17 indicted in scheme to bilk insurers via phony car accidents - March 03, 2010
Federal authorities yesterday announced the indictment of 17 people – including a chiropractor and an attorney – on mail–fraud charges in connection with a scheme to bilk insurance companies by staging fake auto accidents.
Chiropractic Stroke Victims Optimistic that Board Will Issue Declaratory Ruling on Behalf of Patient Safety - March 03, 2010
After testifying at the recent chiropractic stroke hearings in Connecticut, the Chiropractic Stroke Awareness Organization (CSAO), along with the Campaign for Science Based Healthcare (CSBH) and Victims of Irresponsible Chiropractic Education and Standards (V.O.I.C.E.S), believes the event was successful in bringing the debate on chiropractic stroke back to science and evidence based–medicine.
New Fraud Efforts By New York Office of Medicaid Inspector General May Hinder Its Ability to Meet Recovery Goals - March 02, 2010
In fiscal year 2009, New York state exceeded the amount of recovered improper third–party liability payments federally mandated under the Federal–State Health Reform Partnership (F–SHRP).
Chiropractor, lawyer charged in accident fraud - March 02, 2010
An additional 17 people – for a total of 83 – were charged yesterday in the latest stage of a long–running federal and city investigation into a scheme to fake automobile accidents and then file false insurance claims.
Offshore HIPAA Business Associates Pose Extra PHI Risks, but Have Incentives to Self-Regulate - March 02, 2010
As providers move to cut operational costs, many are taking their business associate (BA) dealings offshore. And while sending protected health information overseas can be a risky endeavor for patients and health care organizations, one expert says the process has built–in safeguards.
Minnesota Chiropractic Association Supports Lawsuit Against BCBSA - March 02, 2010
The Minnesota Chiropractic Association (MCA) today announced that it is supporting a class action law suit against the Blue Cross Blue Shield Association ("BCBSA") and a number of state BCBS entities.
Medi-Cal Fraud Hurts All Californians - March 02, 2010
Medi–Cal fraud costs everyone –– legitimate businesses, and patients who need services and taxpayers all pay. The Department of Health Care Services estimates in 2007, $400 million in claims may have been fraudulent.
Connecticut Board Considers Warning About Risk Of Stroke Following Chiropractic Neck Manipulation - February 28, 2010
Attorney Michael Abelson applauded recent hearings by the Connecticut Board of Chiropractic Examiners to consider whether to require chiropractors to warn patients about the possible risk of stroke from neck manipulation.
Technology can slash fraud in health care - February 26, 2010
Emdeon Inc. processes nearly half of all commercial medical claims nationwide, giving the Nashville–based company a bird's–eye view of billing and other health–care trends.
New HIPAA Regulations Could Result in Fines for Chiropractors Says Certified Auditor, Dr. Tom Necela of The Strategic Chiropractor - February 26, 2010
This means chiropractors will have to have a new Business Associate agreement in place to be compliant with the recently changed provisions under the privacy and security rules that impact named covered entities and business associates.
Bucks chiropractor charged with burning offices - February 26, 2010
A Bucks County chiropractor was charged with arson yesterday for a 2008 fire that destroyed his office and neighboring businesses – a fire he blamed on Spanish–speaking gang members.
The New ERISA Overpayment Appeals And Anti-Fraud Services Announced For Healthcare Providers Through ERISA Appeals And Anti-Fraud Compliance - February 26, 2010
In Light of Increasing Frivolous And Debilitating Overpayment Refund Demand From Payers, ERISAclaim.com Announced The Nation's First ERISA Overpayment Appeals and Anti–Fraud Services to Help Healthcare Providers to Effectively Appeal All Alleged Overpayment Denials in Essence of Retrospective Benefits Denials and Increase Fraud and Abuse Prevention Compliance, As Federal Law ERISA Governs All Denials of Benefits From ERISA Plans and Prohibits Fraudulent Interference with ERISA Rights.
Many Small Practice Physicians Putting off Meaningful Use Guidelines - February 25, 2010
For many physicians in small office practices, the thought of adopting electronic medical records to meet federal "meaningful use" guidelines and timelines is a daunting one at best.
Does Anybody Care About HIPAA Anymore? - February 25, 2010
HIPAA got a big boost from the 2009 HITECH act, which extended privacy rules to business partners, threatened steeper penalties for violations, and promised periodic audits. But even with the beefed–up rules, these days HIPAA just doesn't seem to be that big a priority—to anyone.
Study shows how Medicare rewards MDs for overuse - February 25, 2010
Medicare's move in 2005 to pay doctors to do bladder cancer surgery in their offices rather than in hospitals dramatically raised the number of procedures and overall health costs, U.S. researchers said on Monday.
Waterloo chiropractor loses licence for sex with patient - February 22, 2010
A Waterloo chiropractor who treated his girlfriend — then referred her unpaid bills to a collection agency after they broke up — has been stripped of his licence for having sex with a patient.
Class action chiropractor turns down settlement offer as lawyers would not get fee - February 22, 2010
Local chiropractor Frank Bemis turned down $48 to settle a class action billing dispute, because his lawyers at LakinChapman wouldn't collect a fee.
Class action chiropractor turns down settlement offer as lawyers would not get fee - February 22, 2010
Local chiropractor Frank Bemis turned down $48 to settle a class action billing dispute, because his lawyers at LakinChapman wouldn't collect a fee.
Detroit Clinic Manager Sentenced to 63 Months in Prison for Role in $2.3 Million Medicare Infusion Fraud Scheme - February 16, 2010
U.S. District Judge Ursula Ungaro in the Southern District of Florida also ordered Briceño to pay $1.8 million in restitution. Briceño was originally charged by indictment in the Eastern District of Michigan, but after her arrest in Miami, she consented to have her case transferred to the Southern District of Florida for her plea and sentencing.
Protection from prying eyes: Physician Medicare data stays confidential - February 05, 2010
A federal appeals court ruled against a company's request for Medicare claims data, saying that would violate a 31–year–old injunction against revealing individual payment information.
Chiropractor charged in health care fraud case - February 03, 2010
A Philadelphia chiropractor was charged Friday by a federal Indictment with health care fraud, mail fraud, and making false statements in a health care investigation.
Medicaid fraud in Florida highest for home health services - February 02, 2010
Florida recovered hundreds of millions in fraudulent Medicaid payments, but that was probably still only a fraction of the total, according to an annual report released Jan. 7 by the Florida Agency for Health Care Administration.
Fraud charges dropped, but doctor can't recoup costs - January 31, 2010
They say you can't fight city hall. A recent federal appeals court ruling shows just how difficult it is for physicians to take the government to task.
Connecticut sues Health Net over data security breach - January 31, 2010
Connecticut Attorney General Richard Blumenthal has filed a lawsuit against California–based Health Net, alleging the company violated federal laws protecting medical records when a portable data drive disappeared.
New Practice Statute in New Jersey - January 31, 2010
New Jersey Governor Jon Corzine signed new scope–of–practice legislation on Jan. 18, 2010 – just one day before being defeated in his quest for re–election – updating a practice statute considered antiquated and overly restrictive by the Association of New Jersey Chiropractors (ANJC) and many other DCs in the state. The signing marks the first time New Jersey's scope–of–practice regulations have been amended since 1953.
New Practice Statute in New Jersey - January 31, 2010
New Jersey Governor Jon Corzine signed new scope–of–practice legislation on Jan. 18, 2010 – just one day before being defeated in his quest for re–election – updating a practice statute considered antiquated and overly restrictive by the Association of New Jersey Chiropractors (ANJC) and many other DCs in the state. The signing marks the first time New Jersey's scope–of–practice regulations have been amended since 1953.
Patients in Medicare demonstration project give chiropractors high marks - January 31, 2010
According to long–awaited results from a congressionally mandated pilot project testing the feasibility of expanding chiropractic services in the Medicare program, patients have a high rate of satisfaction with the care they receive from doctors of chiropractic.
Patients in Medicare demonstration project give chiropractors high marks - January 31, 2010
According to long–awaited results from a congressionally mandated pilot project testing the feasibility of expanding chiropractic services in the Medicare program, patients have a high rate of satisfaction with the care they receive from doctors of chiropractic.
Molestation trial ordered for Redding chiropractor - January 31, 2010
A 44–year–old Redding chiropractor was ordered Wednesday to stand trial in the alleged molestation of a 10–year–old girl last year.
Molestation trial ordered for Redding chiropractor - January 31, 2010
A 44–year–old Redding chiropractor was ordered Wednesday to stand trial in the alleged molestation of a 10–year–old girl last year.
Docs to FTC: Change Red Flags Rule - January 31, 2010
The American Medical Association, American Dental Association and American Veterinary Medical Association have jointly written to Federal Trade Commission members asking that health professionals be excluded from the Red Flags rule.
CMS wants input on new self-referral rules - January 30, 2010
The comment period, which ends Jan. 25, could lead to further guidance for restructuring noncompliant physician–hospital arrangements.
CMS wants input on new self-referral rules - January 30, 2010
The comment period, which ends Jan. 25, could lead to further guidance for restructuring noncompliant physician–hospital arrangements.
No World Borders to Present at Health Care Industry Conference - January 30, 2010
On February 18th and 19th Michael Arrigo, CEO of No World Borders, Inc. will be participating in Health Care Education Associates’ "Strategically Transitioning to ICD–10 for Providers & Plans," a health care industry conference focused on helping the health care industry move to the new electronic health record standards.
Chiropractor and Assistant Charged in Health Care Fraud Scheme - January 30, 2010
Dr. Neil H. Hollander was charged today by Indictment with health care fraud, mail fraud, and making false statements in a health care investigation.
Louisville chiropractor admits health care fraud - January 30, 2010
A Louisville chiropractor has admitted that he defrauded a local insurance company.
Jury Convicts Detroit Area Doctor of Health Care Fraud Conspiracy - January 24, 2010
After a week–long trial in Detroit, the jury convicted Dr. Myint of one count of conspiracy to commit health care fraud. The conspiracy count carries a maximum prison sentence of 10 years.
Insurance Groups Push Health Bill Changes - January 24, 2010
A number of insurance carrier and employer trade groups are asking that the effective dates for numerous changes in health place benefits and policies be extended in any healthcare reform legislation.
Thirteen Detroit-Area Individuals Arrested and Charged for $14.5 Million Medicare Fraud - January 24, 2010
Thirteen Detroit–area residents were arrested today by federal agents from the Department of Health and Human Services, Office of the Inspector General (HHS–OIG) and FBI in connection with an alleged home health care scheme to defraud the Medicare program of more than $14.5 million.
Connecticut AG uses HITECH to sue over patient data breach - January 24, 2010
Connecticut Attorney General (AG) Richard Blumenthal announced Wednesday that he is suing Health Net of Connecticut for failing to secure private patient medical records and financial information involving 446,000 Connecticut enrollees and promptly notify consumers exposed by the security breach.
3 arrested in Brighton medical-pot "assembly line" - January 19, 2010
A Brighton chiropractor and two other people were arrested Saturday for distributing pot after police say 100 people gathered — and smoked — at a makeshift medical–marijuana dispensary.
Class-action suit against chiropractors led by Alberta woman rejected - January 19, 2010
A judge has ruled a lawsuit against a chiropractor and the agency that regulates them doesn't meet the criteria needed to be certified as a class–action suit.
HIPAATraining.net Launches HIPAA Certification Training for Certified HIPAA Privacy Expert - January 18, 2010
Hipaatraining.net announces the launch of Certified HIPAA Privacy Expert (CHPE) Certification training. This certification will be of great help to comprehend the HIPAA law requirement for Privacy rule & basic overview on HIPAA security rule and will provide all the necessary guidelines on how to make your organization HIPAA compliant.
Bill expands what New Jersey's chiropractors can do - January 18, 2010
Thanks to a measure that passed in both the state Senate and Assembly on Monday, state–licensed chiropractors would be able to treat extremities, prescribe medical tests and give nutritional advice as well as sell nutritional supplements in their offices.
Bill is fraught with dangers to the public - January 10, 2010
This proposal would allow medically untrained chiropractors to examine and adjust all of the articulations and soft tissue of the body without any physical relationship to the spine.
Advocates seeking state law requiring a warning prior to neck manipulation - January 10, 2010
Stroke victims and their families say all they want is for patients to have more information about the possible risks of a chiropractic procedure called cervical spinal manipulation.
Battle brews over safety of neck manipulation - January 10, 2010
There is a battle over health underway in Connecticut. Some victims say neck manipulation by a chiropractor caused their stroke. They want patients warned about the risk, but many chiropractors say the procedure is safe.
Chiropractors' Argument Falls On Deaf Ears - January 10, 2010
While a group of victims of chiropractic stroke listened intently at the state Capitol late Monday afternoon, Matthew N. Pagano stood in front of the cameras to declare that "there is no cause and effect relationship between chiropractic and stroke."
Avoid health care fraud with a compliance culture - January 08, 2010
Last spring, a Medicare Fraud Strike Force team, known as the Health Care Fraud Prevention & Enforcement Action Team, or HEAT, was formed by the U.S. Departments of Justice and Health and Human Services to investigate and prosecute health care fraud.
American Business Solutions Announced the Launch of a New Service for Healthcare Providers in Preparation for the Upcoming Medicare RAC Auditors - January 07, 2010
Although physicians currently face a 21 percent cut in Centers for Medicare and Medicaid (CMS) fees in 2010, the government is looking to take more money back from physicians via the Recovery Audit Contractors (RACs).
Health care loophole causes concern - January 06, 2010
An ABC Action News investigation is raising questions about a loophole in a new Florida law aimed at combating Medicaid and Medicare fraud.
Residents, politicians differ on fixes for New York's budget crisis - January 06, 2010
Many residents pointed to the need to cut salaries of public employees to reflect those in the private sector, and reduce benefits for the chronically unemployed. Elected officials pointed to big programs, such as Medicaid, that they said need to be cut back.
Conn. chiropractic board to consider stroke risk - January 05, 2010
This week, 43–year–old Harwe plans to experience another landmark moment in her life when the Connecticut State Board of Chiropractic Examiners takes up the contentious question of whether patients should be warned about a possible risk of stroke from neck manipulation by a chiropractor.
Health Care Compliance Requirements - HIPPA OSHA Joint Commission Red Flag Rules - January 05, 2010
To ensure compliance with laws and regulations it is essential to raise awareness through education. Health care compliance education offers the solution.
Thoroughness, not haste, key in probe of clinic’s insurance billing practices - January 05, 2010
Several sources have said the clinic that caused the outbreak, Endoscopy Center of Southern Nevada, made a habit of overbilling insurance companies.
Senior Medicare Patrol exposes cases of benefit fraud - January 05, 2010
The 4,700 volunteers who serve as the government's eyes and ears have been credited with saving taxpayers more than $100 million since 1997. The program relies on elderly people to apply a lifetime's worth of common sense and skepticism.
Woman sues chiropractor, claiming he caused stroke - January 05, 2010
A Winnipeg woman is suing her chiropractor, whose treatment she claims caused her to have a stroke only hours after visiting his office.
Will Reform Open the Flood Gates for Health-Care Fraud? - January 04, 2010
The reform bills moving through Congress commit more than $100 million to prevent fraud and strengthen enforcement practices. And by the time the Senate was finished working on its bill, it had adopted even tougher anti–fraud measures than the House had––increasing penalties for health–care fraud, expanding the definition of actionable offenses, and devoting greater resources to fraud detection.
Court Upholds Chiropractor’s Molestation Conviction - January 04, 2010
An Anaheim chiropractor who molested several patients was properly convicted of the relatively new crime of sexual battery by fraud, the Fourth District Court of Appeal has ruled.
