fraud
publication date
Strategy
Guardian Elder Care to Pay $15.4M to Settle Overbilling AllegationsGuardian directed its nursing facilities in Pennsylvania, West Virginia, and Ohio to upcharge Medicare at the highest level for medically...
Finance
We 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...
Finance
Practice Fusion to Pay $145M to Settle Criminal, Civil Kickbacks AllegationsThe San Francisco-based EHR vendor admitted that it took $1 million in kickbacks from opioid makers in a scheme to...
Strategy
Patient 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...
Finance
ResMed to Pay $39.5M to Settle Kickback AllegationsThe kickbacks took the form of free 'resupply services' for provider-customers who pushed their CPAP products.
Finance
DOJ Collected $2.6B in FCA Recoveries in 2019 from the Healthcare SectorIt's the 10th straight year that DOJ's civil healthcare fraud settlements and judgments have exceeded $2 billion.
Strategy
DOJ Files False Claims Act Complaint against Community Health NetworkA whistleblower suit alleges that Community rewarded physician referrals with compensation way above fair market value.
Strategy
Electronic Health Records Creating A 'New Era' Of Health Care FraudMajor EHR software makers have allegedly gamed the system, repeatedly.
Finance
DOJ Joins Fraud Suit Against CVS, OmnicareThe lawsuit alleges that Omnicare billed Medicare and other government-sponsored health plans for hundreds of thousands of invalid prescriptions.
Finance
Opinion: In Medical Billing, Fraudulent Charges Weirdly Pass As LegalNo one would accept many of the charges levied by providers if they appeared on bills delivered by a contractor,...
Clinical Care
FBI Investigating Newark Beth Israel's Transplant Program for Possible FraudThe medical center's transplant director instructed staff to keep a vegetative patient alive, and not to discuss options such as...
Strategy
Ex-Execs at Outcome Health Charged in $1B Fraud SchemeThe co-founders of the start-up allegedly enriched themselves by fraudulently inflating revenues and the extent and effect of their advertising.