Cigna sues lab for billing $84M in 'phantom rates'

Cigna has sued a Virginia-based clinical laboratory for illegally waiving consumers' fees and billing the insurer instead. Cigna claims that the "fee forgiving" practice cost it $84 million.

Texans busted for fraud involving psychiatric care

Alleged and proven healthcare fraud made headlines recentlywith the indictment and convictions of mental health service providers in Texas.

Hospital False Claims settlement shows value of self-monitoring, voluntary disclosure

Our Lady of Lourdes Memorial Hospital in Binghamton, New York, paid more than $3 million to resolve False Claims Act liability stemming from its Medicare billing, the U.S. Attorney's office for the Northern District of New York announced.

Why the healthcare sector is a prime target for identity theft

Greater use of electronic health records, black market demand for protected health information and a fragmented healthcare system contribute to rising rates of medical identity theft, Fortune reported.

Pumped up 'dwarf' charged with Medicare fraud

A personal trainer and body builder who's 6-foot-3 and weighs about 450 pounds stands accused of bilking Medicare out of more than $535,000 by posing as dwarf who needed human growth hormone, reported.


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In discussing the bevy of hurdles impeding the path to interoperability in healthcare at the Workgroup for Electronic Data Interchange's annual fall conference this week, Mary Grealy, president of the Healthcare Leadership Council, which represents chief executives from healthcare companies and organizations nationwide, outlined several steps and principles necessary to guide that transition.


The U.S. Department of Health & Human Services today announced it would spend up to $840 million over the next four years to fund innovative healthcare strategies designed to improve patient care and lower costs.