The former head of Cleveland Clinic Innovations pleaded guilty Tuesday for his role in defrauding it of more than $2.7 million via a shell company.
A federal judge has tossed a False Claims Act lawsuit against UnitedHealthcare, but the ruling left room for the DOJ to strengthen its case and refile.
For healthcare facilities with multiple participating medical practices, sharing patient information with paperwork can be inefficient.
Four HCA-affiliated hospitals will pay $8.6 million to settle allegations they received kickbacks from ambulance companies.
Two healthcare fraud cases were resolved Tuesday against a medical practice for improper billing and a doctor charged with conspiracy in a drug case.
The country’s largest medical specialty organization is calling on Medicare Advantage organizations to help make physicians’ lives a bit easier.
Changes to revenue-recognition rules and reimbursement methods could create a "fertile breeding ground" for healthcare fraud, experts say. …
Medicare paid at least $1.5 billion over a decade to replace seven types of defective heart devices, a government watchdog says.
More than one-fifth of investigations initiated by CMS program integrity contractors were due to leads generated by its $192 million data analytics program.
A bookkeeper and her husband have been charged with defrauding an Anchorage, Alaska-based medical practice of at least $550,000.
Outgoing Tenet Healthcare CEO Trevor Fetter's severance package is worth nearly $23 million, according to company documents.