Tag:
Medicare fraud
Latest Headlines
Latest Headlines
Ambulance companies and patients entwined in Medicare fraud investigations
Ambulance fraud investigations are going after patients that took kickbacks from companies that have been convicted of fraud, according to the Philadelphia Business Journal.
Medicare's second-highest paid physician banned from billing the program
In 2012 and 2013, South Florida cardiologist Asad Qamar, M.D., had been one of Medicare's highest paid physicians in the country. Now, following lawsuits alleging that he routinely billed for unnecessary cardiac procedures, he is banned from billing Medicare entirely, according to the Ocala Star Banner.
Medicare fraud schemes lure senior citizens with free services
Elderly Medicare beneficiaries in senior housing and centers are frequently targeted for Medicare fraud schemes, often enticed by free services such as pedicures in exchange for Medicare ID numbers that fraudsters use to bill for expensive services.
Millennium Health drug testing lab in settlement talks with federal government
High-priced laboratory fraud settlements continue to roll in, as Millennium Health LLC, the nation's largest drug testing laboratory, is negotiating a settlement to resolve allegations that it billed Medicare for unnecessary tests.
Supreme Court to hear Medicare fraud case involving frozen assets
The Supreme Court has agreed to hear a $45 million Medicare fraud case during its next term, specifically reviewing the extent to which federal prosecutors can freeze funding for defendants tied to fraud schemes.
Chiropractors, physicians busted for fraud schemes in New Jersey
Two separate criminal indictments resulted in the arrest of eight New Jersey providers, three of whom are chiropractors, for allegedly participating in fraud schemes that illegally siphoned patient referrals to other practitioners and a diagnostic imaging company.
Doctor tied to Sen. Robert Menendez released on bail with strict constraints
Two months after his arrest and one month after a judge denied bail, calling him a flight risk due to his ties to the Dominican Republic, Salomon Melgen, M.D. will be released on bail.
It's not perfect, but Medicare payment data a jumping-off point for fraud detection
CMS released physician payment data at the beginning of the month, much to the chagrin of organizations like the American Medical Association. Despite the payment data's shortcomings, analyzing Medciare reimbursment data offers a new and more robusts approach to fraud prevention and detection, while building a foundation for the future.
OIG semiannual report measures fraud enforcement for first half of fiscal 2015
The Office of Inspector General's Semiannual Report to Congress reveals progress in combating fraud, waste and abuse throughout the healthcare industry from October 2014 through March 2015.
Second senator calls for Medicare Advantage oversight
A week after Sen. Chuck Grassley (R-Iowa) called on the Department of Justice and the Centers for Medicare & Medicaid Services to investigate fraud and abuse within Medicare Advantage plans, another senator from the other side of the aisle reaffirmed the need for improved federal scrutiny.
