fraud
publication date
Finance
Former Pacific Hospital CFO Sentenced in Fraud Case George Hammer, who previously served as the chief financial officer of the physician management arm of Pacific Hospital has been...
Revenue Cycle
Molina Healthcare Settles False Claims Act Violation for $4.6MThe company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
Finance
Steward Health Care System To Pay $4.7M To Settle False Claims Act Lawsuit Part of the settlement includes a five-year corporate integrity agreement subjecting the organization to a yearly financial review.
Finance
Get Data Security Funding Right Hospitals must weigh several factors, including staff needs and overall risk appetite.
Payer
Catholic Medical Center (NH) Pays $3.8M to Settle Kickback AllegationsCMC claims no liability for the whistleblower allegations.
Payer
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Healthcare FraudOrthopedic surgeons have raked in billions through ties to medical device companies via consulting deals, royalties or ownership stakes, while...
Human Resources
Medical Staffing Agency Ordered by Federal Court to Pay Nurses, Aides More than $7.2M in Back WagesSteadfast Medical Staffing 'willfully' misclassified workers and shortchanged their overtime pay, U.S. Department of Labor says.
Payer
HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer CautionA consumer's first hint that something is wrong is a big one: a letter from the IRS or a delay...
Payer
Cali AG Bonta Sues "Sham" Healthcare Sharing MinistryThe suit alleges that Aliera falsely represented Sharity/Trinity as a legitimate HCSM that satisfied the ACA's standards for exemption.
Payer
Medicare's Open Enrollment Is Open Season for ScammersCMS has warned payers selling Medicare Advantage and drug plans that federal requirements prohibit deceptive sales practices.
Payer
HHS OIG Updates Healthcare Fraud Self-Disclosure ProtocolThe revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.
Nursing
South Dakota Issues Warning to Nurses About Licensing ScamsScammers feign investigation and threaten to suspend or revoke nurses' licenses unless they pay up.