Pa. chiropractor pleads guilty to defrauding health benefit program - December 29, 2009
A Moosic, Pa., chiropractor pleaded guilty in federal court to a felony charge of making false statements involving a health care benefit program
Louisville chiropractor charged with health care fraud - December 29, 2009
A Louisville chiropractor is facing a federal charge of health–care fraud over accusations that he ripped of a local insurance company.
Medicare and the Chiropractic Practice, Part 4 - December 29, 2009
Many DCs are unaware (or even unconcerned) about the Medicare medical review (MR) process until they receive notice of audit. This article is to help inform the profession about this process before notice of an audit is received and to give guidance for follow–up.
New York Medicaid program used $92 million for improper payments: audits - December 29, 2009
New York's Medicaid program squandered $92 million in overpayments, billing errors and waste, three scathing state audits have found.
Allstate Sues Michigan Medical Billing Company - December 29, 2009
Allstate Corp. is suing a Michigan medical billing company and others for allegedly taking part in a "scheme" to commit insurance fraud that cost the insurers more than $680,000.
Amerigroup Plays Key Role in Fraud Conviction - December 29, 2009
Amerigroup Corporation today announced the successful conclusion of a key fraud case that helped recoup a significant amount of money for U.S. taxpayers.
Time to crack down on Medicaid fraud - December 29, 2009
But there’s a big difference between an error and a deliberate act of fraud. Those who knowingly and deceptively create a false medical claim in order to bilk the government out of large sums of money deserve no sympathy whatsoever.
Allstate Insurance Company Uncovers Alleged Insurance Fraud Scheme Against Global Medical Billing - December 29, 2009
Allstate Insurance Company today filed a complaint in the United States District Court, Eastern District, Southern Division against Global Medical Billing, Sterling Heights, Mich., alleging insurance fraud, misrepresentation and unjust enrichment.
Steps to Consider When Preparing for RACs - December 29, 2009
Taking certain preventive measures can go a long way toward preparing your facility for RAC audits. One of the first steps is for you to make sure your staff understands the issues.
Medicare fraud crackdown brings 30 indictments - December 29, 2009
Physicians are among those charged with bilking millions from Medicare as federal strike teams expand their reach.
Wilmington medical clinic investigated for fraud - December 29, 2009
A medical clinic in Wilmington run by a father and daughter is under investigation for allegedly filing fake Medicare and Medicaid claims.
Detroit is focus of U.S. Medicare fraud probe - December 29, 2009
Since 2007, a joint task force from the U.S. Justice and Health and Human Services departments has indicted more than 460 people nationwide on charges of bilking the federal program out of more than $1 billion in fraudulent claims, particularly unnecessary medical tests.
DiNapoli: NY made $92M in Medicaid billing errors - December 29, 2009
The state Department of Health has made $92 million in overpayments and billing errors in administering Medicaid during the past three years, according to state Comptroller Thomas DiNapoli.
At first you had no clue... - December 25, 2009
You were pretty sure that there was more cash coming in than you were actually seeing. By the time you were certain, thousands of dollars had been stolen by a trusted employee.
DMEPOS Bidding Presents Major Problems for Equipment Providers - December 25, 2009
The Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program Round One Rebid window for bidding closes today.
Panacea Healthcare Solutions Announces New Partnership to Provide RAC Data Mining Services - December 25, 2009
Panacea Healthcare Solutions, LLC is now offering MedLearn's solution as the exclusive RAC Risk Data Mining module at Panacea's RACAuditor.com web site.
athenahealth Receives Top National Ranking for Small Physician Practice Category in 2009 KLAS Report for Practice Management Services - December 25, 2009
athenahealth, Inc., a leading provider of internet–based business services to physician practices, today announced that it has received the top ranking for solo physicians as well as physician practices with two to five physicians in the practice management category in the annual 2009 Top 20 Best in KLAS Awards: Software & Professional Services report. athenahealth also ranked second in the six–25 physicians and 26–100 physician practice categories, highlighting the scale and wide adoption of athenahealth’s centrally–hosted software platform, athenaNet®.
State suspends chiropractor's license - December 25, 2009
The Oregon Board of Chiropractic Examiners has issued an emergency suspension of Bandon chiropractor Michael B. Currie’s license, while it investigates concerns about his ability to practice chiropractry.
New molesting charges filed against chiropractor - December 25, 2009
A chiropractor who already faces molesting and battery charges in Floyd and Clark counties faces seven new counts of child molesting, sexual misconduct with a minor and child seduction in Clark County.
Medicare Fraud Strike Force Expands Operations Into Brooklyn, N.Y.; Tampa, Fla.; and Baton Rouge, La. - December 20, 2009
Continuing Strike Force Operations Lead to Indictment of 30 Individuals Charged in Miami, Detroit and Brooklyn with more than $61 Million in Fraudulent Billing to Medicare.
Queens Chiropractor Busted For Insurance Bilk - December 17, 2009
A chiropractor with a practice in Woodhaven has been charged with insurance fraud and other charges after allegedly convincing a “patient” to fabricate injuries and then billing an insurance company more than $26,000 for medical treatments over three months.
Health care fraud still main focus of False Claims Act - December 15, 2009
Whistle–blowers continue to drive false claims recoveries. But increased federal scrutiny of health care fraud could have physicians playing defense.
Insider Secrets About Recovery or Postpayment Audits - December 15, 2009
In June 2009, I had the privilege of attaining certified professional medical auditor (CPMA) certification as offered by the National Alliance of Medical Auditing Specialists. In a nutshell, I was trained to think, analyze and act in the role of a professional auditor.
CMS places limits on recovery audit contractors in 2010 - December 13, 2009
The Centers for Medicare & Medicaid Services (CMS) has placed limits on recovery audit contractors (RACs), regarding the number of medical and related claims record requests they may seek from hospitals and other providers during an audit in 2010.
CMS launches anti-fraud program - December 13, 2009
CMS and OIG are highlighting problems associated with medical identity theft and Medicare fraud as part of a broader effort to reform healthcare.
Upcoming HIPAA changes catching some unaware - December 12, 2009
Expansions to privacy and security rules, mostly affecting business associates, go into effect next year.
New charges filed against chiropractor - December 12, 2009
A southern Indiana chiropractor is facing more child sex charges. Authorities in Clark County filed seven new charges against 38–year–old Robert Matthew Nolan this week.
Two Data Security Breaches Give State Attorneys General a Chance to Exercise Their New HIPAA Powers - December 10, 2009
In a sign that state attorneys general may be flexing the HIPAA enforcement muscle granted by the HITECH Act provisions in the Recovery Act, the Connecticut and Arizona attorneys general are investigating health plans that recently experienced data breaches that they failed to disclose for several months.
HIPAA's role in liability cases tested in Mich. - December 10, 2009
Courts have split over whether the federal privacy statute prevents informal discovery of certain patient information.
Board suspends Wichita chiropractor for 30 days - December 10, 2009
Wichita chiropractor Bradley Eck says he plans to resume his practice after completing a record–keeping course and a 30–day suspension, as ordered by the Kansas Board of Healing Arts.
Chiropractor pleads not guilty - December 10, 2009
A former Sequim chiropractor accused of double–billing the state Department of Labor and Industries appeared Dec. 4 in Clallam County Superior Court and pleaded not guilty.
New molestation charges filed against chiropractor - December 10, 2009
The charges keep piling up against Robert Matthew Nolan, the 39–year–old former chiropractor accused of inappropriately touching four patients and raping a teenage girl.
Local chiropractor faces charges in Washington - December 09, 2009
A Jefferson City chiropractor is facing one count of theft and nine counts of making false statements or concealing information.
Anti-Kickback and Stark Investigations: Attention Intensifies - December 09, 2009
Health care providers, whether physicians or hospitals, should be critically reviewing their longstanding financial relationships to ensure compliance with recent revisions to the federal self–referral restrictions under the Stark and the Anti–Kickback laws.
‘Viral' patterns discovered in Medicare fraud - December 07, 2009
Medicare fraud, like the flu, can be communicable, and authorities have found it spreads among different ethnic communities in different cities.
Medicare Fraud Runs Rampant In Miami-Dade - December 07, 2009
Miami–Dade County received about half a billion dollars from Medicare in home health care payments intended for the sickest patients in 2008, which is more than the rest of the country combined, according to a report released Monday.
Bridgewater chiropractor placed on probation for insurance fraud - December 07, 2009
A township chiropractor was placed on two years probation and had his chiropractic license revoked for a year on a charge of fraudulently billing a health insurance company.
Durable Medical Equipment (DME) business owner in Dallas pleads guilty to aggravated ID theft in Medicare fraud scheme - December 06, 2009
The owner of Beltline Medical Supplies, Inc., formerly in Dallas, Texas, pleaded guilty to an Information charging aggravated identity theft.
Two Ways to Correct Safety Regulation Violators - December 06, 2009
Unless they work in a medical facility with perfectly compliant employees, safety directors and infection preventionists (IP) are usually forced into the unenviable, but inevitable job of confronting a healthcare worker who is not adhering to safety and infection control regulations.
Inspector General Saved Billions in Healthcare This Year - December 05, 2009
The Office of Inspector General announced Thursday that it saved $20.97 billion for fiscal year 2009 and highlighted six of the cases that led to those recoveries or savings.
Plan would require license for Wisconsin massage therapists - December 05, 2009
State lawmakers are considering better regulation of massage therapists, by licensure instead of certification.
Former Sequim chiropractor accused of defrauding state agency - December 05, 2009
The state Attorney General’s Office alleges that a chiropractor defauded the state of more than $11,000 by double–billing the state Department of Labor & Industries while he ran the Coastal Chiropractic Center in Sequim.
MDaudit™ Professional Users Top 50,000 Physicians - December 04, 2009
Hayes Management Consulting announced today that compliance auditors are now reviewing the billing of more than 50,000 providers with its MDaudit™ Professional compliance audit software.
Medicare, Medicaid spent $54 billion too much in 2009, White House says - December 03, 2009
OMB figures show an increase over 2008, some of which HHS attributes to stricter review.
Chiropractor faces felony charges - December 03, 2009
A former Sequim chiropractor now living in Missouri faces one count of theft and nine counts of making false statements or concealing information for allegedly double–billing the state Department of Labor and Industries.
Medicare fraudsters rake in billions - December 03, 2009
Medicare fraud is a multibillion–dollar business preying on an ever–increasing number of retiring baby boomers who often are being charged for medical treatments and products they don't need and for services they don't receive.
Miami Strike Force is a model for Medicare fraud crackdown - December 03, 2009
South Florida’s rampant Medicare fraud and federal attempts to stop it have taken on new prominence as President Obama and Congress struggle to pay for health–care legislation to cover the uninsured.
Gov't may stop subsidizing child chiropractic treatment - December 03, 2009
Negotiations on children's treatments are underway between the government and the Chiropractors Association of Saskatchewan (CAS). Assistant deputy health minister Max Hendricks said the government would like to see some evidence to justify its continuing subsidies.
"Cancer of fraud" permeates U.S. healthcare system - December 03, 2009
A U.S. Senate committee revealed last year that public health insurer Medicare had paid as much as $92 million from 2000 to 2007 for medical services or equipment ordered or prescribed by doctors who were dead at the time.
Tax evasion trial set for Ephraim chiropractor Douglas Madsen - December 02, 2009
A trial has been scheduled for a Sanpete County man indicted in failing to pay more than $1 million in taxes, hiding other assets from the government and failing to file tax returns.
Lakeville clinic sued for alleged fraud - December 02, 2009
The state is suing a Lakeville chiropractic clinic and its owner alleging that they fraudulently enrolled patients in health–care credit card accounts.
Health Plans That Use Member Enrollment Data to Push Their Political Agenda Might Violate HIPAA - December 02, 2009
Health plans could face stiff penalties under HIPAA if they use enrollment information to contact members without their permission and urge them to join grassroots advocacy campaigns or take a stance on a political issue.
Health Insurer Loses 1.5 Million Patient Records - December 02, 2009
A health insurer lost 1.5 million patient records last May but waited six months to disclose the incident.
Medicare audits at full strength in 2010 - December 02, 2009
Congress developed the MIP as part of the Deficit Reduction Act of 2005 with an eye toward recovering improper payments made under the $300 billion–a–year Medicaid program.
New laws on patient security breaches mean your associate contracts probably need updating - December 02, 2009
Think your business associate agreements sufficiently protect your rights? Now figure in new laws on security breaches of patient information.
Bangor chiropractor gets two years for tax evasion - December 02, 2009
A local chiropractor was sentenced Monday in U.S. District Court to two years in federal prison for refusing to pay federal income taxes.
Medicaid fraud demo program falters in Orange - December 02, 2009
By this time, county officials planned to have audited 25 businesses they targeted through an initial screening of Medicaid bills. But to date, only two audits have been done, no funds have been recovered and the future of the investigation is uncertain.
HIPAA - Past, Present, and Future - December 02, 2009
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ushered in a new age of modernizing the United States healthcare system.
Justice Department Recovers $2.4 Billion in False Claims Cases in Fiscal Year 2009; More Than $24 Billion Since 1986 - December 02, 2009
This represents the second largest annual recovery of civil fraud claims in history, and brings total recoveries since 1986, when Congress substantially strengthened the civil False Claims Act, to more than $24 billion.
Study Shows Most Healthcare Companies Are Not Ready for New Privacy and Security Compliance Regulations - December 01, 2009
A recent survey of healthcare organizations found that 94 percent believe they are not ready to comply with the privacy and security provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act.
HIPAA-Compliant Disaster Recovery and Business Continuity Guide Now Available From DataCare Corporation - December 01, 2009
The 2009 guide offers workers’ compensation professionals a quick reference to address HIPAA and SAS70 requirements for reducing business risk following a disaster.
Govt: Medicare paid $47 billion in suspect claims - November 30, 2009
The government paid more than $47 billion in questionable Medicare claims including medical treatment showing little relation to a patient's condition, wasting taxpayer dollars at a rate nearly three times the previous year.
Appleton chiropractor must give up license - November 30, 2009
An Appleton chiropractor who admitted inappropriately touching a patient and taking his pants off during a session with her has been ordered to immediately surrender his license.
AAPC Announces Collaboration With NAMAS to Offer Auditing Credential - November 27, 2009
The association, effective Jan. 1, 2010, will benefit AAPC members, medical coders, health care professionals and NAMAS customers through the availability of a nationally recognized audit credential.
Chiropractor reindicted; state's case weak, lawyer says - November 26, 2009
A Haverhill chiropractor has been reindicted on fraud and conspiracy charges following an investigation by the state Attorney General's Office.
Convicted chiropractor loses appeal - November 26, 2009
A federal appeals court said Thursday that a judge did not violate a former Hermitage chiropractor’s rights during his fraud trial, and also backed the judge on Brent J. Detelich’s other appeal issues.
Massive fraud makes Medicare a lousy model - November 26, 2009
The problems of health care – and the prospects for some effective reform of the systems we have to pay for it – are front and center as Washington's legislative geniuses work their magic behind closed doors, crafting "reform" they say will provide health insurance for those who lack it while somehow reducing the skyrocketing costs of providing it.
Cooperation Is Needed Between Compliance and Revenue Cycle Departments - November 25, 2009
Artificial divisions between the revenue cycle and compliance departments can hamper the effectiveness of hospital operations. Though each has its own role in the organization, there is “maximum impact and benefit” if compliance and revenue cycle work together.
