false claims
publication date
Revenue Cycle
7 Lessons Learned from LVMC's $5M Settlement
The Lompoc Valley Medical Center (LVMC) is out $5 million from a recent false claims settlement?and there are several critical...
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...
Revenue Cycle
NW Arkansas Hospitals Will Pay $1.1M to Settle Medicaid False Claims Allegations
The health system denies intentionally filing false billings, and has worked with regualtors to resolve the case.
Payer
Covenant 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...
Strategy
AHA, 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.
Marketing
UPMC 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...
Payer
Centene 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.
Payer
Jury 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.
Innovation
Using 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...
Payer
3 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.'
Strategy
Sutter Health Will Pay $13M to Settle False Claims Allegations
DOJ says Sutter billed government payers for urine tests performed by third-party labs.
Payer
DOJ sues Cigna for Medicare Advantage Overpayments
The Justice Department is intervening in a whistleblower lawsuit, first filed in 2017.