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1. Texas lab owner charged in $79M fraud scheme
The owner and operator of a Texas laboratory has been charged for his alleged role in a $79 million respiratory pathogen panel testing fraud scheme. Osman Syed, 34, is accused of causing Coppell, ...20 November 2024 -
2. President-elect Trump taps Dr. Oz for CMS administrator: 10 things to know
... get the best results in the world for the healthcare we spend our money on. "He will also cut waste and fraud within our country's most expensive government agency, which is a third of our nation's healthcare ...19 November 2024 -
3. Home health owner sentenced to prison for fraud after 7+ years as international fugitive
The owner of a Michigan home health company was sentenced to three years and five months in prison for his role in a $7.9 million Medicare fraud scheme. Muhammad Zafar, 53, along with three physicians ...18 November 2024 -
4. New York physician pleads guilty to role in fraud scheme
... of conspiracy to commit healthcare fraud, according to a Nov. 15 Justice Department news release. The Justice Department alleged that from June 2013 through December 2019, Dr. Fishberger, an internist, ...15 November 2024 -
5. Alleged nurse impersonator at 2 California hospitals arrested
... at the facility. Ms. Porter, who does not have a nursing license and is on federal probation for a fraud violation in Virginia, received two paychecks before being terminated, police said. Law enforcement ...15 November 2024 -
6. Drugmaker, CEO to pay $47M to settle alleged fraud scheme: 3 things to know
Pharmaceutical company QOL Medical and its CEO, Frederick Cooper, have agreed to pay $47 million to settle allegations that they violated the False Claims Act by offering kickbacks to healthcare providers ...15 November 2024 -
7. Steward criminal investigation heats up
... criminal investigation by federal prosecutors at the U.S. Attorney's office in Boston. Mr. Boehner was questioned about corruption, bribery and potential fraud within the for-profit health system during ...14 November 2024 -
8. Nursing home operators to settle neglect, fraud case for $45M
The operators of four New York nursing homes agreed Nov. 14 to pay $45 million to settle allegations of mistreatment, neglect and fraud. The settlement involves the Buffalo Center, the Martine Center ...14 November 2024 -
9. Healthcare billing fraud: 10 recent cases
Here are 10 healthcare billing fraud cases that Becker's has reported since Oct. 30: 1. Aurora, Colo.-based UCHealth agreed to pay $23 million to resolve alleged False Claims Act violations involving ...14 November 2024 -
10. Pharmacist, brother convicted in $15M fraud scheme
A Michigan pharmacist and his brother were convicted for their roles in a $15 million healthcare fraud scheme. Raad Kouza and his brother, Ramis Kouza, were found guilty of billing Medicare, Medicaid ...11 November 2024 -
11. NLRB files complaint against post-acute care network
... contract and fraud, according to the release. The NLRB’s Region 9-Cincinnati regional director said stay-or-pay agreements are "unlawful," do not advance a legitimate business interest and instead force ...08 November 2024 -
12. ACA's future in Trump's 2nd term: 17 things to know
... feel a greater impact on coverage affordability. 7. Focus on fraud, waste and abuse. Trump administration veterans are signaling a focus on cracking down on fraud within ACA programs. This includes addressing ...08 November 2024 -
13. Health system's patient data breached in law firm hack
... that identity theft or fraud has occurred related to this incident," a spokesperson for the nine-hospital system told the newspaper. Third-party data breaches have exploded in healthcare in recent years ...06 November 2024 -
14. Home health company owner accused in $3M Medicaid fraud scheme
The owner of a St. Louis-area home health company is accused of a more than decade-long scheme that defrauded Missouri's Medicaid program out of more than $3 million. Camille Childress, 40, owner of ...05 November 2024 -
15. Tennessee pharmacy owners indicted on fraud charges
The owners of Knoxville, Tenn.-based Rocky Hill Pharmacy face charges following a federal investigation into alleged healthcare fraud, NBC affiliate WBIR reported Nov. 1. Tiffany Haney and Anne Warren ...04 November 2024 -
16. Radiologist sues Northwest Permanente for alleged retaliation
A radiologist is suing Portland, Ore.-based Northwest Permanente for $8.25 million after allegedly experiencing retaliation for reporting patient care fraud, according to a Nov. 1 Statesman Journal report. ...01 November 2024 -
17. Ohio physician, clinic convicted in $1.5M Medicaid fraud scheme
... and Research, were each convicted of one count of Medicaid fraud by the Franklin County, Ohio, jury, according to an Oct. 31 news release from the Ohio Attorney General's Office. Dr. Florea claimed reimbursement ...31 October 2024 -
18. Conversations in AI: Exploring real-world benefits for patients and providers
... also directly feel the benefits by having access to self-service portals and more personalized communication. Last but not least, automation can help to identify possible fraud and flag any compliance ...30 October 2024 -
19. Medical billing company owner pleads guilty to fraud scheme
The owner of a medical billing company pleaded guilty to submitting false claims to public and private insurers. Scott Newcombe, 40, of Plattsburgh, N.Y., acted as the office manager and healthcare ...30 October 2024 -
20. Texas physician gets 10 years in prison for $54M Medicare fraud scheme
A Texas physician was sentenced to 10 years and one month in prison for his role in a scheme to defraud Medicare by prescribing durable medical equipment without having any contact with the patients. ...30 October 2024