Sophisticated analytics identify patterns that could point to drug-seekers and fraudulent pharmacies.
Ten more defendants were arrested last week and charged with conspiracy to commit healthcare fraud in an alleged $100 million kickback scheme involving Tricare…
A new report highlights “significant and persistent compliance, payment and fraud vulnerabilities” in Medicaid personal care services.
Mylan and federal officials have agreed to a settlement on the heels of lawmakers’ calls for further investigation of controversial drug producer.
The federal government paid an estimated $34.6 million in improper Medicare payments for incarcerated patients over two years.
A new rule finalized by the CMS prohibits nursing homes from using binding arbitration agreements, which could lead to more worthless services complaints…
Physicians may want to pay close attention to requests from home health agencies to document a patient’s need for home care.
Mylan’s misclassification of EpiPens under the Medicaid Drug Rebate Program has significant financial consequences on state and federal budgets, according to a…
States are increasingly turning to homegrown task forces as a means of bringing together multiple state agencies to focus on fraud concerns.
CMS failed follow internal procedures designed to recoup improper Medicare payments from illegal immigrants, leading to more than $9 million in overpayments.