11 charged with recruiting foreigners in $25M enrollment scam

Authorities charged 11 south Florida residents with defrauding Medicare and Medicaid by enrolling ineligible people living in Nicaragua and the Dominican Republic, the FBI announced.

CMS forms office of enterprise data and analytics

To analyze and improve access to vast amounts of data across multiple programs, the Centers for Medicare & Medicaid Services has formed an office of enterprise data and analytics and hired its first chief data officer to oversee it. 

How states and payers can make better use of data to thwart fraud

States are turning to data analytics to improve efforts to thwart healthcare fraud and other crimes poaching government-funded programs, according to The Pew Charitable Trusts.

Fraud charges dog corporate healthcare execs

From upcoding to kickbacks to sales scam accusations, recent news clusters around a theme of executive involvement in proven and allegfed healthcare fraud.

Close-up views of False Claims Act cases paint bigger picture

Implementing the federal False Calims Act resulted in $5.69 billion in recoveries in fiscal 2014, nearly $3 billion of it linked to whistleblower lawsuits, WOWT NBC News reported. Underlying these cumulative results, recent headlines describe the workings of the law in fraud cases successfully and unsuccessfully brought.


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Physicians' referrals to specialists have at least doubled ove r the past decade  or so, but that trend isn't necessarily problematic, according to an arti cle  from  Medical Economics. 


While errors made by medical professionals are known to have a profound impact on patients, a new study finds that such missteps also are a major source of trauma for doctors and nurses.