Tag:
healthcare fraud
Latest Headlines
Latest Headlines
Doc accused of biggest scam for billing $375M in bogus home visits
In what is believed to be the biggest dollar amount scheme committed by a single doctor, Jacques Roy, who owned Medistat Group Associates in DeSoto, Texas, and six others have been indicted on
Healthcare fraud stats continue to rise
Let's kick off 2012 by talking about healthcare fraud and near frauds. My favorite recent hospital CFO tears-out-their-hair story from that realm comes from a friend who's a NICU nurse at a Southern
Medicare fraud 50-year sentence sets example
In what is becoming a hardening zero-tolerance policy toward healthcare fraud, American Therapeutic Corp. owner Lawrence Duran received a 50-year prison sentence after he pleaded guilty to defrauding
Physician bilked Medicare, Medicaid of $6.9M
A Mississippi physician was convicted last week of bilking Medicare and Medicaid of $6.9 million and faces up to 125 years in prison, reports the Jackson Clarion-Ledger. The case was one of the
CMS begins enforcing homecare anti-fraud rules
The Centers for Medicare and Medicaid Services is enforcing a rule that home health agencies and hospices must certify that their patients are eligible to receive their services as part of an
Feds recover record $2.5B from healthcare fraud
The Obama Administration's crackdown on healthcare fraud has led to a record $2.5 billion being recovered from industry-related wrongdoing during the most recent fiscal year, reports USA Today. "Our
CMS issues new fraud guidelines
The Centers for Medicare and Medicaid Services has issued stringent new rules regarding healthcare fraud, including ceasing payments whenever credible allegations are made, reports USA Today. In
HIV clinic operator pleads guilty to $23M Medicare fraud
The owner of a South Florida clinic pled guilty on Sept. 9 to fraudulently billing the Medicare program for $23 million of HIV-related treatments. Flor Crisologo entered a guilty plea to one count of
HHS and DOJ target Medicare fraudsters in Southern California
Southern California is among the nation's "hot spots" for healthcare fraud, U.S. Attorney General Eric H. Holder Jr. announced at a special summit held in Los Angeles last week. Medicare and Medicaid
OIG big-wigs review fraud prevention basics
Healthcare providers can take four steps to avoid allegations of fraud against their organizations, said leaders in the Office of Inspector General (OIG) of the U.S. Department of Health and Human
