StrategyGuardian Elder Care to Pay $15.4M to Settle Overbilling Allegations
Guardian directed its nursing facilities in Pennsylvania, West Virginia, and Ohio to upcharge Medicare at the highest level for medically...
FinanceWe Showed How Easy It Is to Commit Health Care Fraud. Now Senators Want to Close the Loophole.
The bipartisan proposal comes in response to a ProPublica story that showed how a personal trainer posed as a doctor...
FinancePractice Fusion to Pay $145M to Settle Criminal, Civil Kickbacks Allegations
The San Francisco-based EHR vendor admitted that it took $1 million in kickbacks from opioid makers in a scheme to...
StrategyPatient Services Inc. to Pay $3M for Alleged Role as Illegal Conduit for Drug Makers
PSI coordinated with three pharmaceutical manufacturers ? Insys, Aegerion, and Alexion ? to facilitate paying kickbacks to Medicare patients taking...
FinanceResMed to Pay $39.5M to Settle Kickback Allegations
The kickbacks took the form of free 'resupply services' for provider-customers who pushed their CPAP products.
FinanceDOJ Collected $2.6B in FCA Recoveries in 2019 from the Healthcare Sector
It's the 10th straight year that DOJ's civil healthcare fraud settlements and judgments have exceeded $2 billion.
StrategyDOJ Files False Claims Act Complaint against Community Health Network
A whistleblower suit alleges that Community rewarded physician referrals with compensation way above fair market value.
StrategyElectronic Health Records Creating A 'New Era' Of Health Care Fraud
Major EHR software makers have allegedly gamed the system, repeatedly.
FinanceDOJ Joins Fraud Suit Against CVS, Omnicare
The lawsuit alleges that Omnicare billed Medicare and other government-sponsored health plans for hundreds of thousands of invalid prescriptions.
FinanceOpinion: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal
No one would accept many of the charges levied by providers if they appeared on bills delivered by a contractor,...
Clinical CareFBI Investigating Newark Beth Israel's Transplant Program for Possible Fraud
The medical center's transplant director instructed staff to keep a vegetative patient alive, and not to discuss options such as...
StrategyEx-Execs at Outcome Health Charged in $1B Fraud Scheme
The co-founders of the start-up allegedly enriched themselves by fraudulently inflating revenues and the extent and effect of their advertising.