiring nurses.” The scheme involved the selling of Read more →

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CMS Recently Proposed Important Change to 60-Day Overpayment Refund Rule

Posted on Fraud Investigation, Health Care Law News, Medicare Reimbursement February 27, 2023 by Erin Ferber

Recently, the Centers for Medicare & Medicaid Services (CMS) proposed a crucial revision to the 60-day overpayment rule, which could have a profound impact on Medicare participating providers and entities. Understanding these proposed changes is essential for healthcare providers to ensure compliance and avoid potential liability Current Overpayment Refund Rule Generally speaking, a provider must Read more →

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Deputy Attorney General Announces Significant Changes to DOJ Policies Regarding Corporate Investigations and Voluntary Self-Disclosure Incentives

Posted on Fraud Investigation, Health Care Law News October 7, 2022 by Rachel Broughton

On September 15, 2022, Deputy Attorney General Lisa Monaco published a memorandum which laid out the Department of Justice’s (DOJ) new guidelines for policies regarding corporate investigations and voluntary self-disclosures. The DOJ announced it would expand and/or clarify its policies on voluntary self-disclosure, making it its goal to reward companies that have invested in compliance Read more →

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