While terrorism and national security are obvious priorities for the Federal Bureau of Investigation (FBI), the growing threat of healthcare fraud continues to be a focal point for the agency, according to FBI director James Coney.
The shakeup continues for Philidor Rx Services LLC, which has dominated headlines over the last several weeks for its questionable relationship with pharmaceutical giant Valeant.
Enforcement officials in Jacksonville, Florida, are relying on data analytics to uncover fraud, waste and abuse, a method that has already paved the way for several multi-million dollar settlements this year, according to the St. Augustine Record.
Questionable billing practices among California dentists who treat pediatric patients covered by Medicaid highlight the need for better oversight, according to a recent Department of Health and Human Services Office of Inspector General audit.
Dr. Dipak Desai, the physician repsonsible for the 2008 hepatitis C outbreak in Las Vegas that infected 114 people, pleaded guilty to healthcare fraud last week. The case offers a stark reminder of the consequences that arise when patient safety and fraud overlap, and when greed is the driving force behind it.
Aetna has filed a $120 million kickback lawsuit against North Cypress (Texas) Medical Center and its CEO, Robert A. Behar, M.D., claiming it paid kickbacks to physicians for patient referrals and used other improper billing techniques such as upcoding,