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News

UPMC Hamot sued for doc kickbacks, Medicare fraud

A cardiologist is suing what is now UPMC Hamot, claiming the Erie, Pa., hospital and physicians allegedly performed unnecessary angioplasty procedures and other surgeries while defrauding Medicare Read more...

FBI interviews patient about alleged Prime Healthcare upcoding, privacy breach

The Federal Bureau of Investigation (FBI) last week interviewed a patient, following reports that Prime Healthcare Services violated patient privacy when two executives at Prime-owned Shasta Regional Read more...

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...

Feds' $5.6B fraud collection hits record high

The Obama Administration's fight against fraud reached a milestone this year, as it recovered a record-breaking $5.6 billion in government-wide fraud, the Department of Health & Human Services Read more...

FBI probes Prime Healthcare for alleged upcoding, watchdog reports

The Federal Bureau of Investigation (FBI) is looking into the billing practices of California-based hospital operator, Prime Healthcare Services, following reports that it allegedly overbilled 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...

Senate to probe Aetna, Cigna, United Healthcare, Quest, LabCorp for alleged billion-dollar fraud

Senate members yesterday called for an investigation of possible Medicare and Medicaid fraud between the nation's largest laboratory testing companies and insurers, reports The Fiscal Times. Senate Read more...

Congress urges CMS to fight Medicare fraud with moratoriums

Even though health reform gave the Centers for Medicare & Medicaid Services (CMS) authority to impose moratoriums on new Medicare providers and suppliers when there's a high risk of fraud, waste, Read more...

Hospital faces $8.1M suit for inflated malnutrition rates, gaming reimbursements

Kernan Hospital in Baltimore is facing a $8.1 million lawsuit for manipulating patient data to receive more federal reimbursements, reports The Baltimore Sun. According to the lawsuit filed by the Read more...

Medicare fraud suspensions not enforced

Although federal agencies have been targeting provider companies in an effort to cease Medicare fraud, regulators oftentimes quickly reinstate licenses after having revoked them, according to an Read more...

Press Releases

Attorney General Holder, Secretary Sebelius and Other Law Enforcement Officials to Announce Significant Medicare Fraud

WASHINGTON--(BUSINESS WIRE)-- Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius will hold a press conference TODAY, SEPT. 7, 2011, at 2:30 Read more >>

Anesthesia Business Consultants Urges Anesthesia Providers to Revalidate Their Medicare Enrollment as Soon as Their Carrie

JACKSON, Mich.--(BUSINESS WIRE)-- Anesthesiologists, nurse anesthetists and anesthesiologist assistants who last validated their enrollment in Medicare prior to March 25, 2011 are going to have to Read more >>

Wohl & Fruchter Commences Investigation into Alleged Medicare Fraud at Community Health Systems, Inc.

NEW YORK--(BUSINESS WIRE)-- The law firm of Wohl & Fruchter LLP has commenced an investigation into allegations that Community Health Systems, Inc. (NYSE:CYH) has engaged in the systematic Read more >>

National media outreach campaign to seniors about preventing Medicare fraud

Effort also aimed at recruiting more volunteers WASHINGTON--(BUSINESS WIRE)-- HHS Assistant Secretary for Aging Kathy Greenlee today announced a nationwide TV and radio campaign to educate consumers Read more >>

HHS Secretary Sebelius, U.S. Attorney General Holder to Participate in Fifth Regional Health Care Fraud Prevention Summit

Federal, state, and local partners gather for summit to discuss fraud prevention efforts WASHINGTON--(BUSINESS WIRE)-- On Tuesday, March 15th U.S. Health and Human Services Secretary Kathleen Read more >>