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    Fake DEA extortion scam resurfaces in California

    August 08, 2019
    Scam artists posing as U.S. Drug Enforcement Administration (DEA) agents are calling California physicians and consumer...

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    TRICARE West providers targeted in phishing scam

    May 31, 2019
    Health Net Federal Services recently notified providers about an email phishing scam targeting TRICARE West Region prov...

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    CMA survey finds rampant health plan payment abuses

    March 30, 2018
    Despite a California law passed in 2000 to address widespread payment abuses by health care service plans, many payors ...

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    Physicians encouraged to warn patients of new Medicare scam

    March 19, 2018
    Seniors in California are being targeted by a new Medicare card phone scam. Medicare beneficiaries are getting calls fr...

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    Physicians targeted by identity theft tax scam

    February 23, 2017
    The California Medical Association (CMA) has received reports from physicians that fraudulent federal income tax return...

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    CMS auditing physicians who inappropriately bill Medi-Medi patients

    December 21, 2016
    The Centers for Medicare and Medicaid Services (CMS) recently instructed Medicare contractors to begin issuing complianc...

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    Pharmacy board warns of fraudulent prescriptions for controlled substances

    November 10, 2016
    The California State Board of Pharmacy recently warned pharmacies of an uptick in fraudulent California security prescr...

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    Reminder: Practices should be wary of virtual credit card fees

    April 05, 2016
    Is your practice accepting virtual credit card (VCC) payments from payors? If so, you risk losing a significant amount ...

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    Medi-Cal identifies and fixes system issue

    November 09, 2015
    In July, Medi-Cal announced it had identified a system issue that caused resubmission turnaround documents (RTDs) to b...

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    Physician association sues Chinese Community Health plan for fraudulent business practices

    August 17, 2015
    The Chinese Community Health Care Association (CCHCA)—a San Francisco independent physician organization representing n...

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    Physicians warned of identity theft tax scam

    April 28, 2015
    For a second year, the California Medical Association (CMA) has received reports from physicians that fraudulent federa...

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    CMS announces new rules to curb Medicare fraud

    December 10, 2014
    The Centers for Medicare and Medicaid Services (CMS) announced new rules will improve CMS’ ability to deny or revoke ...

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    DMHC audit finds Anthem, Blue Shield Covered California directories violate state law

    November 20, 2014
    The California Department of Managed Health Care (DMHC) released the results of a five-month investigation of the Anthe...

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    CMS must provide better oversight to prevent duplicate audits says GAO study

    August 14, 2014
    A newly released study by the federal General Accounting Office (GAO) found that the Centers for Medicare and Medicaid ...

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    CMS announces resumption of limited Medicare audits

    August 07, 2014
    The Centers for Medicare and Medicaid Services (CMS) said it will restart the Recovery Audit Contractor (RAC) program f...

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    Physicians warned of identity theft tax scam

    May 01, 2014
    The California Medical Association (CMA) has recently become aware of a tax scam directed at physicians. CMA has receiv...

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    CMS suspends RAC audits, sets up physician safeguards

    March 18, 2014
    Physicians and hospitals will get a short reprieve from Medicare’s recovery audit contractors (RAC) until next fall, ac...

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    Budget instructs CMS to reform RAC audits that have been troubling physicians

    January 17, 2014
    Within the federal appropriations bill recently passed by Congress, soon to be signed by President Obama, is little kno...

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    OIG calls for EHR audits by CMS to prevent meaningful use fraud

    January 13, 2013
    The Centers for Medicare & Medicaid Services (CMS) has paid roughly $4 billion to about 82,500 professionals and 1,500 h...

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