fraud
publication date
Revenue Cycle
Fraudulent Billing Could Cost Doctor MillionsA Pennsylvania doctor is being accused of billing $1.36 million in fraudulent claims.
Revenue Cycle
Guilty plea marks 16th felony conviction in two Medicaid fraud conspiracies that totaled over $5.4M in fraudulent billingA Bloomington man has pleaded guilty to his role in a $1.4 million Medicaid fraud conspiracy, announced United States Attorney...
Revenue Cycle
Hospital agrees to pay $98,694.36 for improper Medicare and Medicaid billingOswego Hospital has agreed to pay $98,694.36 to resolve allegations that it knowingly violated the False Claims Act by: (1)...
Payer
Doctor pleads guilty to role in $54 million Medicare fraud schemeA Texas doctor pleaded guilty today for his role in a $54 million scheme to defraud Medicare by prescribing durable...
Revenue Cycle
Carter Healthcare affiliates to pay millions to resolve false claims act allegations for false Florida home health billingsCarter Healthcare LLC, an Oklahoma-based for-profit home health provider, its affiliates CHC Holdings and Carter-Florida (collectively Carter Healthcare), and their...
Revenue Cycle
Sutter Health agrees to pay $13 million to settle false claims act allegations of improper billing for lab testsSutter Health, a Sacramento-based health care services provider, and its affiliate Sutter Bay Hospitals, the successor to Sutter East Bay...
Payer
Centene Gave Thousands to Georgia Leaders' Campaigns While Facing Medicaid Overbilling QuestionsSt. Louis-based Centene Corp. says it's working to settle Medicaid billing issues with nine states.
Revenue Cycle
Former CEO of St. Gabriel Health Clinic convicted of $1.8M Medicaid fraud schemeAfter a week-long trial, a federal jury convicted the former CEO of St. Gabriel Health Clinic Inc. for conducting a...
Finance
Businessman pleads guilty to conspiracies to commit healthcare fraud, moreA resident of Fort Lauderdale, Florida, pleaded guilty in federal court to three counts of conspiracy related to the submission...
Strategy
California's Borrego Health Files Chapter 11, Vows to Keep Clinics OpenThe clinic says it will also ensure that employees will get their pay and benefits.
Revenue Cycle
House Seeks HHS Probe of HCA ER Admissions PracticesThe House Subcommittee on Oversight raises concerns about the for-profit health system's billing practices and reports of chronic understaffing.
Pharma
Denton physician guilty of over-prescribing opioidsA Denton physician has pleaded guilty to federal drug trafficking violations in the Eastern District of Texas, announced U.S. Attorney...