fraud
publication date
Technology
Infographic: Healthcare Sector Leads Rank for Ransomware Attacks
Healthcare has a big target on its back when it comes to ransomware attacks.
Payer
Benefytt Technologies to Pay $100M Over Fake Health Plans
Scams are on the rise and health insurance is no exception.
Technology
Timeline of the Change Healthcare Attack
The Change Healthcare ransomware attack has affected health systems nation-wide for almost a month now.
Revenue Cycle
Whistleblower Accuses Aledade, Largest U.S. Independent Primary Care Network, of Medicare Fraud
Aledade Inc.'s billing apps allegedly improperly boosted revenues by adding overstated medical diagnoses to patients' EHRs.
Revenue Cycle
MultiCare Faces Fraud Allegations in DOJ, Washington State Complaint
The allegations stem from a whistleblower lawsuit filed against a former neurosurgeon at Deaconness Hospital in Spokane.
Revenue Cycle
Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste, and Abuse
Federal regulators have announced enhanced oversight of new hospices in Arizona, California, Nevada, and Texas, targeting providers highlighted by a...
Post-Acute
Philadelphia Home Care Provider Ordered to Pay More Than $7M in Back Wages, Damages
The agency owes back wages to 1,230 current and former employees.
Post-Acute
Former Nursing Home Admin to Pay $3.46M in 'Kickbacks,' Medicare Fraud Settlement
In one scheme, the former administrator allegedly paid a hospital supervisor for patient referrals.
Revenue Cycle
Whistleblower Costs Health System $12M for Fraudulent Billing
A large health system allegedly issued claims for urgent care services billed at a higher level of service than received...
Revenue Cycle
Whistleblower Gets Large Health System Dinged Half a Million for Overbilling
Yale New Haven Health and Northeast Medical Group have agreed to a hefty settlement for allegedly submitting false claims to...
Payer
The Shadowy Financial Empire Built Around Liberty HealthShare Is Showing Signs of Strain
Beers family members built a 'conglomerate' by selling a Christian alternative to traditional health insurance. They're now scrambling for cash,...
Now-Defunct Hope Home Health to Pay $150K In Improper Billing Settlement
The agency and its owner were found to have violated the Connecticut False Claims Act.