Communities accuse Blue Cross of hiding $40 million in fees - November 25, 2009
A dozen Michigan communities say they were overcharged $40 million in hidden fees by Blue Cross Blue Shield of Michigan and are demanding that money back.
Slow payments cost United Healthcare 750k - November 20, 2009
United Healthcare Insurance Co., the state's fifth–largest health insurer by number of policies, has been ordered to pay $750,000 for failure to pay doctors' claims within 15 days of receipt as required by Georgia law.
Litigation stress: Being sued is personal as well as professional - November 03, 2009
Plaintiffs bringing medical liability cases commonly contend they have experienced pain and suffering. Many physicians could say the same about being dragged into the litigation process.
New state law denies, revokes licenses of some in medical field - November 03, 2009
A little–noticed provision in the 160–page measure is preventing doctors, nurses, pharmacists, lab technicians and others licensed by the state from working in Florida if they have old felony convictions for fraud or drugs.
Compliance 360 Launches Privacy Breach Management Solution to Address Requirements of HITECH Act - November 03, 2009
Compliance 360, a leading provider of Software–as–a–Service (SaaS) solutions for enterprise governance, risk management and compliance (eGRC) announced today the availability of the Compliance 360 HITECH Privacy Breach Management Solution.
The Malpractice Problem - November 03, 2009
Since physicians are not liable for the increased costs of care but are liable for any error or missed diagnosis, it would be foolish for them to act in any other fashion. The costs of this mindset cannot be easily assessed by surveys.
Lawmakers Target Medicare and Medicaid Fraud - November 03, 2009
The federal government needs to further step up efforts to fight Medicare and Medicaid fraud to generate more savings to help pay for a health–care overhaul, lawmakers said Wednesday.
Healthcare system wastes up to $800 billion a year - November 02, 2009
The U.S. healthcare system is just as wasteful as President Barack Obama says it is, and proposed reforms could be paid for by fixing some of the most obvious inefficiencies, preventing mistakes and fighting fraud, according to a Thomson Reuters report released on Monday.
Health coverage 'plan' was no insurance at all - November 02, 2009
Mary Lloyd of East Bethel says she was "royally duped" into buying health coverage that wasn't insurance, and she's not alone.
Medicare Fraud: A $60 Billion Crime - November 02, 2009
A.G. Holder Tells 60 Minutes More Oversight Is Needed; Scammer Explains How Easy It Is To Steal Millions.
Medi-Fraud for Everyone - November 02, 2009
While it's shocking that government policing efforts are so lax for Medicare that even a convicted murderer can be granted a license to sell equipment and file claims, Gonzalez is actually a small player compared to other cheats.
Fla. fraud law may curtail some medical careers - November 02, 2009
A new state law designed mainly to crack down on Medicaid fraud is having unexpected consequences by keeping some health care professionals from getting or keeping their licenses at a time when the state is suffering a shortage.
Organized crime's new target: Medicare - November 02, 2009
Experienced in running drug, prostitution and gambling rings, crime groups of various ethnicities and nationalities are learning it's safer and potentially more profitable to file fraudulent claims with the federal Medicare program and state–run Medicaid plans.
Medicare Fraud Strike Force Operations in Houston Lead to Charges Against Six Area Residents - November 02, 2009
Medicare fraud charges have been filed against six individuals in the continuing operation of the Medicare Fraud Strike Force in Houston.
Coding questions: Medicare's initial-visit guidlines - November 02, 2009
Q: I have been treating Medicare patients the same way for the last three years, but my CA told me there are specific guidelines for initial visits. I conduct a history and examination, and take x–rays, but do not follow any special system. Should I be doing something different?
Accused chiropractor’s emergency order revised - November 02, 2009
Dr. Jason Ebelsheiser can still perform “soft tissue” treatments on some patients.
State rules Horizon unfairly limited chiropractors' claims - November 02, 2009
The Association of New Jersey Chiropractors announced Monday that the state Department of Banking & Insurance has ruled the state's largest health insurer must pay chiropractors' separate claims for patient evaluation and therapy.
Freehold man sentenced to 3+ years in federal prison - November 01, 2009
A Freehold man who admitted using his two medical billing companies to defraud insurance companies has been sentenced to 37 months in federal prison.
Organizer of Medical Equipment Scam Sentenced to 57 Months in Prison - November 01, 2009
Acting United States Attorney for the Southern District of Florida announced that defendant Maria F. Hernandez, 62, of Miami, Florida, was sentenced yesterday for her participation in a $5.7 million health care fraud scheme.
Palmer, 60 chiropractors sue former alumni association - November 01, 2009
Palmer and 60 chiropractors – including the president of the Davenport campus – are suing The Chiropractic International Association. They are asking for an audit of the group's assets and expenses, a host of damages and the dissolution of the association.
Medicare and Medicaid make easy marks for fraud - November 01, 2009
Although Barack Obama might be shooting high with his estimate, even conservative estimates peg Medicare and Medicaid fraud at $60 billion a year.
Do you commit accidental fraud? Take this quiz and find out! - November 01, 2009
It’s possible — not because you are deliberately breaking the law, but because you may be unintentionally engaging in illegal conduct through ignorance or misunderstanding of laws, rules or regulations that govern healthcare.
The complaint path to a well-functioning practice - November 01, 2009
Contrary to some practitioners’ belief, compliance is not costly. In fact, noncompliance is costly. It can result in investigations, audits, and the necessity to pay back money.
Multiple Chiropractors, State Associations File Suit Against Blue Cross Blue Shield - November 01, 2009
Blue Cross Blue Shield has been hit with a class–action suit led by chiropractors and chiropractic organizations including the Pennsylvania Chiropractic Association (PCA), the Association of New Jersey Chiropractors (ANJC) and the New York Chiropractic Council.
Patented Hand Wash Monitoring System Provides Full Accountability - November 01, 2009
HandGiene Corp. manufactures and offers a Patented RFID enabled Hand Wash Monitoring System that ensures compliance by all covered personnel with established hand wash protocols in a participating facility.
Medicare Advantage cited as a culprit in rising health care costs - November 01, 2009
A rural resident who gets Medicare because of a disability, Rogers, 59, signed up through Humana in 2005. These days, he's no great fan of Medicare Advantage, a program in which the government pays private insurers to manage Medicare benefits for members.
Sebelius, West Highlight New Tips to Prevent Medical Identity Theft and Medicare Fraud - October 31, 2009
Secretary of Health and Human Services Kathleen Sebelius and Assistant Attorney
General Tony West today highlighted the Obama Administration`s work to fight
Medicare Fraud and released new tips and information to help seniors and
Medicare beneficiaries deter, detect and defend against Medical identity theft.
Kentucky Attorney General Conway Announces $14.7 Million Verdict Against Drug Company - October 31, 2009
Attorney General Jack Conway today announced that a Franklin Circuit Court jury has handed down a $14.7 million verdict against global pharmaceutical giant AstraZeneca for defrauding the Medicaid program and Kentucky consumers by inflating the prices of their prescription drugs.
Chiropractor suspended - October 31, 2009
A Topeka chiropractor has been suspended from practicing for 30 days, the Kansas State Board of Healing Arts said Wednesday.
Grand jury hands up indictment on Toms River chiropractor - October 31, 2009
A chiropractor who let his license lapse but continued to treat patients has been named in an indictment alleging forgery, theft and insurance fraud, among other crimes.
Ex-Antioch Chiropractor Sentenced in Rape Case - October 31, 2009
Antioch has received a plethora of bad press lately because of all the coincidental ’sex cases’ that have recently emerged. Even in the midst of all the turmoil it’s comforting to know that in many of these cases the Antioch authorities have been quick to apprehend suspects.
Medicare Fraud Crackdown in Louisiana - October 26, 2009
The health care debate has taken center stage in public awareness recently, but this is not the only pressing health care issue currently facing the government. In the Department of Justice (DOJ) and the Department of Health and Human Services (HHS), many eyes are turned to the problems of Medicare and Medicaid Fraud.
Crack down on Medicare, Medicaid fraud - October 25, 2009
For healthcare reform to work, more money is needed to nab scam artists.
Medical Malpractice Insurance Market Stable But Faces Challenges Ahead - October 25, 2009
Recent trends have had an overall stabilizing impact on the medical malpractice market, but several emerging issues may present challenges for insurers and actuaries.
Chiropractor could lose license - October 23, 2009
The Oregon Board of Chiropractic Examiners is proposing to revoke the license of a chiropractor who practices in Salem and Stayton on allegations of sexual misconduct.
Two locals arraigned in health-care fraud case - October 23, 2009
Two Mariettans were arraigned Friday on felony charges for allegedly defrauded Blue Cross Blue Shield and other insurers out of $11 million for physical therapy services that were not actually provided.
Shreveport chiropractor pleads guilty to health care fraud - October 23, 2009
A Shreveport chiropractor pleaded guilty Friday afternoon to two counts of health care fraud, avoiding a federal trial Tuesday at which he would have faced 72 counts of health care fraud and one count of conspiracy to commit health care fraud.
Iowa chiropractor sentenced in Medicaid fraud case - October 21, 2009
A Cedar Rapids chiropractor will be spending the next seven years behind bars for using the stolen identities of minors in a scheme to bilk Medicaid.
Medicaid Fraud More than $63 Million in 5 States Alone, GAO Report Finds - October 21, 2009
A California man took on the name of a dead person to receive taxpayer–funded health care for more than three years, charging $200,000 to the Medicaid system, including $2,870 to buy controlled substances under an assumed identity.
'Facility-Fees'-Are-Taking-Many-Patients-by-Surprise'>That'll Be $418 For Use of the Examining Room
'Facility Fees' Are Taking Many Patients by Surprise - October 21, 2009
Unlike other add–ons that have aroused public ire –– baggage charges on airlines, surcharges for concert tickets or resort fees tacked on by hotels –– outpatient facility fees, which range from about $25 to hundreds of dollars per visit, may involve a service that is a matter of life and death, such as chemotherapy.
Regulations increase costs for doctor visits - October 20, 2009
Oftentimes, my patients ask me why it costs so much for a doctor visit. In fact, one of my patients stated when he was 10 years old, his parents went to a physician in town that only charged $10 for an office visit.
Chiropractor: 'DAs really crossed a line' - October 17, 2009
The chiropractor beat charges last year that threatened to send him to state prison for performing a controversial procedure. Now, he's firing back with a $5 million lawsuit. He says an overly zealous prosecutor violated his civil rights.
US has no good system to track medical implants - October 15, 2009
Experts say such deaths are the result of a major weakness in the nation's system for recalling thousands of medical devices routinely implanted in people's bodies, ranging from screws and plates to artificial knees and hips.
Modesto chiropractor suing for $5M - October 12, 2009
A Modesto chiropractor once charged with defrauding insurers and workers compensation out of millions of dollars wants to clear his name.
HMS Acquires IntegriGuard to Expand Program Integrity Capabilities - October 12, 2009
HMS today announced that it has acquired the business of IntegriGuard LLC, an ISO–certified and URAC–accredited organization devoted to the prevention and detection of fraud, waste, and abuse in the healthcare system.
Bridgewater chiropractor pleads guilty to fraudulent billing - October 11, 2009
A township chiropractor pleaded guilty Thursday in Superior Court on a charge of fraudulently billing a health insurance company.
Former Antioch chiropractor pleads to druggings, sex assault - October 11, 2009
A former Antioch chiropractor pleaded no contest today to charges he drugged two women at a bar and then sexually assaulted one of them at his doctor's office while she was unconscious — an assault authorities say he videotaped on his cell phone and showed to others back at the bar.
Chiropractor faces 107 years in U.S. prison - October 11, 2009
A Burlington chiropractor faces up to 107 years in a U.S. prison and a quarter–million–dollar fine for allegedly defrauding the American Medicaid program four years ago.
Chiropractor charged in scheme to cheat Pennsylvania health insurer - October 11, 2009
A Luzerne County, Pa., chiropractor faces insurance fraud charges for filling false claims as a patient to a local Blue Cross affiliate.
Is your nurse an ex-con? - October 08, 2009
While there were no cameras at the Florida Board of Nursing meeting, the hearing was recorded. Waiting to have their cases heard were dozens of applicants hoping to become nurses for the first time or applying to have their license restored.
LA may shut medical pot dispensaries - October 07, 2009
A Los Angeles City Council committee Tuesday began considering a proposed permanent ordinance to require the immediate closure of hundreds of medical marijuana dispensaries that operate for profit.
Thousand of patients warned about theft of personal information - October 07, 2009
Thousands of patients at a Kern County health clinic have been warned their personal information could have been stolen.
Miami Medicare fraud defendant gets 8 years - October 07, 2009
A local medical equipment supplier convicted of Medicare fraud is sentenced to eight years in prison after having fled South Florida to evade prosecution.
Obama's Expert on Medicare Fraud - October 06, 2009
Health–care czarina Nancy–Ann DeParle built a career at companies that have had to defend themselves against federal investigations.
Chiropractors Bent Out of Shape Over Blues’ Post-Payment Denials - October 06, 2009
The Blue Cross and Blue Shield Association (BCBSA) and 22 Blue Cross and Blue Shield (BCBS) plans were named as defendants Sept. 11 in a class–action suit alleging they engaged in “abusive practices in using post–payment audits and reviews.”
Nationally Recognized "Qui Tam" Attorney Michael I. Behn Discusses Billion Dollar Medicaid Fraud Settlements and False Claims Act Amendments at Chicag - October 06, 2009
Whistleblowers' lawyer Michael I. Behn of Behn & Wyetzner, Chartered, Chicago, Illinois will participate on a panel discussing new amendments to the False Claims Act, recent billion dollar Medicaid Fraud settlements against Lilly and Pfizer, and other developments concerning whistleblower lawyers.
Can You Pass the Smell Test? - October 04, 2009
The issue concerning when actions and conduct do not meet the "smell test" can be summed up much like late Supreme Court Justice Potter Stewart did when asked to define pornography. His answer was: "I can't define it, but I know it when I see it."
Exeter chiropractor's fraud case continued - October 04, 2009
The trial for Paul Loch, an Exeter chiropractor charged with federal tax evasion, bank fraud and knowingly filing false tax returns, has been extended upon his request.
Trial Date Set to Challenge New Texas Fraud Law - October 04, 2009
A temporary restraining order to prevent HB 148 from taking effect was filed in federal court by a plaintiff attorney and chiropractor on August 27.
SourceMedical's Therapy Software Division Takes a Leading Role in Therapy Documentation For Medicare Requirements - October 02, 2009
SourceMedical, a leading provider of outpatient information management solutions, announced today that it is taking a leading role in providing industry education to prepare therapy clinics for Medicare audits.
Class Accuses Blue Cross of Extortion - October 02, 2009
Three state chiropractic associations say Blue Cross Blue Shield is trying "to extort millions of dollars" from chiropractors, unfairly demanding that they return money paid on claims, after "retrospective" determinations that the doctors did not provide "covered services."
Forty Fort chiropractor accused of obtaining more than $100,000 through fraudulent claims - October 02, 2009
Authorities allege a Forty Fort–based chiropractor charged Tuesday with felony insurance fraud had been using another doctor's information to bill for services he never received.
Local chiropractor charged with more counts of sexual abuse - September 30, 2009
An Oskaloosa chiropractor will appear in court next week on seven charges of third–degree sexual abuse and one charge of tampering with records.
CMS to Stop Payment on Claims for Services Ordered by Non-Enrolled Providers - September 30, 2009
CMS is cracking down on claims for services that are ordered or referred by physicians who don’t participate in Medicare, even if the services themselves are Medicare–approved.
