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false claims


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publication date

Payer
Jury Finds ENT Doc Guilty of Reusing Disposable Sinuplasty Devices, Related Fraud Charges
John Commins | January 30, 2023
Anita Louise Jackson, MD, faces up to 20 years in prison when she is sentenced later this year.
Innovation
Using Digital Health to Fight Healthcare Misinformation
Eric Wicklund | December 20, 2022
Researchers at the University of Illinois and OSF HealthCar are working on a digital health app that would enable providers...
Payer
3 Providers Will Pay $22.5M to Settle Medi-Cal False Claims Allegations
John Commins | December 08, 2022
Prosecutors say the settlements resolve allegations of an 'organized scheme to wrongfully retain federal funds.'
Strategy
Sutter Health Will Pay $13M to Settle False Claims Allegations
John Commins | October 26, 2022
DOJ says Sutter billed government payers for urine tests performed by third-party labs.
Payer
DOJ sues Cigna for Medicare Advantage Overpayments
Laura Beerman | October 24, 2022
The Justice Department is intervening in a whistleblower lawsuit, first filed in 2017.
Payer
Centene Gave Thousands to Georgia Leaders' Campaigns While Facing Medicaid Overbilling Questions
Kaiser Health News | October 18, 2022
St. Louis-based Centene Corp. says it's working to settle Medicaid billing issues with nine states.
Payer
Centene to Pay MassHealth $14M for Medicaid Overcharges
John Commins | September 30, 2022
Centene allegedly used its subsidiary PBM to overcharge the Bay State's Medicaid program.
Revenue Cycle
House Seeks HHS Probe of HCA ER Admissions Practices
John Commins | September 15, 2022
The House Subcommittee on Oversight raises concerns about the for-profit health system's billing practices and reports of chronic understaffing.
Clinical Care
NY-Presbyterian/Queens Hospital Pays $2.5M to Settle Self-Disclosed Fraud Allegations
John Commins | September 15, 2022
A former physician at the prestigious health system endangered patients when he unnecessarily replace batteries for implanted difibrillators.
Telehealth
OIG Audit Backs Medicare Telehealth Integrity
John Commins | September 08, 2022
However, 'high risk' providers billed the program for $127.7 million for telehealth services in the first year of the pandemic.
Revenue Cycle
Vision Quest Industries to pay $2.25M to resolve false claims act allegations
Office of Inspector General | August 31, 2022
Vision Quest Industries, Incorporated (VQ) has agreed to pay the United States $2.25 million to resolve False Claims Act allegations...
Post-Acute
Nursing Homes Found to be Underreporting Pressure Ulcers
Jasmyne Ray | August 19, 2022
Findings indicates an ?urgent need? for an alternative approach to measuring patient safety in nursing homes, researchers say.
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