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.
Revenue CycleU.S. attorney’s office recovers over $5.5 million in civil false claims settlement with American senior communities
American Senior Communities, L.L.C. (ASC), a provider of skilled nursing and long-term care services throughout Indiana, has agreed to pay...
StrategyUnion-backed Investors File SEC Complaint Against HCA Healthcare
HCA denies the allegations and calls the new complaint 'a rehash of claims this group purported in 2020.'
Revenue CycleMolina Healthcare Settles False Claims Act Violation for $4.6M
The company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
PayerFederal Investigation Into Spine Surgeries Uses Mob Laws to Target Healthcare Fraud
Orthopedic surgeons have raked in billions through ties to medical device companies via consulting deals, royalties or ownership stakes, while...
PayerUCSD Health Pays $3M to Settle False Claims Allegations
DOJ had alleged that from December 2015 to October 2019, UC San Diego Health submitted claims to Medicare for the...
PayerHHS OIG Updates Healthcare Fraud Self-Disclosure Protocol
The revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.