Marrero woman among three convicted of Medicaid fraud - September 28, 2009
A Marrero woman could face up to 270 years in prison and more than $7 million in fines after she was convicted in federal court Wednesday along with two other New Orleans women of Medicaid fraud.
Pomerantz Files Class Action Against Blue Cross Blue Shield Association ("BCBSA") and Related BCBSA Entities - September 28, 2009
Pomerantz Haudek Grossman & Gross LLP today announced that it and co–counsel Buttaci & Leardi, LLC filed a class action lawsuit against the Blue Cross Blue Shield Association ("BCBSA") and 22 leading BCBS insurers across the country on behalf of a putative nationwide class of health care providers, as well as the Pennsylvania Chiropractic Association ("PCA"), the New York Chiropractic Council (the "Council"), and the Association of New Jersey Chiropractors ("ANJC").
Federal Procurement Fraud Claims Likely to Rise - September 28, 2009
In this type of distressed economic situation, it is more important now than ever before for businesses to ensure they have effective and efficient corporate compliance procedures in place to protect themselves from federal procurement fraud claims.
Medicaid Fraud Unit increases its efforts - September 28, 2009
Wyoming's Medicaid Fraud Control Unit is looking for more business. But the agency cannot go shopping for cases of fraudulent Medicaid claims and instead must depend on outside referrals.
Chiropractor files another PPO class action in St. Clair County - September 27, 2009
A putative class action lawsuit has been filed against an insurance company that allegedly benefited from preferred provider discounts without referring patients to doctors.
Audit: Expenditure controls inadequate in Va. program for disabled children - September 27, 2009
A state program for disabled children has inadequate internal controls over millions of dollars in benefit expenditures, according to an audit released yesterday.
Blue Cross sleuth says health care fraud is increasing - September 27, 2009
At Blue Cross Blue Shield of Michigan, Greg Anderson, vice president of corporate and financial investigations, has been tracking down health insurance fraud for more than 27 years.
Expanded team gets tougher on health care cheats - September 27, 2009
It is well known that Michigan and metro Detroit have a great national reputation for health care quality and innovation. Many top providers — including the University of Michigan Health System and Henry Ford Medical Group — are based in the state.
Use of Interim Compliance Officers Meets Need for Internal Reviews and Buys Time in a Transition - September 22, 2009
Hospitals and physician practices are increasingly hiring interim compliance officers (COs) for periods of six to 18 months. Usually they are lawyers or consultants hired to satisfy the sometimes overlapping needs of providers.
Medicare RAC Audit Preparation Identifies and Corrects Errors, Saving Thousands - September 21, 2009
Payment Automation Network, Inc. announced the launch of a new service for physicians, home health agencies, hospitals and durable medical equipment providers in preparation for the upcoming Medicare audit by the RACs.
Pfizer Concludes Previously Disclosed Settlement Agreement With U.S. Department Of Justice Regarding Past Promotional Practices - September 21, 2009
Pfizer Inc today announced that it has finalized a previously reported agreement in principle with the U.S. Department of Justice (DOJ) to settle an investigation regarding past off–label promotional practices related to Bextra, which Pfizer voluntarily withdrew from the market in 2005.
Mundelein chiropractor sued for insurance fraud - September 20, 2009
A Mundelein chiropractor is being sued in a federal court for insurance fraud Tuesday after he allegedly overbilled an insurance company more than $300,000 for services he never performed.
Medical costs per claim decline after comp reforms, researchers say - September 20, 2009
Medical costs per workers' compensation claim in Texas have declined significantly over a relatively short period after a series of legislative reforms, according to a recent study. However, according to the report, Texas still has higher costs and utilization than many other states for some types of medical care.
Raleigh couple accused of Medicare fraud - September 20, 2009
A Raleigh couple is under federal investigation for allegedly pocketing nearly $13 million since 2007 from false Medicare claims for motorized scooters, powered wheelchairs and other medical equipment.
GT Alert: New Provision in Medicare Program Integrity Manual is Effective on September 8 - September 20, 2009
The Centers for Medicare & Medicaid Services (CMS) has published a new manual provision that will severely restrict the use of consignment closets in physician offices by suppliers of durable medical equipment, orthotics and supplies (DMEPOS).
Study Says Privacy Rule Costs Underestimated and Questions to Ask Your Vendor About HIPAA - September 20, 2009
The final privacy rules for hospitals and health systems could cost $22.5 billion over five years –– far exceeding original government projections, according to research prepared by First Consulting Group for the American Hospital Association (AHA).
Claims Auditor Solution from Compliance 360 Chosen by More Than 200 Hospitals - September 20, 2009
Increasing Financial Threats from Medicare and Medicaid Recovery Audits Drives Rapid Adoption of Industry–Leading Solution for Defending Legitimate Revenues.
Action taken against chiropractor in Phoenix steroid case - September 18, 2009
State investigators are trying desperately to obtain hidden camera video of a local chiropractor accused of illegally selling anabolic steroids at two clinics in Phoenix and Peoria.
Missouri Fines United Healthcare Over Chiropractor Claims Handling - September 18, 2009
Under a settlement with the Missouri Department of Insurance, United Healthcare has agreed to reexamine at least 50,000 claims filed by chiropractors who treated the company's policyholders.
NY Chiropractor Scammed Insurance Companies - September 17, 2009
A New York chiropractor has admitted engaging in a scheme to defraud insurance companies of more than $750,000 by billing for medical services that were not performed.
Crackdown on workers' comp billing fraud is dealt a setback - September 17, 2009
California's powerful insurance lobby has quietly scuttled an effort to combat fraudulent medical billing that drains hundreds of millions of dollars from the state's workers' compensation insurance system.
Medicare pay for services by nonphysicians comes under scrutiny - September 17, 2009
OIG finds the "incident to" rule is allowing care to be provided by nonphysicians who lack the necessary qualifications.
Data From HHS Office of Inspector General Reveal Excessive Billing for Services Performed by Unqualified Nonphysicians - September 14, 2009
For the first time, the HHS Office of Inspector General has determined that a significant number of services billed by certain physicians are performed by unqualified nonphysicians.
New York fines one limited benefit plan, reviewing others - September 14, 2009
New York officials are examining the marketing practices of companies selling limited benefit health insurance plans in the state, after fining one company $700,000 for violations of state insurance law.
Metro chiropractor gets jail for tax fraud - September 12, 2009
Cumming, Ga., Chiropractor Michael J. Falite was sentenced Tuesday to two years in federal prison on charges of filing a false tax return.
Auditors warn Utah Medicaid is likely wasting millions of taxpayer dollars - September 12, 2009
Millions of tax dollars are likely being wasted in Utah's Medicaid program on procedures –– including a breast augmentation and nose jobs –– that aren't covered by the government insurance program, according to a scathing legislative audit released Tuesday.
Former Lansing-area chiropractor pleads guilty to fraud - September 12, 2009
A chiropractor who once was an owner of the Greater Lansing Chiropractic Center has pleaded guilty to billing an insurance company for services he did not provide, officials said.
Durable Medical Equipment Company Owner Convicted in Medicare Fraud Scheme - September 12, 2009
According to the Indictment and evidence admitted at trial, defendant Ortiz controlled and operated Daky Medical Supply, Corp. ("Daky Medical"), located in Miami, FL. Daky Medical purportedly provided durable medical equipment to Medicare beneficiaries.
Assault charges against Bath chiropractor John Marino are withdrawn - September 10, 2009
Northampton County prosecutors today dropped indecent assault and harassment charges against Bath chiropractor.
Attorney General files lawsuit against Lakeville chiropractor - September 10, 2009
Attorney General Lori Swanson and the Minnesota Board of Chiropractic Examiners filed a lawsuit today (Wednesday, Aug. 12) in Dakota County District Court against a Lakeville chiropractor alleging his clinic enrolled patients in medical credit cards without permission and wrongfully placed charges on the cards.
Medical errors ignored 10 years - September 10, 2009
Long–term research and studies are meaningless if the findings are casually tossed aside and ignored.
Lakeville Chiropractor Sued For Predatory Lending - September 08, 2009
A chiropractor in the south metro is accused of aggressively enrolling patients for a medical credit card and signing them up without their knowledge.
How to prepare for your next Medicare audit - September 08, 2009
With potential changes coming in Medicare, there are important things that skilled nursing facilities need to do to prepare themselves. It is not just about prevailing through an audit—it is about improving patient care and improving outcomes.
Wyoming chiropractor sentenced to jail for fondling patients; judge likens man's office with basement bar to 'Animal House' - September 05, 2009
In the first of a pair of sentencing hearings for a Wyoming chiropractor accused of fondling female clients, Gregory Alan Freeman will spend nine months in the Kent County Jail.
Health care fraud widespread -- in public and private sectors - September 05, 2009
Health care entities have been found responsible for 80% of fraud, as federal officials crack down on fraud as part of health system reform.
In-house Compliance Hotlines Can Provide a Wide Range of Assistance to Employees - September 05, 2009
Rather than outsourcing to a hotline vendor — a common practice in the health care industry — Carilion’s compliance department takes its own calls and keeps the hotline (called “ComplyLine”) open for all types of employee inquiries.
Florida Investigating Use of Health Insurance Databases Linked to Fraud - September 05, 2009
Florida insurance regulators are investigating health insurers' use of scandal–tarred databases used in billing for out–of–network medical care.
Healthcare Chronicles: Crime Doesn't Pay - It Gets Reimbursed - September 05, 2009
Health care fraud costs our society between $70 billion and $300 billion per year. The government is aware of the problem but evolutions in our government and social developments have shifted resources from one area of interest to another.
Hospitals Risk False Claims Cases for Not Reporting Adverse Events - August 28, 2009
Adverse–event reporting is a hot topic on the state and federal level, and where reporting is required, failure can result in criminal or civil penalties and licensure problems. Now it turns out that the Department of Justice sees fertile grounds for False Claims Act cases in this area as well.
Medicaid fraud crackdown pays off - August 25, 2009
South Carolina recovered $4.4 million more in Medicaid fraud and abuse collections from health–care providers in fiscal 2009 than it did the year before.
State of Washington Awards Program Integrity Contract to Ingenix - August 23, 2009
The Washington State Department of Social and Health Services (DSHS) has awarded a $19 million, five–year contract to fight and prevent Medicaid fraud, waste and abuse to Ingenix, a leading information, technology and consulting services company.
CMS Moves to Ease Outpatient Compliance by Allowing Supervision by Non-Physicians - August 23, 2009
CMS’s recently proposed changes to physician supervision requirements for outpatient services should allow hospitals to achieve compliance with less financial strain, lawyers and compliance officers agree.
Local chiropractor issued ‘monitoring requirements’ - August 22, 2009
Chiropractor Jason Ebelsheiser, 33, will continue to see patients, just not in the same way.
Chiropractor Charged With Abusing Patients - August 21, 2009
Oskaloosa police have arrested a chiropractor on sexual abuse charges.
Attorneys to ask Stack for initial approval in chiropractor's AIG class action settlement Tuesday - August 19, 2009
Madison County Circuit Judge Daniel Stack will be asked to grant preliminary approval to the settlement of a class action suit over improper Preferred Provider Organization (PPO) discounts Tuesday.
Flushing-area chiropractor accused of $48,000 insurance scam involving teacher massages - August 19, 2009
Miguel M. Ruelan, 39, is accused of defrauding Blue Cross Blue Shield by giving massages to teachers and other patients whose insurance didn't cover the service then billing the insurance giant for medical procedures that were never performed.
Watertown whistleblower gets $10 million in Medicaid fraud suit against New York - August 19, 2009
A former Watertown woman will pocket $10 million in a record–breaking settlement of a Medicaid fraud whistleblower suit against the state and New York City, the Justice Department said today.
$Billions in Medicare/Medicaid lost to fraud, abuse - August 19, 2009
Missing from President Barack Obama's health care program pitch last night was the likelihood that increased government control will also mean increased fraud, corruption and abuse of the system.
South Cerney chiropractor Nick Hall banned after affair with patient - August 18, 2009
A SOUTH Cerney chiropractor has been banned from practising after having an affair with a "vulnerable" patient.
Florida Resident Sentenced on Health Care Fraud Charges - August 13, 2009
Geoffrey Ramseur, 52, of Rockledge, Florida (formerly of Northville, Michigan), was sentenced yesterday to 20 months in prison and ordered to pay restitution in the amount of $121,000.00 after having been convicted on health care fraud charges, announced United States Attorney Terrence Berg.
New Federal, State Laws Raise the Stakes When Dealing With Employees Who Snoop Into Patient Health Information - August 12, 2009
The law also requires CMS and the HHS Office for Civil Rights to investigate complaints where a preliminary inquiry shows that “willful neglect” is the cause. And the law raised the penalties the government can hand down.
Physician Hospitals (PHA) Responds to TIME Magazine Article: Filled With 'Incorrect Assumption and Innuendo' - August 05, 2009
The TIME Magazine article "How Healthcare Reform Could Hurt Doctor–Owned Hospitals" (7/13/09) correctly states that physician owned hospitals would be hurt by pending health reform legislation; however, there is little else in the article that can pass as anything more than incorrect assumption and innuendo says Physician Hospitals of America (PHA).
Implement a compliance program - August 04, 2009
As chiropractors, most of the problems you see today arise from lack of compliance with federal and state law. Some problems are also from government and insurance payer requirements for billing, coding, and documentation.
Medicaid problems swell in new system
Rollout delayed as private firm works on fixes - August 04, 2009
Indiana's nearly 2–year–old experiment with a privatized welfare system appears to be failing. The backlog of pending Medicaid applications has ballooned in counties where welfare is handled by private contractors.
Fifty-Three Indicted in Health Care Fraud Investigation - August 04, 2009
Fifty–three people have been indicted for schemes to submit more than $50 million in false Medicare claims in the continuing operation of the Medicare Fraud Strike Force in Detroit.
Court rejects physician challenge to change in self-referral rule - July 27, 2009
A federal trial court turned down a challenge brought by a group of physicians and physician–owned entities to a recent change in the federal self–referral rules that doctors worry could harm patient care.
New York Charges Doctors, Hospital Employees with No-Fault Fraud - July 21, 2009
New York Attorney General Andrew M. Cuomo announced the indictment of 12 people and 9 corporations across New York City for their roles in an alleged criminal enterprise that paid hospital employees for confidential patient information, lured patients into receiving unnecessary treatment, and then submitted more than $1 million in phony personal injury claims to insurance carriers.
Tennessee Medical Assn. sues collections firm - July 17, 2009
Health Research Insights has contacted physicians in several states this year trying to collect alleged overpayments.
Physicians snared by growing Medicare fraud strike team - July 16, 2009
The indictments are the first major actions since the Depts. of Justice and HHS expanded a joint Medicare fraud initiative last month.
Stop Medicare scammers - July 16, 2009
Last month, the U.S. Department of Justice busted a Medicare fraud ring in Miami, indicting eight suspects who allegedly cheated the government out of $30 million. That same week, the agency arrested 40 people in Detroit and Miami on similar charges of defrauding Medicare out of $50 million.
Government moves to staunch massive Medicare fraud - July 11, 2009
Since 2006, U.S. taxpayers have paid nearly $155,000 to send home health nurses to inject twice–daily insulin shots for an elderly, diabetic Miami man.
Chiropractor John Marino's license reinstated - July 09, 2009
A Bath chiropractor accused of molesting four patients had his license restored Thursday by the Pennsylvania Department of State.
Optimizing Asset Management, Equipment Utilization More Essential Than Ever - July 08, 2009
If you’re a biomed, then chances are you know firsthand the frustrations associated with trying to track down medical equipment and maintain a consistent, reliable preventive maintenance schedule.
