fraud
publication date
CEO
Trump Says He'll Stop Health Care Fraudsters. Last Time, He Let Them Walk.
Trump's history of showing leniency to convicted fraudsters contrasts with his present-day crackdown.
CMO
Pain Clinics Made Millions From 'Unnecessary' Injections Into 'Human Pin Cushions'
Pain MD's injections have been proved in court to be part of a decade-long fraud scheme.
Payer
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
Independent Health will make "guaranteed payments" of $34.5 million in installments from 2024 through 2028.
Payer
Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period
CMS says its efforts are working, pointing to the 30% drop in complaint casework.
Technology
Are RPM Programs Riddled With Fraud?
Digital health supporters say there?s no evidence of fraud in RPM programs, refuting an OIG report that calls out the...
Payer
HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes
HealthSherpa, which has its own sales team, announced the new initiative ? called 'Member Defense Network' ? July 16.
Technology
A Lesson for Healthcare Execs: Make Sure Your New Technology Isn't Fake
The founder and CEO of a medical device company has been convicted of selling an implantable medical device to providers...
Technology
Infographic: 5 Fast Facts On Healthcare Ransomware Attacks
The healthcare industry is a prime target for ransomware attacks.
Technology
Infographic: Healthcare Sector Leads Rank for Ransomware Attacks
Healthcare has a big target on its back when it comes to ransomware attacks.
Payer
Benefytt Technologies to Pay $100M Over Fake Health Plans
Scams are on the rise and health insurance is no exception.
Technology
Timeline of the Change Healthcare Attack
The Change Healthcare ransomware attack has affected health systems nation-wide for almost a month now.
Revenue Cycle
Whistleblower Accuses Aledade, Largest U.S. Independent Primary Care Network, of Medicare Fraud
Aledade Inc.'s billing apps allegedly improperly boosted revenues by adding overstated medical diagnoses to patients' EHRs.