fraud

A consumer's first hint that something is wrong is a big one: a letter from the IRS or a delay...

The suit alleges that Aliera falsely represented Sharity/Trinity as a legitimate HCSM that satisfied the ACA's standards for exemption.

CMS has warned payers selling Medicare Advantage and drug plans that federal requirements prohibit deceptive sales practices.

The revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.

Scammers feign investigation and threaten to suspend or revoke nurses' licenses unless they pay up.

The indictment alleges that SpineFrontier, Chin and Humad paid surgeons between $250 and $1,000 per hour in sham consulting fees...

Four Michigan hospitals were named in the suit, which stems from the questionable practices of one gynecologic oncologist.

The pressure is more intense now since the COVID pandemic cut traffic into dentists' offices. But while most dentists are...

BNSF Railroad is going after the local health clinic that opened to deal with the health crisis in 2000 and...

Medicare Fraud Control Units recovered $3.36 for every $1 spent investigating fraud.

Last year, FIPR prevented approximately $7.5 million in fraud, waste, and abuse related to COVID-19, Highmark stated.

The Eagan, Minnesota-based health insurer alleges that Phoenixus and its U.S. subsidiary Vyera schemed to raise the price of its...