Medical fraud under the guise of alternative medicine - July 08, 2009
The breaking news today is the story of a healthcare practitioner from Georgia who was just sentenced to less than five years in prison for medical fraud. Chaunsay Beckwith was the operator of an alternative medical clinic in Tucker, Georgia called International Alternative Medicine Inc., which was offering hyperbaric chamber treatments as a medical alternative.
Calculating insurance interests - July 08, 2009
LAST WEEK, three insurance executives made starkly clear why President Obama is right to insist on a public–plan option in any health reform package. The three stood before Congress and refused to stop the practice of canceling coverage of sick policyholders for unrelated medical reasons, even in cases where the firms can’t show intentional fraud by the policyholders.
Using Your ECM System To Simplify RAC Audits - July 08, 2009
If you are involved in any way with the administrative end of a healthcare facility, you are well aware that there are many factors that have to converge behind the scenes in order for a facility to operate effectively. A critical component to smooth operations and stellar patient service is the ability to locate, access, and disseminate information.
Nazareth chiropractor's license suspended - July 07, 2009
A Bath chiropractor who was charged with indecent assault of four female patients in April has been temporarily barred from treating clients.
HCPC Calls for Greater Healthcare Savings Through Improved Adherence to Prescription Drug Regimens - July 07, 2009
With today's announcement that the Pharmaceutical Research and Manufacturers of America (PhRMA) has offered to voluntarily grant some $80 billion in discounts to Medicare beneficiaries over the next decade in an effort to reduce overall healthcare costs, the Healthcare Compliance Packaging Council (HCPC) noted that far greater savings can be achieved if immediate steps are taken to help people take their prescription drugs properly.
Local chiropractor pleads not guilty to sexual assault charges - July 07, 2009
An Indio chiropractor being prosecuted on charges of sexually assaulting several patients under the guise of medical examinations pleaded not guilty today to three additional felony counts.
How to Eliminate Fraud From the Health-Care System - July 07, 2009
If the U.S. can cut out fraud from the health–insurance system, we can all save a lot of money and get better care. That’s something just about everyone can agree on. What’s tougher, of course, is actually trying to root out the fraud, or even defining what exactly “fraud” is.
Atlantic Financial Consulting Launches a Nationwide Physician Coding Audit Service to Prepare Practices for the Medicare Recovery Audit Contractor Aud - July 05, 2009
With Medicare audits on the rise due to the Medicare Recovery Audit Contractor (RACs) audits that have been implemented in all 50 states by the Centers for Medicare and Medicaid Services (CMS), it's essential that physician practices have a compliance plan in place and that they are properly coding and documenting their patient encounters in accordance with Medicare guidelines.
Florida probes Miami-area medical-equipment kickbacks - July 05, 2009
Medicaid investigators are targeting fraud in Miami–Dade County, zeroing in on questionable billing for medical equipment.
Public Comment Period Open for HIPAA Privacy and Security Standards - July 04, 2009
As part of its commitment to a comprehensive review of its standards, URAC, a leading health care accreditation and education organization, today called for public comment on revisions to its Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security standards.
Patients fume over Cleveland Clinic fee; hospital not alone in levying facility charge - July 04, 2009
The Clinic isn't the only hospital that charges the "facility fee" or "hospital services fee" for doctor visits and other services it provides at its outlying medical centers. MetroHealth Medical Center, University Hospitals Case Medical Center, and Lake Health (formerly Lake Hospital System) charge them in some cases, too.
Locklear Electric files two new class actions over unsolicited faxes - July 04, 2009
A Wood River electric company has filed two new separate class action lawsuits against a chiropractor's office and a real estate company, alleging the office and company sent unsolicited faxes to it, causing a waste of paper and employee time.
Board puts Johnson City chiropractor on probation for filing false insurance claims - July 04, 2009
The Tennessee Department of Health’s Board of Chiropractor Examiners has placed Johnson City Chiropractor Dwight C. Whynot’s license on probation for a year for allowing unlicensed clinic staff to practice and filing false insurance claims for services never preformed.
Both victims and family of Wyoming chiropractor weep after Gregory Freeman found guilty of fondling two patients - July 04, 2009
There was weeping on both sides of the courtroom as a jury found Wyoming chiropractor Gregory Alan Freeman guilty of two counts of fourth–degree criminal sexual conduct for fondling the breasts of two women at his 36th Street SW office.
Tax shelter could land Kerrville chiropractor in prison - July 04, 2009
In a case the IRS says highlights the risks of offshore tax shelters, a prominent Kerrville chiropractor pleaded guilty Thursday in Austin to three misdemeanor charges of failing to file tax returns.
Kennebunk chiropractor's license revoked, again - July 04, 2009
Kennebunk chiropractor Clifford Faldman on June 10 had his state license to practice revoked, this time for at least six months.
Patients testify on behalf of chiropractor accused of criminal sexual conduct, saying he improved their health - July 04, 2009
A very different portrait was painted in court Wednesday of a Wyoming chiropractor accused of misusing his position to gain the trust of female patients before fondling their breasts under the guise of treatment.
Parade of women testifies against Wyoming chiropractor in alleged groping case - July 04, 2009
The allegations included fondling, asking women to expose themselves, looking at pornography and serving shots of Jagermeister and Pabst Blue Ribbon in the disco ball–decorated bar in the basement of his 36th Street SW office.
Chiropractor says company 'cold called' potential patients - June 28, 2009
An Ohio County chiropractic business is suing a referral service because it "cold called" potential clients in violation of the agreement.
Cumming chiropractor guilty of tax fraud - June 27, 2009
A Cumming, Ga., chiropractor pleaded guilty Tuesday to filing a false income tax return, after his trial revealed he hid income from the IRS by writing checks to fake companies.
Workers' comp insurance about to jump - June 27, 2009
Five years after California reined in skyrocketing workers' compensation insurance rates, employers are facing another round of rate increases, blamed largely on rising medical costs.
HCCA Web Conference Offers Forum on Medicare's Nationwide Rollout of the Recovery Audit Contractors (RAC) Program - June 27, 2009
As the Centers for Medicare and Medicaid (CMS) Recovery Audit Contractors (RAC) prepare to contact health care providers as early as late June or early July, the Health Care Compliance Association (HCCA) announced it will hold a critical and timely web conference on June 23, 2009, Advance RAC Forum: Questions and Answers with CMS and Leading Providers about the New RAC Rollout. Click on the following link to register: http://www.hcca–info.org/RAC.
Wyoming chiropractor facing sex charges waives Kent County Circuit Court hearing after learning of four separate counts - June 26, 2009
A chiropractor already standing trial on three charges of fourth–degree criminal sexual conduct was hit with four more charges Wednesday that will come to Kent County Circuit Court.
How Safe Are Your Medical Records? - June 24, 2009
In October 2008, hackers broke into a data goldmine at the University of California, Berkeley. They infiltrated 20 separate databases kept on a server at the health services center and over a span of six months, stole Social Security numbers, birth dates and addresses.
Insurers ranked on payment records
Bay State doctors waited longest for MassHealth funds - June 22, 2009
The state government Medicaid plan known as MassHealth, which covers low–income patients who can't afford insurance, was the slowest payer of health claims to Massachusetts doctors last year, averaging 56 days, and denied the highest share of claims, 23.8 percent, according to rankings set to be released today.
Goodyear chiropractor cleared by board in sex abuse case - June 22, 2009
Goodyear police are still investigating sexual–abuse allegations against a local chiropractor, more than a year after his case was dismissed.
Blowing whistle pays off big for fortunate few - June 22, 2009
Since 1986, more than $20 billion has been paid out in fraud lawsuits brought by whistleblowers. It has made some midlevel bureaucrats very rich.
Turning a Blind Eye: Hospitals Fail to Discipline Doctors, Exploit Loopholes to Avoid Requirement to Report Doctors - June 22, 2009
Though a federal law requires hospitals to report physicians who have had their admitting privileges revoked or restricted for more than 30 days, a Public Citizen report released today found that in addition to inadequate discipline of physicians, hospitals routinely exploit loopholes to avoid government requirements, with nearly half of all hospitals not submitting a single doctor's name to the National Practitioner Data Bank (NPDB) in the more than 17 years it has existed.
Robert Matthew Nolan could face more charges in Clark County - June 21, 2009
The Clark County prosecutor says more charges are likely against a chiropractor already charged with four misdemeanors related to alleged improper touching of female patients.
Healthcare challenge:Administrative ripple effects - June 21, 2009
The sheer complexity of health insurance fosters myriad cost ripples at the provider level almost like the tsunami that follows an earthquake on the ocean floor. Almost half of staff members (43.6 percent) at a typical physician’s office are devoted to clerical rather than clinical tasks.
Hearing begins on Olathe chiropractor Wasse Zafer’s license suspension - June 21, 2009
Three weeks ago, the Kansas State Board of Healing Arts issued an emergency suspension of Zafer’s license and filed a petition alleging that he obtained fees through fraud, deceit or misrepresentation; falsified records; and committed acts of unprofessional or dishonorable conduct or professional incompetency.
Fairness hearing set for Tuesday in First Health class action settlement - June 21, 2009
A fairness hearing is set for Tuesday to determine whether a charitable contribution of more than $1.2 million is a fair end to a 2004 chiropractor class action suit against an insurance company over claims adjustments.
Hospital strains to cut elder care costs - June 20, 2009
Massachusetts General Hospital launched a pathbreaking effort to cut medical costs by reducing hospital stays and emergency room visits by the frail elderly – an initiative that underscores just how hard it will be for the medical industry to make good on its promise to President Obama to pare healthcare spending by $2 trillion over the next decade.
Southern Indiana chiropractor investigated for sexual misconduct - June 20, 2009
A New Albany chiropractor with a practice in Clarksville is under investigation for sexual misconduct after four female patients have filed complaints with police since 2007.
Accounting for Disclosures in Electronic Health Records Could Be a Time Bomb Waiting for HIPAA Covered Entities - June 18, 2009
The new accounting of disclosures requirements for EHRs under the HITECH Act dictates that providers log all disclosures made through EHRs — including those made for treatment, payment and health care purposes — and report them to patients when requested.
U.S. and 16 States Join Suits Against Pharmaceutical Giant, Wyeth - June 17, 2009
Drug Company Allegedly Failed to Pay Hundreds of Millions In Rebates to Medicaid Program
Chiropractor charged with insurance fraud - June 17, 2009
State Attorney General Anne Milgram has a bone to pick with a Clifton chiropractor who allegedly billed insurance companies for more than $230,000 for tests he did not personally perform.
Insurance costs for chiropractors won't drop - June 17, 2009
State lawmakers won't move to make it cheaper for most North Carolinians to see a chiropractor. Chiropractors want the state to ban insurance companies from charging higher co–pays to patients of chiropractors than those who go to general practioners.
In patients' hunt for care, doctor database 'a place to start' - June 17, 2009
The company's approach exploits a wealth of commercially available information. Unbeknownst to most patients and many physicians, countless details of a doctor's professional activities — from procedures to referrals to prescribing records — are readily available, at a price, to marketers, medical information firms and drug companies.
Chiropractic Is Past the Demonstration Project Stage - June 16, 2009
On Jan. 5, 2009, the U.S. Health Resources and Services Administration (HRSA) announced yet another chiropractic demonstration project. Haven't we been there before? Isn't this the third demonstration project?
Medicare DME bidding program set to relaunch in 2010 - June 15, 2009
The White House gives the green light to competitive bidding over vigorous objections from equipment suppliers and some lawmakers.
Undercover sting targets lawyers, chiropractors - June 15, 2009
Seven people – including chiropractors, attorneys and a paralegal – have been charged in an undercover sting operation targeting insurance overbilling and the illegal practice of law, prosecutors announced today.
Improve Medicare oversight, Miami's U.S. attorney tells Senate - June 15, 2009
Miami's R. Alexander Acosta told a U.S. Senate panel that fixes need to be made at the top to stem the tide of Medicare fraud.
Government-Run Health Insurance Program Made Almost $19 Billion in Improper Payments in 2008 - June 04, 2009
Medicaid, the government–run health insurance program for low income people that is administered by state governments and funded by federal taxpayers, made almost $19 billion in improper payments in 2008.
Healthcare IT Provider MedPlexus Releases “Three Things Every Doctor Should Know About the Stimulus Bill Incentives” - June 02, 2009
Following the stimulus bill’s passing, the medical community is seeking to understand how the more than $19 billion in healthcare IT implementation incentives will be distributed and what is required to receive them. Based on queries from its customers, MedPlexus, a leading provider of software solutions to medical practices, released today a brief guide entitled “Three Things Every Doctor Should Know About the Stimulus Bill Incentives.”
Six in Ten Say Family Put Off Medical Care Due to Cost - June 02, 2009
Public continues to support action on health reform, including public plan and some tax changes. But argument testing shows opinion is malleable and will hinge on actual debate
Weed chiropractor sentenced to more than 11 years in prison for bankruptcy fraud - May 25, 2009
On June 5, 2008, a jury found Klassy guilty of making false declarations under penalty of perjury in a bankruptcy case, fraudulently concealing property in a bankruptcy case, and 26 counts of money laundering.
Middletown chiropractor pleads guilty in molesting case - May 23, 2009
Chiropractor Christopher King has pleaded guilty to attempted forcible touching, a misdemeanor, in a case where patients said he molested them during treatment.
Ohio Chiropractor Sentenced for Workers' Compensation Fraud - May 22, 2009
A Cleveland, Ohio, chiropractor who has been under investigation by the Ohio Bureau of Workers' Compensation's (BWC) special investigations department (SID) has been sentenced after pleading guilty to workers' compensation fraud and intimidation, the BWC announced.
Former Lower Burrell office manager ordered to repay $12M in fraud case - May 19, 2009
The former office manager for the chiropractor who admitted masterminding a massive health insurance fraud case was sentenced Friday and ordered to pay more than $12 million restitution.
Man Charged With Practicing Medicine Without License - May 16, 2009
Even though he has no medical license in California, Donsbach claimed to be a chiropractor and naturopathic doctor, and through a weekly, online radio broadcast from Chula Vista, offered "alternative, natural and nutritional" remedies for many conditions and ailments, including cancer and auto–immune disorders, according to the prosecution.
Chiropractor accused of blackmailing boys over nude photos - May 13, 2009
A Marietta chiropractor and former martial arts instructor has been indicted on sex charges for allegedly enticing teenage boys to send him pictures of themselves naked using Myspace, AOL Instant Messaging and another site.
Man who told patients he could cure cancer charged - May 13, 2009
Donsbach claimed to be a chiropractor and naturopathic doctor on his Web site, LetsTalkHealth.com, where he sells alternative remedies for many conditions, from cancer and autoimmune disorders to joint pain and stress.
Woman who sought treatment then sued chiropractor for 'unwanted contact' gets day in court - May 13, 2009
In June 2007, the Record reported on a suit filed by a woman who sought a neck adjustment then turned and sued the chiropractor for "unwanted, intrusive contact." Now, the case has gone to trial.
Red Flag Rules apply to doctors of chiropractic - May 08, 2009
Based on legislation passed by Congress in 2003, in 2007, the Federal Trade Commission (FTC) first issued regulations stating that financial institutions and creditors are required to develop and execute written “identity theft prevention programs” that must provide for the identification, detection, and response to patterns, practices, or specific activities.
Local chiropractic firm to pay $95K in discrimination lawsuit - May 06, 2009
The U.S. Equal Employment Opportunity Commission Wednesday reported that a Delaware County chiropractor’s company will pay $95,000 to settle a pregnancy discrimination lawsuit involving a former associate chiropractor employed there.
