Revenue CycleHospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste, and Abuse
Federal regulators have announced enhanced oversight of new hospices in Arizona, California, Nevada, and Texas, targeting providers highlighted by a...
Post-AcutePhiladelphia Home Care Provider Ordered to Pay More Than $7M in Back Wages, Damages
The agency owes back wages to 1,230 current and former employees.
Post-AcuteFormer Nursing Home Admin to Pay $3.46M in 'Kickbacks,' Medicare Fraud Settlement
In one scheme, the former administrator allegedly paid a hospital supervisor for patient referrals.
Revenue CycleWhistleblower Costs Health System $12M for Fraudulent Billing
A large health system allegedly issued claims for urgent care services billed at a higher level of service than received...
Revenue CycleWhistleblower 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...
PayerThe Shadowy Financial Empire Built Around Liberty HealthShare Is Showing Signs of Strain
Beers family members built a 'conglomerate' by selling a Christian alternative to traditional health insurance. They're now scrambling for cash,...
Now-Defunct Hope Home Health to Pay $150K In Improper Billing Settlement
The agency and its owner were found to have violated the Connecticut False Claims Act.
FinanceSibley Hospital, Johns Hopkins To Pay $5M In Stark Law Settlement
The Stark Law violations allegedly took place between 2008 and 2011.
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.