FinanceHospital Executive Charged in $1.4B Rural Hospital Billing Scheme
Prosecutors allege that Jorge A. Perez, 60, and nine others exploited federal regulations that allow some rural hospitals to charge...
Ex-Cleveland Clinic Researcher Arrested, Charged with Wire Fraud
Dr. Qing Wang allegedly failed to disclose to NIH that he was also receiving grant money from the Chinese government....
FinancePandemic Delays Federal Probe Into Medicare Advantage Health Plans
CMS says the decision will allow insurers and the agency to "focus on patient care," and will last "until after...
FinanceTexas Physicians Group Pays $1.2M to Settle False Claims Allegations
A whistleblower complaint alleged that Millennium Physicians Association PLLC billed Medicare for sleep studies conducted by uncredentialed technicians.
StrategyGuardian Elder Care to Pay $15.4M to Settle Overbilling Allegations
Guardian directed its nursing facilities in Pennsylvania, West Virginia, and Ohio to upcharge Medicare at the highest level for medically...
FinanceWe Showed How Easy It Is to Commit Health Care Fraud. Now Senators Want to Close the Loophole.
The bipartisan proposal comes in response to a ProPublica story that showed how a personal trainer posed as a doctor...
FinancePractice Fusion to Pay $145M to Settle Criminal, Civil Kickbacks Allegations
The San Francisco-based EHR vendor admitted that it took $1 million in kickbacks from opioid makers in a scheme to...
StrategyPatient Services Inc. to Pay $3M for Alleged Role as Illegal Conduit for Drug Makers
PSI coordinated with three pharmaceutical manufacturers ? Insys, Aegerion, and Alexion ? to facilitate paying kickbacks to Medicare patients taking...
FinanceResMed to Pay $39.5M to Settle Kickback Allegations
The kickbacks took the form of free 'resupply services' for provider-customers who pushed their CPAP products.
FinanceDOJ Collected $2.6B in FCA Recoveries in 2019 from the Healthcare Sector
It's the 10th straight year that DOJ's civil healthcare fraud settlements and judgments have exceeded $2 billion.
StrategyDOJ Files False Claims Act Complaint against Community Health Network
A whistleblower suit alleges that Community rewarded physician referrals with compensation way above fair market value.
StrategyElectronic Health Records Creating A 'New Era' Of Health Care Fraud
Major EHR software makers have allegedly gamed the system, repeatedly.