St. Paul Chiropractor Sentenced To Workhouse Time - May 06, 2009
A St. Paul chiropractor convicted of giving a female co–worker a massage and touching her inappropriately was sentenced Thursday to 90 days in the workhouse.
Chiropractic Patients Need To Know Treatment Risks - May 06, 2009
State chiropractors are fighting the proposed informed–consent law. The chiropractors say they are all for doing this, but they want it to apply to anyone who performs a procedure involving the neck, such as hairdressers. This is an obvious smoke screen.
Local Chiropractor Sentenced to 5 Years in Prison - May 06, 2009
Dr. William Stearns, DC, 47, of Marietta, was sentenced late last week to five years in prison for participating in a $2 million health care fraud scam at the network of back pain clinics that he operated with two co–conspirators.
Marietta chiropractor gets jail time - May 06, 2009
Marietta, Ga., chiropractor Dr. William Stearns was sentenced late Thursday to five years in federal prison and fined $1.2 million for his role in a health–care fraud and money laundering scam.
Valley chiropractor accused of stalking woman for 3 years - May 06, 2009
According to police, surveillance on the doctor revealed that he was following the victim all over the Valley.
Stroke Victims Push For Chiropractor Bill - May 06, 2009
Two women who claim they suffered a stroke at the hands of their chiropractors are now pushing for change.
Chiropractor accused of sexual assault to continue practice with restrictions - May 04, 2009
An Indio chiropractor accused of sexually assaulting several patients under the guise of performing examinations is allowed to continue practicing –– with restrictions –– while his criminla case is pending, a state official said today.
Group Claims Chiropractry Gave Them Strokes - April 22, 2009
Two women have launched a billboard campaign, warning about risks associated with chiropractry. Both suffered from strokes, and believe their treatments led to their conditions.
Corte Madera chiropractor ordered to pay 2 patients more than $7,000 - April 11, 2009
Donald Harte, a Corte Madera chiropractor, has been ordered to pay two of his former patients a total of more than $7,000 after they took him to small claims court alleging he used false advertising and scare tactics.
Chiropractor charged with sexual abuse of client, 42 - April 11, 2009
A prominent Sullivan County chiropractor was arraigned Thursday on a charge he sexually abused a 42–year–old female client.
Gordon's massage licensing bill approved by House - April 11, 2009
The Alabama House of Representatives on Tuesday passed a measure to relax licensing requirements for chiropractors who employ massage therapists.
Fraud probers seize chiropractor’s files in Old Forge - April 11, 2009
Authorities on Friday seized computer records and medical files of a borough chiropractor suspected of insurance fraud.
Indio chiropractor accused of sexually assaulting patients - April 11, 2009
A chiropractor who practices in Indio was arrested today on suspicion of sexually assaulting patients while performing medical examinations, authorities said.
Chiropractor waives felony fraud charges - April 11, 2009
A Mountain Top chiropractor, who prosecutors say defrauded patients and insurance companies out of nearly $35,000 over five years, waived charges during a preliminary hearing Monday in Central Court.
12 charged in Orange County district attorney's fraud sting - April 11, 2009
The Orange County District Attorney’s Office said Wednesday it arrested and charged 12 people in an undercover insurance over–billing scheme. Eight of the persons arrested were chiropractors, and one was an attorney. The arrests took place Monday and Tuesday.
Two patients of Corte Madera chiropractor seek refunds in small claims court - April 08, 2009
Two former patients took a Corte Madera chiropractor to small claims court Friday, alleging false advertising and scare tactics and demanding refunds.
St. Paul chiropractor convicted of sex charge - April 06, 2009
A jury found that Dr. Christopher Thaemert, 43, sexually touched employee without her consent at his St. Paul office.
Physical therapists, chiropractors square off over bill - April 06, 2009
The campus is heating up today with supporters and opponents Senate Bill 5230 descending on the Capitol. The bill sponsored by Sen. Fairely, D–Lake Forest Park, would allow physical therapists in Washington to perform spinal manipulation, which chiropractors currently perform.
St. Paul chiropractor faces criminal sexual conduct charges - April 06, 2009
He is accused of touching an employee in a sexual way without her consent during a massage. His lawyer says all he did was kiss her leg.
Kids find a new way to adjust: Chiropractors - April 03, 2009
Booth, a university professor in Portland, Ore., found that her lactation consultant and several friends also endorsed chiropractic care for kids.
Chiropractor can continue practice, but must tell patients he is going on trial for criminal sexual conduct - April 03, 2009
A chiropractor accused of inappropriate sexual behavior toward his patients can continue to practice out of his house–turned–office on 36th Street SW –– but only after revealing to his patients that he is charged with fourth–degree criminal sexual conduct.
Parties Settle Libel Lawsuit Over Yelp Review - April 03, 2009
A San Francisco chiropractor and his former patient, Christopher Norberg, have settled a libel lawsuit arising out of a bad review that Norberg posted on Yelp.
Metro chiropractor gets prison for fraud - April 03, 2009
A Norcross, Ga., chiropractor was sentenced to prison late Wednesday for health–care fraud and possession with intent to distribute testosterone.
Chiropractor who helped disguise brothels gets probation - April 02, 2009
A Los Angeles man was sentenced to three years probation, with the requirement that he serve six months of home confinement, for his role in assisting an operator of brothels that posed as legitimate businesses, federal prosecutors said.
Yelp user faces lawsuit over negative review - April 02, 2009
Eric Nordskog, the attorney for chiropractor Steven Biegel, said the case comes down to whether Norberg's comments are considered statements of fact or opinions.
S.F. Yelp user faces lawsuit over review - March 26, 2009
In a case that could chill free speech online, a San Francisco chiropractor has sued a local artist over negative reviews published on Yelp, the popular Web site that rates businesses.
Chiropractor sentenced to prison in $12 million insurance fraud - March 26, 2009
Based in part on the cooperation of former Lower Burrell chiropractor Douglas Henderson, the U.S. attorney's office won convictions of 15 other people in a $12 million healthcare fraud scheme.
Ex-chiropractor gets 4 years in prison for billing fraud - March 26, 2009
After more than two years of delays, a federal judge Friday sentenced a former Westmoreland County chiropractor to prison for masterminding the largest health care fraud in Western Pennsylvania history.
Woman says chiropractor touched her inappropriately, suggested she get naked as payment - March 26, 2009
As Gregory Alan Freeman finished a chiropractic treatment of a female patient, police said he invited the woman to get naked as payment for the service.
Our view: Auto fraud fight must continue - March 26, 2009
Last week, automobile insurance fraud charges against a Lawrence attorney and a Haverhill chiropractor were thrown out of court
Houston chiropractor sent to prison for money laundering - March 26, 2009
A Houston area chiropractic clinic owner has been sentenced to federal prison for money laundering. Theresa Williams, 48, laundered the proceeds of an insurance fraud scheme, according to acting United States Attorney Tim Johnson.
Canyon Country Chiropractor Arrested For Insurance Fraud - March 26, 2009
Canyon Country chiropractor Bassam Michael Naber, 48, was arrested this morning at his home on six felony counts of insurance fraud and creating false documents.
Businessman sues Upstate-based phone-book company - March 26, 2009
An Upstate chiropractor is suing the owners of the Talking Phone Book, alleging that the company destroyed thousands of phone books instead of delivering them in an effort to artificially inflate distribution numbers that determine the cost to place an ad.
Judge dismisses auto fraud indictments against Lawrence lawyer and Haverhill chiropractor - March 26, 2009
Lawyers for popular Lawrence attorney Socrates De La Cruz and Haverhill chiropractor Troy Wheelwright proclaimed they had been exonerated of auto insurance fraud allegations yesterday after a judge dismissed their April indictments.
Chiropractor accused of improper touching sanctioned - March 26, 2009
A Janesville chiropractor twice sanctioned for improper sexual contact continues to practice.
New York chiropractor arrested for insurance fraud - March 26, 2009
A New York chiropractor who allegedly continued to submit claims for treating a patient four years after he stopped treatments was arrested for insurance fraud.
Janesville chiropractor fined for touching a child inappropriately - March 26, 2009
A Janesville chiropractor agreed Tuesday morning to pay a fine after courts ruled he touched a child in a sexual manner.
25 Chiropractic Pages URLs - March 26, 2009
Chiropractors are expected to keep tabs on how many new patients their offices get each week, how many total visits the office had for the week, what were over–the–counter cash collections, etc. Keeping logs is extremely important for any business, and paying attention to what’s going on with your chiropractic website, is important as well.
AG responds to chiropractor's claims - March 26, 2009
A South Lake Tahoe chiropractor who claims to have discovered a quick fix for a painful, incurable condition is now facing the possible loss of his license. It comes after an I–Team investigation two weeks ago. Now, his attorney is unveiling the defense he plans to use.
Suffolk County Chiropractor In Fraud Bust - March 26, 2009
A Suffolk County chiropractor who continued to submit claims for treating a patient four years after he stopped the treatments was arrested Thursday for insurance fraud, the New York State Insurance Department reported.
No second trial in fraud case
Chiropractor had been accused of bilking insurance - March 26, 2009
Prosecutors announced Thursday they will not retry Wilmer Origel, a Central Valley chiropractor arrested five years ago in what was heralded at the time as Northern California's biggest medical billing insurance fraud case, topping $20 million.
Stack takes insurance class certification under advisement - March 26, 2009
Madison County Circuit Judge Daniel J. Stack has given lawyers 21 days to file supplemental pleadings after hearing arguments on whether to certify a 15–state class action.
Chiropractor gets two years for insurance fraud - March 26, 2009
A Morgan Hill man was convicted for defrauding insurance companies at his Los Gatos chiropractic office to the tune of a quarter–million dollars earlier this month, according to a press release from the Santa Clara County District Attorney's office.
Atlanta surgeon, 2 chiropractors get prison for health fraud - March 26, 2009
An orthopedic surgeon and two chiropractors were sentenced Thursday to federal prison for cheating insurance companies out of $3 million by mislabeling treatments for back pain.
Insurance fraud investigation leads to charges - March 26, 2009
A Waseca man has been charged with felony insurance fraud after an investigation into a 2005 incident.
hiropractor Bends Law and Heads to Prison - March 26, 2009
A San Diego chiropractor convicted of defrauding the government and failing to file income taxes for five years was sentenced Monday to 18 months in federal prison and ordered to pay $80,000 in restitution.
Doctor's sentencing postponed - March 26, 2009
Lingering questions about how much money a local chiropractor owes to insurance carriers he overbilled pushed back the doctor’s sentencing again Monday.
Marietta doc guilty in $3M fraud scam - March 26, 2009
Marietta, Ga., chiropractor Dr. William Stearns was found guilty Monday of 18 charges of health–care fraud and five charges of money laundering in a $3 million scam.
Medical fraud mistrial declared
Jury deadlocks 10-2 in favor of chiropractor facing 11 felony counts - March 26, 2009
The criminal trial of a Central Valley chiropractor ended Friday with a hung jury, putting Wilmer Origel's fate back in the hands of prosecutors, who now have to decide if they will try him again or drop the charges.
Los Gatos chiropractor sentenced to two years for insurance fraud - March 26, 2009
A Los Gatos chiropractor convicted of defrauding insurance companies of more than $250,000 by overbilling them for services he didn't perform will pay an unusually steep price: two years in state prison.
Eight charged with auto insurance fraud - March 26, 2009
Investigators from an auto insurance fraud task force in Lawrence, Mass., say participants in phony crashes allegedly set up by Leo Lopez usually felt safe.
Former Maine chiropractor sentenced in tax case - March 26, 2009
A former Maine chiropractor is going to prison for two years for health care fraud and tax evasion.
Investigators raid W-B chiropractor’s office - March 26, 2009
Authorities raided a city chiropractor’s office Friday to seize records amid allegations he fraudulently billed patients and insurance companies for made–up visits and treatment — even on days his office was closed.
Allstate sues 13 Florida firms, says they staged accidents - March 26, 2009
Allstate Insurance has sued 13 Florida companies, including auto body shops, tow truck operators, chiropractic clinics and their owners and some policyholders, alleging the group staged at least 17 auto accidents and filed fraudulent claims.
Chiropractor Concerns - March 26, 2009
The New York State Education Department licenses some 48 professionals, including chiropractors. Dr.Tom Taylor of Lackawanna contacted them about the conduct of one of his colleagues
Chiropractor Email Account Hacked - March 26, 2009
A chiropractors e–mail account was hacked early Monday morning, resulting in an emergency e–mail request for money being sent to his family, friends, colleagues, and even clients. The perpetrator requested that funds be mailed to Nigeria.
Family speaks out about controversial medical procedure - March 26, 2009
Man unresponsive after 'manipulation under anesthesia'. He's 33, a father to three, a bit heavy, with diabetes and sore legs. And now he lies unresponsive in a hospital, his brain damaged in a controversial outpatient procedure that critics say is often done needlessly and billed excessively.
Cedar Rapids chiropractor pleads not guilty to Medicaid fraud - March 24, 2009
A Cedar Rapids chiropractor pleaded not guilty today in U.S. District Court to multiple counts of mail fraud, aggravated identity theft and money laundering.
Former chiropractor faces more charges - March 24, 2009
A former chiropractor convicted of fondling his patients during office visits faces a half–dozen additional charges in the case.
Texas Law Firm Pleads Guilty to Role in Staged Accident Scheme - March 24, 2009
Trey Allen, P.C. processed personal injury cases by filing claims with insurance companies for physical injuries and medical expenses, including those for chiropractic treatment, incurred by the accident clients.
Doctor supplied drugs in fraud case
Witness says Origel covered up addiction, finances - March 24, 2009
A doctor who admitted a prolonged addiction to narcotics testified Thursday that he was a moneymaking tool of Wilmer Origel, a chiropractor on trial in Stockton for alleged insurance fraud and the illegal use of drugs on patients.
Kennebunk chiropractor cleared of 'sexual touching' charge - March 24, 2009
Clifford Faldman, a Kennebunk chiropractor who faced a charge of unlawful sexual touching, was found not guilty after a jury trial in Alfred concluded last week.
Weeping chiropractor gets 4 months for $340,000 theft - March 24, 2009
Chiropractor Matthew Nicastro wept Tuesday as he begged a Cumberland County judge not to send him to prison for a $340,000 insurance fraud that Nicastro claimed resulted from negligent bookkeeping.
Boiling Springs chiropractor gets prison in insurance fraud case - March 24, 2009
Boiling Springs chiropractor Matthew Nicastro was sentenced this afternoon to 4 to 23 months in Cumberland County Prison on insurance fraud and theft by deception charges.
Strongsville chiropractor James Starek convicted of spying on patients as they undressed - March 24, 2009
A Strongsville chiropractor was convicted Friday of spying on female patients as they undressed in his offices.
2 acquitted in fraud case
Chiropractor, lawyer were accused of trying to cheat insurance companies - March 24, 2009
An Indianapolis chiropractor and an attorney were acquitted of all charges early Thursday morning in an insurance fraud case.
Chiropractor wins one case; faces further censure from state - March 24, 2009
Clifford Faldman, the Kennebunk chiropractor who had been facing a charge of unlawful sexual touching, was found not guilty after a jury trial in Alfred concluded last week.
David Singer Enterprises and Standard Process® Fight for Insurance Reimbursement - March 24, 2009
Dr. David Singer of David Singer Enterprises and Standard Process® Vitamins unite to fight for better insurance reimbursement. Dr. Singer is donating all fees from his live two–hour training teleconferences to the National Chiropractor Legal Action Fund (NCLAF).
