The federal government obtained $5.69 billion in settlements and judgments from civil cases involving false claims and fraud this year, and about 40 percent of that total involved healthcare programs, former HHS Inspector General Richard Kusserow reported.
It hasn't been a great year for ex-Stillwater, Minnesota mayor Ken Harycki, and it doesn't look like 2015 is getting much better. Read more ...
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High rates of healthcare fraud arrests among Cuban born immigrants reveal problematic fraud shemes in South Florida. Although those statistics are unexpectedly high, they aren't shocking considering that healthcare fraud has been endemic throughout South Florida for many years, said Robert Nicholson, Esq., a managing partner with Nicholson & Eastin, LLP in Fort Lauderdale, Florida in an exclusive interview with FierceHealthPayer: Antifraud.
A new Office of Inspector General (OIG) report raises concerns that hospice care in assisted living facilities (ALF) creates the potential for abuse.
Researchers at the Mercatus Center at George Mason University argue that government estimates for fiscal year 2013, which included $106 billion in improper payments, show federal budgets have outgrown the oversight required to prevent fraud, waste and abuse. Additionally, those numbers may be underreported, and improper spending related to healthcare may be closer to 20 percent of federal spending, according to the report.
Ambulance services contribute to as much as $350 million in fraudulent Medicare billing every year, often transporting healthy patients or double billing for two patients at one time, according to ABC News.
The FBI has raided the medical supply company Med-Care Diabetes & Medical Supplies Inc.--a firm that garnered national attention because of ties to an infamous fraudster who helped inspire the blockbuster movie "The Wolf of Wall Street."
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The Federal Trade Commission is moving forward with its case against LabMD, an Atlanta-based cancer-screening laboratory, after an alleged healthcare data breach in August 2013.
Indiana is the 28th state, plus the District of Columbia, to expand Medicaid under the Affordable Care Act, the Centers for Medicare & Medicaid Services announced today.