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    • FRAUD AND ABUSE—6th Cir.: Unlicensed nurse’s patient-care duties justified sentencing enhancement for risk of serious bodily injury
    • ANTI-KICKBACK PROHIBITION—SETTLEMENT AGREEMENTS: New Jersey lab testing service agrees to pay over $13 million to settle false claims allegations
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    • COST REPORTS—OIG REPORTS: Medicare Cost Report oversight failed to detect obvious settlement errors
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    Health Law Daily Wrap Up, COST REPORTS—OIG REPORTS: Medicare Cost Report oversight failed to detect obvious settlement errors, (Nov 13, 2026)

    By: K. C. Salcedo

    CMS lacked visibility and quality assurance processes to detect the MACs’ settlement errors and corrective actions.

    The Department of Health and Human Services Office of Inspector General concluded that the CMS did not adequate ...

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