Revenue CycleWhistleblower 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...
Human ResourcesUnions Ask DOJ to Investigate UPMC's 'Anticompetitive Tsunami'
SEIU, SOC accuse PA's largest health system of widespread abuses of market power.
PayerCovenant Healthcare Paid $69M to Settle FCA Allegations
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...
StrategyAHA, AHIP, AMA, PhRMA Alliance Urges SCOTUS to Uphold False Claims Ruling
Billions of dollars at stake as high court takes up central tenets of the FCA.
MarketingUPMC Will Pay $8.5M to Settle False Claims Allegations; Separate 'Sordid Vendetta' Defamation Suit Continues
The settlement is the latest development in an ongoing, bitter feud between former colleagues who've traded accusations of drug abuse...
PayerCentene to Pay $215M to Resolve Medi-Cal Drug Overcharges
Centene admits no wrongdoing in the settlement, but will pay back twice the value of its inflated price reporting.
StrategyDOJ Strikes 'Outdated' Policies That Tamp Healthcare Competition
Justice officials note that the withdrawn guidance hasn't kept pace with the rapidly changing healthcare landscape.
PayerJury Finds ENT Doc Guilty of Reusing Disposable Sinuplasty Devices, Related Fraud Charges
Anita Louise Jackson, MD, faces up to 20 years in prison when she is sentenced later this year.
PharmaMich. Woman Convicted in $65M Pharma 'Coupon' Scam
Suzan Berro submitted fake reimbursement claims to several drugmakers' co-pay assistance programs.
Payer3 Providers Will Pay $22.5M to Settle Medi-Cal False Claims Allegations
Prosecutors say the settlements resolve allegations of an 'organized scheme to wrongfully retain federal funds.'
Revenue CycleFormer physician sentenced for second healthcare fraud conviction
Damian Williams, the United States Attorney for the Southern District of New York, announced that SPYROS PANOS was sentenced to...
StrategySutter Health Will Pay $13M to Settle False Claims Allegations
DOJ says Sutter billed government payers for urine tests performed by third-party labs.