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.
InnovationUsing Digital Health to Fight Healthcare Misinformation
Researchers at the University of Illinois and OSF HealthCar are working on a digital health app that would enable providers...
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.'
StrategySutter Health Will Pay $13M to Settle False Claims Allegations
DOJ says Sutter billed government payers for urine tests performed by third-party labs.
PayerDOJ sues Cigna for Medicare Advantage Overpayments
The Justice Department is intervening in a whistleblower lawsuit, first filed in 2017.
PayerCentene Gave Thousands to Georgia Leaders' Campaigns While Facing Medicaid Overbilling Questions
St. Louis-based Centene Corp. says it's working to settle Medicaid billing issues with nine states.
PayerCentene to Pay MassHealth $14M for Medicaid Overcharges
Centene allegedly used its subsidiary PBM to overcharge the Bay State's Medicaid program.
Revenue CycleHouse Seeks HHS Probe of HCA ER Admissions Practices
The House Subcommittee on Oversight raises concerns about the for-profit health system's billing practices and reports of chronic understaffing.
Clinical CareNY-Presbyterian/Queens Hospital Pays $2.5M to Settle Self-Disclosed Fraud Allegations
A former physician at the prestigious health system endangered patients when he unnecessarily replace batteries for implanted difibrillators.
TelehealthOIG Audit Backs Medicare Telehealth Integrity
However, 'high risk' providers billed the program for $127.7 million for telehealth services in the first year of the pandemic.
Revenue CycleVision Quest Industries to pay $2.25M to resolve false claims act allegations
Vision Quest Industries, Incorporated (VQ) has agreed to pay the United States $2.25 million to resolve False Claims Act allegations...
Post-AcuteNursing Homes Found to be Underreporting Pressure Ulcers
Findings indicates an ?urgent need? for an alternative approach to measuring patient safety in nursing homes, researchers say.