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News

Shell companies steal millions in Medicare fraud

Shell companies--sham firms on paper with no real operations--are a prime tool for fraudsters to scam Medicare out of millions of dollars, according to a Reuters investigation. Medicare's current Read more...

Gov't saves $17.6B in waste and errors, launches new fraud preventions

The White House is making progress on its goals to curb fraud and error in federal programs such as Medicare and Medicaid, preventing $17.6 billion of wasteful payments in 2011, the Office of Read more...

Feds triple recovered money from Medicaid scams

The federal government has more than tripled the amount of funds it has recovered through Medicaid fraud prosecutions during the past six years, reports USA Today. In 2010, the feds recovered more Read more...

Ken Beverly and William Sellers

The alleged: Ken Beverly, former president and CEO; William Sellers, former chief financial officer The place: John D. Archbold Memorial Hospital in Georgia The "crime:" Helped brought to light by a Read more...

Feds recover $1.84B from Medicaid fraud: 5 states top the list

The federal government has recovered more than $1.84 billion from Medicaid fraudsters in fiscal year 2010, according to Office of Inspector General (OIG) data updated this week. The recovery amount Read more...

New York Downtown Hospital to pay $13.4M to settle Medicaid fraud, kickback charges

New York Downtown Hospital agreed to pay $13.4 million to settle Medicaid fraud and kickback charges, reports the New York Post yesterday. Downtown Hospital allegedly paid healthcare firm and Read more...

OIG: HHS to target hospitals in continued fraud crackdown

It's no secret that federal officials have been on the warpath as of late, cracking down on healthcare fraud, abuses, and waste, hoping for (and recently achieving) millions in recovered Medicare and Read more...

Hospital group fined $3.8M for alleged Medicare, Medicaid fraud

Ohio Valley Health Services and Education Corp., parent company of Ohio Valley Medical Center and East Ohio Regional Hospital, will pay $3.8 million in fines to settle allegations of Medicare and Read more...

NY Inspector General ousted for overaggressive Medicaid penalties

New York Gov. Andrew Cuomo yesterday asked state Medicaid Inspector General Jim Sheehan to resign from office, reports WAMC Northest Public Radio. As the first with the title, Sheehan has recovered Read more...

CVS to pay $17.5M over inflated Medicaid claims

CVS Pharmacy, the pharmacy division of CVS Caremark Corp., will pay $17.5 million to the United States and 10 states to settle False Claims Act accusations, the Department of Justice announced late Read more...

Press Releases

ACAM Announces Newest Whitepaper Highlighting Compliance with US Healthcare Laws

Paper addresses needs of integrative physicians who participate in federal healthcare programs IRVINE, Calif.--(BUSINESS WIRE)-- The American College for Advancement in Medicine (ACAM) is pleased to Read more >>

Health Plans Attempt to Allow “Bad Actors” to Bid on Texas Medicaid Managed Care Contracts

AUSTIN, Texas--(BUSINESS WIRE)-- A new clause slipped into the Texas Legislature Senate Bill 7 amendments returned Wednesday to the House from the Senate conference committee nullifies the contractor Read more >>

PCMA: New Legislation Would Increase Prescription Drug Costs, Limit Access

Independent Drugstore Lobby Seeks to Limit Fraud Detection Efforts (Again) WASHINGTON--(BUSINESS WIRE)-- The Pharmaceutical Care Management Association (PCMA) released the following statement today Read more >>

PCMA: ‘Phantom Pharmacies’ Highlight the Need for Vigilant Anti-Fraud Measures

Independent Pharmacy Lobby’s Agenda Could Undermine Fraud Detection Efforts WASHINGTON--(BUSINESS WIRE)-- The Medicare fraud caused by independent “phantom pharmacies” highlights the need to resist Read more >>