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NJ's Largest Hospital System Ends In-Network Partnership With Horizon Over Price Disputes NJ's Largest Hospital System Ends In-Network Partnership With Horizon Over Price Disputes
NJ's Largest Hospital System Ends In-Network Partnership With Horizon Over Price Disputes Hackensack Meridian Health announced it is ending its in-network partnership with Horizon Blue Cross Blue Shield, effective June 1. A spokeswoman for Hackensack Meridian Health, New Jersey's largest not for profit healthcare organization, said they were unable to reach an agreement despite "lengthy negotiations."  "We have been and remain committed to reaching an agreement but must receive fair care reimbursements from Horizon to continue to invest in the care, medical technology, and locations that the local communities we serve rely on and expect," Jessica Cohen Nussman, public …

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by Sam Barron
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USPS Worker Used Fake NJ Documents In $130K Welfare Fraud Scheme: DA USPS Worker Used Fake NJ Documents In $130K Welfare Fraud Scheme: DA
USPS Worker Used Fake NJ Documents In $130K Welfare Fraud Scheme: DA A Freeport woman and U.S. Postal Service employee is accused of defrauding public assistance programs of more than $130,000 by failing to report her income from two jobs and rental properties, Nassau County District Attorney Anne Donnelly announced Friday, Jan. 10. Angelique White, 32, allegedly received childcare and Medicaid benefits between 2017 and 2021 while omitting her income from the U.S. Postal Service, Northwell Health, and two rental properties she co-owned in Elmont and Freeport, according to Donnelly. White was arraigned Thursday before Judge Robert Pipia on charges of Grand La…

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by Jillian Pikora
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PA Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller PA Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller
PA Lab Must Pay $7.3M To NJ After Charging $1,000 For $3 For Drug Tests: Comptroller A Pennsylvania-based lab has been ordered to pay $7.3 to the state of New Jersey after overcharging New Jersey’s Medicaid program for urine drug testing services, officials said. Atlantic Diagnostic Laboratories (ADL) in Bensalem violated Medicaid regulations when it charged Medicaid as much as $1,035 per drug test while charging other payers as little as $2.38 for the same test, New Jersey's State Comptroller's office (OSC) said citing an audit report. Medicaid paid ADL between $63.40 and $180.40 for these same services. ADL also improperly billed for tests that the physician or …

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by Cecilia Levine
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Poor Conditions, Fraud: State Seizes Control Of 2 NJ Nursing Homes Poor Conditions, Fraud: State Seizes Control Of 2 NJ Nursing Homes
Poor Conditions, Fraud: State Seizes Control Of 2 NJ Nursing Homes A pair of South Jersey nursing homes, riddled with poor conditions and alleged Medicaid fraud, have been turned over to the control of an independent receiver, authorities said. The state Comptroller previously suspended the owners of Deptford Center for Rehabilitation and Healthcare and Hammonton Center for Rehabilitation and Healthcare from New Jersey Medicaid. A Superior Court judge ordered the appointment of Allen Wilen of the Eisner Advisory Group, LLC to run the nursing homes effective June 17, according to the New Jersey Comptroller's Office. The judge's appointment means that the r…

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by Jon Craig