PayerCovenant 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...
PayerOIG: Identifying Denied Claims in Medicare Advantage Needed to Combat Fraud
Medicare Advantage (MA) plans aren't required by CMS to include indicators in their encounter data, unlike Medicare and Medicaid.
FinanceLakeland Regional Medical Center Agrees to $4M Settlement Over Non-bona fide donations
The government accused the healthcare provider of making improper donations.
Post-AcuteLandlord, Operators of NY Nursing Home Pay $7M in Settlement Agreement for Fraud, Neglect
Saratoga Center for Rehabilitation and Skilled Nursing Care is alleged to have violated the False Claims Act.
MarketingUPMC 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...
Revenue CycleTwo Florida doctors convicted in $31 million Medicare fraud scheme
A federal jury convicted two Florida doctors today for their roles in a scheme to defraud Medicare by submitting over...
Post-AcuteNursing Home Owners Drained Cash During Pandemic While Residents Deteriorated
Some nursing home owners moved money from their facilities through corporate arrangements that are widespread, and legal, in every state.
PayerJury 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.
Clinical CareMedical director of pain management clinic sentenced for conspiracy to distribute and dispense oxycodone
U.S. District Judge George L. Russell, III today sentenced Norman Rosen, age 84, of Towson, Maryland, to four months of...
PharmaMich. Woman Convicted in $65M Pharma 'Coupon' Scam
Suzan Berro submitted fake reimbursement claims to several drugmakers' co-pay assistance programs.
Revenue CycleMedical billing company pays $153K to resolve false claims allegations
AMVIK SOLUTIONS, LLC (?Amvik?) has entered into a civil settlement agreement with the federal government and has paid $153,300 to...
Clinical CarePhysician convicted for misappropriating approximately $250,000 from COVID-19 relief programs
A federal jury convicted a Colorado physician on Friday for misappropriating approximately $250,000 from two separate COVID-19 relief programs. According...