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fraud


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publication date

Payer
Covenant Healthcare Paid $69M to Settle FCA Allegations
John Commins | March 30, 2023
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...
Payer
OIG: Identifying Denied Claims in Medicare Advantage Needed to Combat Fraud
Jay Asser | March 10, 2023
Medicare Advantage (MA) plans aren't required by CMS to include indicators in their encounter data, unlike Medicare and Medicaid.
Finance
Lakeland Regional Medical Center Agrees to $4M Settlement Over Non-bona fide donations
Amanda Schiavo | March 07, 2023
The government accused the healthcare provider of making improper donations.
Post-Acute
Landlord, Operators of NY Nursing Home Pay $7M in Settlement Agreement for Fraud, Neglect
Jasmyne Ray | March 02, 2023
Saratoga Center for Rehabilitation and Skilled Nursing Care is alleged to have violated the False Claims Act.
Marketing
UPMC Will Pay $8.5M to Settle False Claims Allegations; Separate 'Sordid Vendetta' Defamation Suit Continues
John Commins | February 27, 2023
The settlement is the latest development in an ongoing, bitter feud between former colleagues who've traded accusations of drug abuse...
Revenue Cycle
Two Florida doctors convicted in $31 million Medicare fraud scheme
Office of Inspector General | February 02, 2023
A federal jury convicted two Florida doctors today for their roles in a scheme to defraud Medicare by submitting over...
Post-Acute
Nursing Home Owners Drained Cash During Pandemic While Residents Deteriorated
Kaiser Health News | February 01, 2023
Some nursing home owners moved money from their facilities through corporate arrangements that are widespread, and legal, in every state.
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.
Clinical Care
Medical director of pain management clinic sentenced for conspiracy to distribute and dispense oxycodone
OIG | January 25, 2023
U.S. District Judge George L. Russell, III today sentenced Norman Rosen, age 84, of Towson, Maryland, to four months of...
Pharma
Mich. Woman Convicted in $65M Pharma 'Coupon' Scam
John Commins | January 18, 2023
Suzan Berro submitted fake reimbursement claims to several drugmakers' co-pay assistance programs.
Revenue Cycle
Medical billing company pays $153K to resolve false claims allegations
Office of Inspector General | January 17, 2023
AMVIK SOLUTIONS, LLC (?Amvik?) has entered into a civil settlement agreement with the federal government and has paid $153,300 to...
Clinical Care
Physician convicted for misappropriating approximately $250,000 from COVID-19 relief programs
Office of Inspector General | January 17, 2023
A federal jury convicted a Colorado physician on Friday for misappropriating approximately $250,000 from two separate COVID-19 relief programs. According...
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