Signs soliciting cash for diabetic test strips in several states highlights a growing “gray market” that could also be an indication of more nefarious activity.
California legislators are pushing a bill that would prevent providers banned from Medicare and Medicaid from billing the state's workers'…
Out-of-network luxury healthcare providers are enticing patients by covering higher out-of-pocket costs for patients, prompting legal retaliation from insurers.
Faster claims processing coupled with expanded coverage requirements have left disability payments to ex-military members vulnerable to fraud and abuse,…
CMS did not offer Prime Healthcare Services the same deal other hospitals got to settle disputed short-stay claims.
Despite overwhelming prescribing data showing a surge in OxyContin prescriptions, Purdue Pharma appears to have ignored signs of drug distribution schemes.
The pharmaceutical industry spends more than $6 billion on providers each year and passes it off as relationship building. Why do we let it happen?
Providers and legal experts urged legislators to repeal the Stark Law, arguing the legislation has become too cumbersome and impedes value-based care.
A handful of drug screening laboratories received nearly $100 million from Oklahoma’s Medicaid program over the last five years.
A home health provider admitted to knowingly submitting false claims for homebound patients with the help from the copy-paste function of its electronic health…