MedBack co-owner sentenced for perjury
Temperance man gets 10-month term - March 24, 2009
The second of two brothers serving prison time for their roles in a $4.8 million money–laundering and health–care fraud scheme has been sentenced in U.S. District Court in Toledo after being found guilty of perjury.
New IRC Study Documents Role of Chiropractors in Minnesota's No-Fault Auto Insurance System - March 24, 2009
Chiropractors now account for a greater share of total provider charges in Minnesota's no–fault insurance system than all other types of treating providers combined.
Peabody chiropractor pleads guilty to molesting patients - March 24, 2009
A 54–year–old Peabody chiropractor pleaded guilty Thursday to molesting four female clients in separate incidents at his Revere clinic earlier this year.
Chiropractor survived 9-11, but insurance fight is breaking his back - March 24, 2009
A chiropractor from Princeton disabled by falling debris after the 9–11 attack on New York is suing his insurance company for fighting his claim for years, then changing its mind after he spent $85,000 on a lawyer.
Chiropractor to re-open practice following suspension; more charges pending - March 24, 2009
A Kennebunk chiropractor whose license was suspended following charges of sexual misconduct with patients, plans to reopen his office as soon as possible, his lawyer said last week.
Kennebunk chiropractor faces additional charges - March 24, 2009
Chiropractor Clifford L. Faldman’s license to practice was reactivated on August 27 following 210 days of suspension stemming from charges of inappropriately touching patients.
Kennebunk chiropractor faces additional charges - March 24, 2009
Chiropractor Clifford L. Faldman’s license to practice was reactivated on August 27 following 210 days of suspension stemming from charges of inappropriately touching patients.
Detelich: Judge erred in fraud case - March 24, 2009
A former local chiropractor said a federal judge violated his due process rights by making him prove that he withdrew from a scheme to defraud a health insurance company.
Three more guilty in Pittsburgh fraud case - March 24, 2009
Three more Alle–Kiski Valley people are pleading guilty in a multimillion–dollar scheme involving 16 people to defraud Highmark Blue Cross Blue Shield.
Former Pennsylvania chiropractor charged for alleged role in staged bus accident claims - March 24, 2009
A former Bucks County, Pa., chiropractor has been linked to fraudulent injury claims submitted after two staged bus crashes in Philadelphia.
Lawsuit May have Implications for Medical Collection Agencies - February 15, 2009
It’s not uncommon for medical debt collectors to inform patients that they are responsible for the full charges sent to the agency for collection. However, if the trend of states adopting laws to provide discounts to the uninsured continues, more agencies may have to revise their statements or they could be setting themselves up for a lawsuit similar to the one facing Audit & Adjustment Co.
CMS Issues Historic Star Quality Rating System for Nursing Homes - January 13, 2009
For the first time in history, the Centers for Medicare & Medicaid Services (CMS) today released quality ratings for each of the nation's 15,800 nursing homes that participate in Medicare or Medicaid.
Pasadena Doctor With Orange County Practice Indicted in $2.3 Million Medicare Fraud - November 29, 2008
A doctor has been indicted for fraudulently billing Medicare for approximately $2.3 million in physical therapy services.
Sending sick undocumented immigrants back home
By Judith Graham
Chicago Tribune - August 20, 2008
'Never events': Utah hospitals saw nearly 60 serious errors in 2007
By Heather May
Salt Lake Tribune - August 19, 2008
New PhRMA Code Bans Meals, Pens, Mugs and Other Common Gifts to Physicians
By Nina Youngstrom
Atlantic Information Services, Inc. - August 11, 2008
Money missing from DPC patient accounts
Withdrawals in '07 hit $521,473, auditor says
By Lee Williams
The News Journal - August 10, 2008
Give the doctor a checkup before ordering a house call
By David Lazarus
Los Angeles Times - August 10, 2008
Alleged Scheme Involved Homeless
By Solomon Moore
New York Times - August 9, 2008
Lee won't contest losing ND license
By Kelly Smith and Erin Hemme Froslie
In-Forum - August 9, 2008
Whistle Blown On Medicare Scam
Taxpayers Get Refund From A Big Provider Accused Of Padding The Bill
CBS News - August 8, 2008
Hospitals ready for hit from new Medicare rules
Federal payments will end for care related to medical errors
By Peter Korn
Sherwood Gazette - August 8, 2008
52 public employees named as OxyContin scam suspects
By Jay Weaver
Miami Herald - August 7, 2008
Two Charged in Medical-Care Billing Scam
By Amy Kaufman
Wall Street Journal - August 7, 2008
Anaheim General Hospital hit with dozens of citations over staffing, care
By Daniel Costello
Los Angeles Times - August 7, 2008
Courtroom heats up in Ole Pettersen / Medicaid Fraud case
By Megan Koskovich
WKTV - August 7, 2008
Padavan calls on Medicaid inspector general to crack down on Medicaid fraud
Empire State News - August 6, 2008
A former scam artist tells how it works
By Jay Weaver
Miami Herald - August 5, 2008
Medicare fraud fugitives evade capture
By Jay Weaver
Miami Herald - August 5, 2008
Former Orthoscript COO gets jail time for Medicare scam and fraud
Triangle Business Journal - August 4, 2008
Nurse takes down phony equipment dealers
By Jay Weaver
Miami Herald - August 4, 2008
AIS Launches HIPAA Compliance Center - a Web-Based Service that Helps Organizations Safeguard Patient Privacy and Data
PRWeb - August 4, 2008
New Privacy Risk: Patients Who Assume Someone Else's Identity to Obtain Treatment
Atlantic Information Services, Inc. - August 4, 2008
Skimpy oversight endangers millions of Medicare dollars
Fictitious suppliers OKd for payment, investigation finds
By Hope Yen, Associated Press
San Francisco Chronicle - August 4, 2008
Medicare fraud rampant in South Florida
By Jay Weaver
Miami Herald - August 2, 2008
Agreement spells out tasks for Cox board
By Kathleen O'Dell
News-Leader - August 1, 2008
Senate Republicans talk Medicare anti-fraud fixes
By John Pulley
Government Health IT - July 29, 2008
Chevy Chase Social Worker Sentenced for Health Care Fraud
Trading Markets - July 29, 2008
Private medical data exposed
By Andy Miller
Atlanta Journal Constitution - July 29, 2008
Dominican suspects in $110M Medicare fraud face extradition to U.S.
Dominican Today - July 28, 2008
CMS Targets Hospital Readmissions as a Probable Marker for Poor Quality of Care, Wasted Revenues and Resources
By Nina Youngstrom
Atlantic Information Services, Inc. - July 17, 2008
Attorney General Abbott Recovers $15.7 Million in Medicaid Costs Under National Settlement
KOSA - July 17, 2008
Medicare billings tracked to 14 dead doctors here
By Monifa Thomas
Chicago Sun-Times - July 13, 2008
An ailing program: Medicare needs more safeguards to prevent fraud
Anderson Independent Mail - July 13, 2008
Pain doctor gets three years in prison for fraud
Paper trail shows at least $1.75 million in bogus billing
By Jim McElhatton
Washington Times - July 12, 2008
Miami Doctor Sentenced to 41 Months in Prison for Medicare Fraud
Market Watch - July 11, 2008
Montgomery Woman Recieves Prison Sentence for Theft
By Markeshia Ricks
Montgomery Advertiser - July 11, 2008
Oak Harbor denturist arrested in theft, Medicaid fraud case
By Justin Burnett
Small Town Papers - July 11, 2008
Home Medical Equipment Providers Are Appalled by 'Dead-Doctor' Scam, Strongly Support Anti-Fraud Efforts to Protect Medicare System
Market Watch - July 9, 2008
Big Pharma Whistleblower Awarded $1.6 Million for Exposing Cancer Drug Medicare Fraud
By David Gutierrez
Natural News - July 2, 2008
Maximizing' Medicare fraud
World Net Daily - July 2, 2008
Jury: 2 drug firms owe Ala. $114M in price fraud
By Bob Johnson
The Associated Press - July 2, 2008
State sues Prime Healthcare over HMO billing
Victorville Daily Press - July 2, 2008
Fraud Inc.
By David Villano
Florida Trend - July 1, 2008
Implant firms pay doctors millions
By Josh Goldstein
Philadelphia Inquirer - June 29, 2008
Woman indicted in Medicare fraud
By Bill Lodge
2The Advocate - June 28, 2008
Two Southwest Florida residents arrested for Medicaid fraud
WBBH - June 27, 2008
Effort Grows to Protect Seniors by Removing Social Security Number from Medicare Card
SeniorJournal.com - June 27, 2008
Gynecologist's medical license suspended
By Valarie Honeycutt Spears
Kentucky.com - June 26, 2008
OIG reports billions in expected Medicare recoveries and exclusions of providers
CCH - June 26, 2008
Nursing home operator's fraud sentencing put on hold
By Sue Guinn Legg
Kingsport Times News - June 25, 2008
Eleven Houston Suspects Face Felony Medicaid Fraud Charges
KOSA - June 23, 2008
Report Traces $200 in U.S. Health Costs To Claims Processing Errors
California Healthline - June 17, 2008
Ala. attorney: 2 drug companies cheated Medicaid
By Bob Johnson
Forbes - June 17, 2008
Loss of Patient Information at University Hospital Reveals Risk of Acquiring Physician Practices
Atlantic Daily Services - June 17, 2008
Premier group vindicated
By Getahn Ward
Clarksville Leaf Chronicle - June 14, 2008
State seeks to pull Medicaid funds from kids mental-services provider
By Carolyne Park
Arkansas Democrat Gazette - June 14, 2008
Audit finds problems at city-owned clinic
By Michelle Ku
Kentucky.com - June 14, 2008
Shoring Up Medicare's Weak Spot
By Carrie Johnson
Hartford Courant - June 13, 2008
Medical Fraud a Growing Problem
By Carrie Johnson
Washington Post - June 13, 2008
Health IT office awards contract to fight medical identity theft
By Bob Brewin
Nextgov - June 12, 2008
Medicaid fraud probe
By John Williams
Arkansas Times - June 12, 2008
Four arrested in $110M HIV infusion fraud
South Florida Business Journal - June 12, 2008
Audits for Medicare fraud put doctors on defensive
By Jetahn Ward
The Tennessean - June 12, 2008
Pharmacy chain settles Medicaid fraud claims
CCH - June 12, 2008
Judge rejects Licht affidavit
By Mike Stanton
Providence Journal - June 12, 2008
Police warn seniors about new ID scams
Belleville View - June 12, 2008
Dentists who prey on children
World Net Daily - June 11, 2008
Hospitals peer into patients' credit reports
By Urvaksh Kararia
MSNBC - June 11, 2008
Americas Watchdog Seeks Financial Partners to Go After US Medicare/Medicaid Fraud Cases Involving Hospitals & Nursing Homes With the Potential for Large Rewards
PR Web - June 11, 2008
Chicago Whistleblower Attorney Michael I. Behn Spotlights Greater Role of State False Claims Acts and Qui Tam Actions at Rhode Island Bar Association Annual Meeting
PR Web - June 11, 2008
After Fraud Conviction, Houston Physician Allegedly Plots Murder of Prosecutor and FBI Agent
By Nina Youngstrom
Atlantic Information Services INC. - June 11, 2008
Walgreens Agrees To Stop Altering Prescriptions In $35M Settlement
Greeneville Sun - June 10, 2008
Cahokia mayor's workmen's comp claims total $145,000
By Beth Hundsdorfer and George Pawlaczyk
Belleville News Democrat - June 9, 2008
For hospitals, Sarbanes Act a shot in arm
Indianapolis Star - June 9, 2008
Federal fraud probe targets artificial leg maker in Mansfield
By Linda Martz
Mansfield News Journal - June 7, 2008
Woman arrested on suspicion of Madicare bill scam
By Brian Day
San Gabriel Valley Tribune - June 6, 2008
Patel case moves forward
Judge denies motion to end doctor's case
By Marsha Sills
The Daily Advertiser - June 6, 2008
Wisconsin to get $1.9M of Walgreens settlement
The Business Journal of Milwaukee - June 5, 2008
A Fresh Look at Health Care Reform: Part II
By Maggie Mahar
Century Foundation - June 5, 2008
Calais Ambulance Service Finances Under Review
By Diana Graettinger
Red Orbit - June 3, 2008
Three Miami Area Doctors and Six Others Charged in $56 Million Health Care Fraud Schemes
Earthtimes - May 29, 2008
Dublin doctor sentenced for fraud
By Mike Gangloff
Roanoke Times - May 28, 2008
FBI Warns of Doctors Bilking Patients
KLAS-TV - May 28, 2008
Dublin Doctor Defrauds Medicare, Medicaid, Gets Four Years Probation For Healthcare Fraud
Rockbridge Weekly - May 28, 2008
Hartford Hospital Agrees To Reimburse Medicare
By HILARY WALDMAN
Hartford Courant - May 28, 2008
State drops Medicaid transportation plan
By Wilson Ring
Berlington Free Press - May 28, 2008
AG Cuomo charges two Rochester area nursing home aides
By Tara Smith
News 10NBC - May 28, 2008
Fact Sheet: Department of Justice Efforts to Combat Health Care Fraud and Abuse
PR Newswire - May 28, 2008
Attorney general: 20% of Medicare fraud cases in South Fla.
