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Medicare fraud nets 20-year prison sentence for Miami physician
A Miami-Dade doctor convicted of pocketing more than $1 million for writing phony prescriptions for unnecessary HIV...
OIG Targets FL Providers for Medicare Abuses
Miami-Dade County in Florida is targeted in two Office of Inspector General reports, one which scrutinizes spending on...
WellCare Settlement Tally Tops $427 Million
Monday's class-action settlement of about $194 million resolves all litigation stemming from a four-year-old fraud...
Medicare detectives lag on reporting
They don’t seem that interested in hot pursuit. It took private sleuths hired by Medicare an average of six...
Whistleblower’s complaint about WellCare Health Plans unsealed
The complaint that launched a federal investigation of WellCare Health Plans four years ago by a whistleblower within...
System to Detect Medicare Part D Fraud is Badly Flawed
The federal system designed to sniff out fraud and abuse within Medicare's Part D prescription drug benefit has been...
South Florida flagged in Medicare fraud report
Only 2% of the nation's Medicare beneficiaries live in South Florida, but that region accounts for 17% of Medicare's...
Two Miami-Dade doctors, two assistants convicted of Medicare fraud
A federal jury has convicted two Miami-Dade doctors and two medical assistants of plotting to submit millions of...
Medicare fraud focus may shift to patients
Federal officials say patients play a large role in the fraud overwhelming the national Medicare system. While...
Two West Tennessee hospitals agree to Medicare settlement
Two West Tennessee hospitals have agreed to a $7.9 million settlement for overbilling Medicare, according to federal...

Audio Conference: Condition code 44: Best Practices for a Compliant Process
During this 90-minute audio conference, our expert speakers offer advice on how to create a process to identify the...