Topic:
Fraud Prevention and Detection
Latest Headlines
Latest Headlines
Stark Law concerns surface amid changing False Claims Act landscape
Stark Law litigation is becoming a primary concern for healthcare providers following recent high-priced settlements involving physician compensation agreements, according to a report by Bloomberg BNA.
Nine charged in $80M interpreting services scam
Nine California individuals were charged with conspiracy and insurance fraud on Friday for an alleged fraud scam that billed insurance companies $80 million for Spanish interpretation services that were unnecessary or never provided, according to the Los Angeles County District Attorney's Office.
PharMerica and the terrible, horrible, no good, very bad year
Last year was a terrible, horrible, no good, very bad year for PharMerica Corp., the second largest pharmacy operator in the country that ended up spending $43.25 million to resolve multiple False Claims Act allegations from the federal government. In the span of 12 months, the company negotiated multi-million dollar settlements and entered into another corporate integrity agreement for accepting kickbacks and illegally dispensing drugs.
How a broken leg set off the fraud investigation against Farid Fata
By building a well-respected and insulated cancer practice, Detroit cancer doctor Farid Fata, convicted of fraud last year, protected himself from scrutiny and used patients as part of a horrifying moneymaking scam, according to Dateline NBC. It wasn't until one patient broke her leg that suspicions gave way to an investigation.
Lyft partnership takes aim at ambulance fraud
A popular ridesharing app that has emerged as a 21st Century alternative to taxis is getting into the medical transportation business, and it could help stem the tide of ambulance fraud.
Why Big Data still isn't putting a dent in Medicare fraud
Big data and predictive analytics were supposed help Medicare prevent fraudulent payments the same way credit card companies deny suspicious charges. Fraud schemes still plague Medicare because the Centers for Medicare & Medicaid Services is too concerned about provider backlash to use the full force of claims data, according to an article published in Pacific Standard.
Louisiana state senator's personal care business investigated 27 times
While juggling a number of other scandals, newly sworn-in Louisiana state Sen. Troy Brown is now answering questions about his long history of Medicaid fraud investigations that have led to more than $90,000 in fines, according to WWLTV.com.
Kindred Healthcare pays $125M to settle claims against subsidiary
The nation's largest rehab provider, which specializes in caring for skilled nursing facility residents, will pay $125 million to settle claims the company provided medically unnecessary therapy services, according to the Department of Justice.
Florida Attorney General backed Millennium Laboratories during fraud investigation
In March 2014, Florida Attorney General Pam Bondi wrote a letter to the Centers for Medicare and Medicaid Services urging the agency to continue reimbursing high-priced drug tests, even as one laboratory was being investigated for fraud tied to unnecessary testing, according to the Palm Beach Post.
Fraud trends: FCA cases, physician pay will loom large in 2016
With fewer False Claims Act recoveries, some might say 2015 was a down year for federal fraud enforcement. But attorneys across the country say federal policy changes and FCA trends will keep fraud concerns high on the government's radar in the coming year.
