Four New Orleans women plead guilty to $30M home health scheme

A prominent New Orleans businesswoman and owner of Abide Home Care Services Inc. pleaded guilty, along with three others, to orchestrating a $30 million Medicare fraud scheme, according to the U.S. Attorney's Office in the Eastern District of Louisiana.

Study identifies $11M in Medicaid waste, fraud and abuse in Delaware

A much-anticipated review of the Delaware's Medicaid program revealed $11 million in potential fraud, waste, and abuse over the last three years, according to the Associated Press.

Senate hearing addresses Medicare and Medicaid overpayments

The federal government spent an estimated $124.7 billion in 2014 inimproper payments across 22 government agencies, most of which came from Medicare and Medicaid programs, according to expert testimony from a senior GAO official.


Distinct enforcement themes emerge at AHLA fraud conference

Last week's Fraud and Compliance Forum, hosted by the American Health Lawyers Association, outlined current and future fraud enforcement trends straight from the mouths of OIG officials.

OIG identifies $76 million in questionable chiropractic claims

The government isn't doing enough to prevent improper chiropractic payments, particularly claims involving "maintenance therapy," according to a new OIG report, particularly claims involving "maintenance therapy." 


From Our Sister Sites


The United States continues to lead the developed world in per-capita healthcare expenditures while trailing other countries in results, according to a new study by the Commonwealth Fund.


Michael O'Connell, vice president of clinical and support services at the Cleveland Clinic, Marymount Hospital, offered 30 cost-saving ideas to attendees of this year's Medical Group Management Association conference. We list three of them.