The owner of a imaging firm is looking at a possible life sentence after being convicted of a fraud scheme in which he instructed unqualified employees to read diagnostic images, according to the Baltimore Sun.
The Centers for Medicare & Medicaid Services has finalized rules that specify when the 60-day clock begins ticking for providers to return overpayments, and shaves four years off of the overpayment lookback period, according to FierceHealthFinance.
Across the country, investigators are continuing their pursuit of compounding pharmacies suspected of submitting fraudulent claims to the government's military healthcare program.
DaVita Healthcare Partners Inc., the nation's largest kidney care provider, is facing yet another federal investigation after self-reporting potential billing irregularities with one of its pharmacy providers, according to the Wall Street Journal.
President Barack Obama's fiscal year 2017 budget includes seven fraud, waste and abuse policies that would save $3.4 billion over the next decade, according to the White House.
Part D fraud remains "a top area of concern" for the Office of Inspector General following a 136 percent increase in Part D spending between 2006 and 2014, according to a new enforcement video released by the agency.
A week after authorities raided compounding pharmacies in four states, federal investigators now believe compounding creams are the source of half a billion dollars in healthcare fraud, according to the Wall Street Journal.
The CEO of a small Georgia hospital was arrested last week along with two physicians and three others who allegedly ran a long-standing prescription drug scam, according to WSB-TV.
Two bills are making their way through the Alaska state Senate with support from lawmakers who say Medicaid fraud is contributing to the state's $4 billion deficit, according to KTVA.com.
Legislators are asking industry stakeholders for input regarding potential changes to. Stark law in light of the ongoing transition towards value-based payments, according to a report by Bloomberg BNA.