Tag:
Fraudulent Claims
Latest Headlines
Latest Headlines
Feds continue to crack down on healthcare fraud
The United States charged 89 people in eight cities yesterday with healthcare fraud that involved $223 million in fraudulent claims, but the U.S. Department of Justice warned budget cuts due to the sequestration may limit future anti-fraud efforts.
Doc defrauded $1.5M from big insurers, DOJ alleges
A Texas doctor and his attorney wife have been indicted on charges of defrauding more than $1.5 million from private health insurers, as well as Medicare and Medicaid, according to a statement from the Department of Justice last week.
Hospital refutes alleged billing fraud, whistleblower retaliation
Wyoming Medical Center on Friday filed a court document denying a former employee's accusations that hospital clerks altered patient records and submitted false claims to Medicare and Medicaid for
Medicare fraud detection system disappoints
A computer initiative to stop fraudulent Medicare billing at the point of claims submission has so far been a disappointment, reported the Associated Press. To date, the $77 million computer system,
Verizon expands health fraud prevention to payers, government
Verizon is offering private health insurers and government agencies involved in healthcare the same fraud prevention solution that it has already piloted for the Centers of Medicare and Medicaid
CMS turns to Northrop Grumman to predictively fight fraud
The Centers for Medicare and Medicaid Services (CMS) on July 1 will start using "predictive modeling" technology to detect fraudulent claims. According to CMS, this initiative fits with the agency's
Grassley: CMS too soft on contractors
The Centers for Medicare and Medicaid Services' oversight of its contractors is too lax, according to a letter Sen. Chuck Grassley (R-Iowa) sent to HHS Secretary Kathleen Sebelius and CMS