By Curt Anderson
Florida Times Union - May 28, 2008
Seniors Are Prime Targets For Fraud
Kalamazoo Gazette - May 27, 2008
Four Arrested Over Medical Equipment Scam
Lawfuel - May 17, 2008
Patients may foot the bill after Blue Shield suspends care agreement with UCLA
By Brett Noble
The UCLA Daily Bruin - May 15, 2008
Blocking Medicaid Rules: Hurting Families and Taxpayers Alike
By Daniel P Moloney
Heritage - May 14, 2008
Everett woman arrested in ID-fraud case
Seattle Times - May 14, 2008
Home Alone—With Medicaid Fraudsters
In a $30 million home health-care scam, some well-connected names
By Tom Robbins
Village Voice - May 13, 2008
Nationally Honored Chicago Whistleblower Attorney Michael I. Behn Delivers Keynote Address to International Whistleblowers Assembly in Nation's Capital
PR Web - May 13, 2008
City Woman Pleads Guilty To HIPAA Violation For Disclosing Patient Information Used To Commit Identity Theft
Media Newswire - May 12, 2008
Salient Corporation's Performance Management Solution Helps NY State Counties Identify Medicaid Fraud, Waste, and Abuse
PR Newswire - May 12, 2008
Florida AG sues pharmacy over $400,000 fraud
By Lin Young
Legal News Line - May 12, 2008
Deschutes County notifies mental health clients of missing records
Bend Weekly - May 9, 2008
Nurse indicted
Grand jury adds to kickback scheme
By Warren Watkins
Searcy Daily Citizen - May 9, 2008
Whistleblowers Announce Annual Washington Lobby Meeting May 11-18
OpEdNews - May 9, 2008
Strike Force Targets Medicare Fraud By Los Angeles Area Health Care Companies
PR Newswire - May 8, 2008
New task force to fight scams targeting seniors
By Robert Kittle
Florence Morning News - May 8, 2008
Identity Thieves Start To Target Patients' Health Care Records
iHealthBeat - May 7, 2008
America's Pay-or-Die Health Care System
By Ralph Nader
Counter Punch - May 6, 2008
AHIMA Releases Privacy Roundtable Report
ADVANCE - May 6, 2008
Hospitals struggle with user control
By Steve Ragan
The Tech Herald - May 5, 2008
Medicaid provider sentenced to jail on charges of health care fraud
Media Newswire - May 5, 2008
Medicare to no longer pay for medical providers' mistakes
By Anne Geggis
Daytona Beach News-Journal - May 5, 2008
Hospice Officer Charged With Stealing From Patients
North Country Gazette - May 4, 2008
Secret Service probing Select Dental
By Brendan Brosh
New York Daily News - May 4, 2008
State Senate Endorses Medicaid Home Care Bill
By Jon Lender
Hartford Courant - May 3, 2008
Small businesses upset by Medicare changes
By Amy Dominello
Media General Washington Bureau - May 2, 2008
Another sex harassment suit filed against Kingston medical practice
By Dietrich Knauth
Kingston Daily Freeman - May 2, 2008
CoxHealth anticipates Medicare fraud settlement of about $60 million
By Marie Saavedra
KY3 - May 1, 2008
HHS Secretary Leavitt Suggests Compromise On Medicaid Bill, Senate Support Unclear
Medical News Today - May 1, 2008
Report Shows Medicaid Recoveries Double Over 2006
North Country Gazette - April 30, 2008
Miami Jury Convicts Dermatologist of Medicare Fraud
Earthtimes - April 30, 2008
Medical Data Breaches Put Patients at Risk
Despite HIPAA, hospitals leave patient data unprotected; one CIO offers tips for getting IT security funding
By Kim S. Nash
CIO - April 29, 2008
Orthoscript's former COO facing jail for Medicare scam, fraud
Atlanta Business Chronicle - April 28, 2008
Former executive found guilty of Medicare fraud
By The Associated Press
Columbus Ledger-Enquirer - April 28, 2008
Podiatrist pleads guilty to fraud
West Peoria man billed Medicare for procedures he didn't perform
By Andy Kravetz
Peoria Journal Star - April 26, 2008
Audit: Lynbrook medical center overcharged state
By Sandra Peddie
Newsday - April 26, 2008
Maryland Attorney General: Baltimore Pharmacists plead guilty to Medicaid fraud
Insurance News Net - April 25, 2008
Police warn of Medicare phone scam
By Ron Maloney
Seguin Gazette-Enterprise - April 25, 2008
Miami Jury Convicts Pharmacy Owner of Medicare Fraud
Eighth Trial Conviction for Medicare Strike Force
PR Newswire - April 24, 2008
Firm accused of fraud gave Harkin cash through PAC
By Jane Norman
Des Moines Register - April 22, 2008
BF psychologist faces new charges of Medicaid fraud
By Dan Bustard
Eagle Times - April 22, 2008
Woodbridge woman indicted on federal fraud charges
By Elisa A. Glushefski
Inside NoVA - April 22, 2008
Joplin River Of Life, Family Members Indicted For Health Care Fraud, Money Laundering
Media Newswire - April 21, 2008
N.Y. loses $28M in Medicare funds as state stalls fraud audits
By Kathleen Lucadamo
New York Daily News - April 21, 2008
Antifraud Compliance Getting More Complex for Hospitals
PR Newswire - April 21, 2008
Medicare members may save 40% on some medical supplies
By Bob LaMendola
TCPalm - April 20, 2008
Medicare data should stay private, government says in appeal
By Ricardo Alonso-Zaldivar
Los Angeles Times - April 19, 2008
Criminal complaint filed against suspended doctor
By Paul Grimaldi
Providence Journal - April 18, 2008
700,000 people could be affected by security breach
By Richard Essex
WTHR - April 18, 2008
Feds settle with hospital over Medicare claims
The Times-Picayune - April 17, 2008
Former Medicare Fraud Investigator Is Sentenced to 26 Months in Jail for Stealing From Government Bank Accounts
By Eve Collins
Atlantic Information Services, Inc. - April 17, 2008
Nurse pleads guilty to privacy violation
By Carolyne Park
Arkansas Democrat Gazette - April 17, 2008
County Seeking Medicaid Help: Officials Pleased With Progress So Far
By Dennis Phillips
Jamestown Post Journal - April 17, 2008
Bush administration issues veto threat on Medicaid bill
By Kevin Freking
The Associated Press - April 16, 2008
Medicaid Rules Would Be Blocked by U.S. House Committee Measure
By Justin Blum
Bloomberg - April 16, 2008
Audit finds $1M owed to state Medicaid program
Dayton Business Journal - April 16, 2008
New charges against owner of Mo. group home that burned
By Marcus Kabel
The Associated Press - April 15, 2008
Patients can get $100 to reveal hospital bills
By Cheryl Powell
Akron Beacon Journal - April 15, 2008
At first blush, a tough J-1 board
Council formed in wake of criticism doesn’t roll over on first application
By Marshall Allen
Las Vegas Sun - April 15, 2008
Firm that managed Lincoln dental offices settles claims
By Dean Olsen
Lincoln Courier - April 14, 2008
Lawmakers may change Medicaid mandate
By Leah Rupp
Jackson Clarion Ledger - April 14, 2008
Sugar Land man sentenced to five years for Medicaid fraud
Villager - April 14, 2008
Medrium and Emergenuity Collaborate to Help Beleaguered Emergency Departments
Business Wire - April 14, 2008
Bill encourages transparency in medical costs
By David A. Lieb
Columbia Missourian - April 14, 2008
Telephone fraud affects Adans
By Judd Morse
Ada Evening News - April 14, 2008
Time to become a security advocate
By Anne Zieger
Fierce Health IT - April 14, 2008
Florida Radiologist to Pay U.S. $7 Million to Resolve Fraud Claims
Earthtimes - April 14, 2008
Possible Medicaid changes could threaten families
By Tom Wrobleski
Staten Island Advance - April 13, 2008
Business owners charged in fraud
Youngstown Vindicator - April 12, 2008
Audit: Memorial's software isn’t secure
By Debbie Kelley
Colorado Springs Gazette - April 11, 2008
Rednam sentenced to 6 months in prison for obstructing health-care fraud investigation
St. Louis Business Journal - April 11, 2008
Medicare bidding disqualifies 100+ South Florida suppliers
By Brian Bandell
South Florida Business Journal - April 11, 2008
House Subcommittee Approves Measure Blocking Seven New Medicaid Rules
Medical News Today - April 11, 2008
Doctor’s fraud totals $3 million, prosecutors say
By Scott MacKay
Providence Journal - April 11, 2008
Medicaid dentists disciplined
Probation, reprimands were given before $10 million settlement
By Karen Garloch and Gary L. Wright
Charlotte Observer - April 11, 2008
PCMA: 'Protect Your Pharmacy Week' Should Focus on Safeguarding Part D Anti-Fraud Tools
Earthtimes - April 10, 2008
Authorities Seek Forfeiture From Doctor
By Associated Press
Turn to 10 - April 10, 2008
Bill Advances to Suspend Medicaid Cost-Shift Rules
By Jane Zhang
Wall Street Journal - April 9, 2008
Bill aims to thwart Medicaid fraud
By Peggy O'Farrell
Cincinnati Enquirer - April 9, 2008
Corzine takes heat on watchdog post
By Jonathan Tamari
Cherry Hill Courier Post - April 9, 2008
A Larger Health Lesson from UCLA: For the Rest of Us, Tabloids Are Not the Problem
By Judy Dugan
California Progress Report - April 9, 2008
Frustrated lawmakers pressing for Medicaid inspector general
By Susan K. Livio
The Star-Ledger - April 9, 2008
Gaps in Hospital Security Policies Put Patient Data at Risk, According to New Report
Business Wire - April 8, 2008
Medical Mutual of Ohio Seeks to Discourage Fraud Before It Occurs
By Nathan Conz
Insurance & Technology - April 8, 2008
Legislators frustrated by NJ's health care spending woes
By Tom Hester Jr.
Philadelphia Inquirer - April 8, 2008
Doctor’s license suspended
By Felice J. Freyer
Providence Journal - April 8, 2008
More UCLA records abuses
A hospital worker checked files of 61 patients, including Maria Shriver and other celebrities
By Charles Ornstein and Dan Morain
Los Angeles Times - April 7, 2008
7 S. Fla. Medicare providers busted in fraud ring
By Jay Weaver
Miami Herald - April 6, 2008
Six arrested and charged in connection with $2 million health care fraud ring
Student Operated Press - April 5, 2008
Hospital to settle in case of doctor
$1.8 million set in 100 cases
By Richard Burgess
2TheAdvocate - April 5, 2008
Fraud, waste dim hopes for universal health care
New Brunswick Home News Tribune - April 4, 2008
D.C. suing two companies for fraud that have been given $100M contracts
By Michael Neibauer
Examiner - April 4, 2008
Chan receives probation, fine
Neurosurgeon to return to Canada
By Warren Watkins
Searcy Daily Citizen - April 3, 2008
Company aims to stop prescription fraud
By Karl Stark
Philadelphia Inquirer - April 3, 2008
Belleville psychiatrist sentenced to more than two years for fraud
By Beth Hundsdorfer
Belleville News Democrat - April 3, 2008
Forest Hills doc charged in false billing scam: DA
By Alex Christodoulides
Forest Hills Ledger - April 3, 2008
A HIX tax moves ahead in Vermont
By Dana Blankenhorn
ZDNet - April 3, 2008
AG asked to investigate alleged fraud at Health Alliance subsidiary
By Erin Smith
Cambridge Chronicle - April 3, 2008
Doctor's complaint started lawsuit
Retiree says hospital knew about deal
By Peggy O'Farrell
Cincinnati Enquirer - April 3, 2008
Insurer Anthem to no longer pay for medical errors
By Mary Jo Feldstein
St. Louis Post-Dispatch - April 3, 2008
Rabbit Healthcare Systems Puts Medical Practices on Ground Floor of Quality-of-Care Initiative
PQRI Destined to Become Mandatory Program, Rabbit Warns
Market Wire - April 2, 2008
Seven Miami-Area Residents Charged in $11 Million Medicare Fraud Scheme
Earthtimes - April 2, 2008
Six face charges of Medicare fraud
By Jay Weaver
Miami Herald - April 2, 2008
FamilyCare fraud: Keep audits coming
Press of Atlantic City - April 2, 2008
Making off with millions – in wheelchairs
By Joel Hesch
World Net Daily - April 2, 2008
More unsanitary procedures documented
Clinic did 2-minute surgeries amid complaints by nurses, report finds
By Marshall Allen
Las Vegas Sun - April 2, 2008
Lawmaker: Funds risked when state provides treatment to pregnant illegal immigrants
By Michael McNutt
NewsOK - April 2, 2008
Attorney for doctor: Evidence tainted
By Richard Burgess
2TheAdvocate - April 2, 2008
Federal lawsuit accuses Cincinnati hospital of billing fraud
WDTN - April 1, 2008
Budget: NYers to get discount drug card, reform of detox system
By Michael Gormley
Newsday - April 1, 2008
$894,0000 returned to state's Medicaid fraud unit
WLFI - April 1, 2008
Six charged in Medicare fraud
South Florida Business Journal - April 1, 2008
Money seized from local dentist will be used to fight health care fraud
By Leanne Tokars
WSBT-TV - April 1, 2008
Mom of 15 avoids jail in 50G scam
By Chrisena Coleman
New York Daily News - April 1, 2008
Local Psychologist Indicted For Fraud
Media Newswire - April 1, 2008
Two Georgia Medical Providers Indicted for Medicaid Fraud
All American Patriots - March 31, 2008
Two Henry health care providers indicted in fraud
By Kathy Jefcoats
Atlanta Journal Constitution - March 31, 2008
Two Florida Men Sentenced To Prison For Medicare Fraud
PR Newswire - March 31, 2008
Indiana AG Reports a Record $14 Million Recovered by the Medicaid Fraud Control Unit in 2007
All American Patriots - March 31, 2008
Aurora store owner pleads guilty to medicare fraud
By Howard Pankratz
Denver Post - March 30, 2008
Half of medevac patients are not seriously injured
By Earl Kelly
Annapolis Capital - March 30, 2008
Who makes sure the message is understood?
By Elizabeth Huff
Battle Creek Enquirer - March 30, 2008
Hospital says doctors case bogus
By John Monk
The State - March 30, 2008
United States: The New Wave Of Hospital Bankruptcies
By Mary H. Rose and Benjamin S. Seigel
Mondaq News Alerts - March 29, 2008
Local psychologist indicted; Medicaid fraud is alleged
By David Kassabian
Corpus Christi Caller Times - March 29, 2008
HealthEssentials to plead guilty to charges
Business First of Louisville - March 28, 2008
Glitch by the U.S. Government Is Delaying Medicare Payments
By E.B. Solomont
New York Sun - March 28, 2008
Woman sentenced in health fraud case
By Robert Patrick
St. Louis Post-Dispatch - March 28, 2008
California To Pay $2.1M To Resolve Overbilling for Computer System
California Healthline - March 27, 2008
Millions Recovered in 2007 for State Medicaid Program
Inside INdiana Business - March 27, 2008
Hayes sentenced for health-care fraud
St. Louis Business Journal - March 27, 2008
Lilly settles in Zyprexa case
Indianapolis drug maker to pay $15M to Alaska over diabetes incidence
By John Russell
Indianapolis Star - March 27, 2008
Medicare fraud warning
By Aaron LeClair
Laramine Boomerang - March 27, 2008
Government has health-care answers -- but not a solution
By Peter J. Nelson
Star Tribune - March 26, 2008
Chan sentencing date set
Neurosurgeon pleaded guilty to pair of charges in January
By Warren Watkins
Searcy Daily Citizen - March 26, 2008
Medicare Advantage Plans Leave Clients With Few Choices
By Kurt Madar
Curry Coastal Pilot - March 26, 2008
Reform sought to increase medical oversight
Critics say the state isn't doing enough to discipline doctors
By Tim Carpenter
Topeka Capital Journal - March 26, 2008
What Are the Top 10 Compliance Challenges for Hospitals?
By Nina Youngstrom
Atlantic Information Services, Inc. - March 26, 2008
The Role of Business Intelligence in Managing Compliance
By Shawn Edney, Greg Nelson
B-EYE-Network - March 25, 2008
Task force strikes hard at Medicare scams
A joint strike force makes gains against rampant Medicare fraud in Florida
By Bill Frogameni
Christian Science Monitor - March 25, 2008
U.S. government examining doctor kickbacks for medical devices
By Barnaby J. Feder
International Herald Tribune - March 24, 2008
Miami DME Owner Pleads Guilty To Medicare Fraud
Media Newswire - March 24, 2008
YNHH settles in Medicare-fraud case
By Thomas Kaplan
Yale Daily News - March 24, 2008
CVS To Pay Md. $830K Under Settlement for Improper Medicaid Billing
Southern Maryland Online - March 23, 2008
Dennis Quaid's Misdiagnosis
By Alison Rose Levy
Huffington Post - March 22, 2008
Access Denied
By Jim Boyle
ADVANCE - March 22, 2008
New Focus of Inquiry Into Bribes: Doctors
By Barnaby J. Feder
New York Times - March 22, 2008
Sales tactics can put seniors at disadvantage
By Andy Miller
Atlanta Journal Constitution - March 22, 2008
Criminal Charges Could Void Victim Awards in Hep C Lawsuits
By Jane Akre
Injury Board - March 21, 2008
CVS agrees to $36.7 million fraud settlement
By Ameet Sachdev
Chicago Tribune - March 21, 2008
Medicaid fraud victimizes public, state, experts say
By Diane Ivey
MLive.com - March 21, 2008
UCSF Among 11 Hospitals Assessed Administrative Penalties
UCSF Today - March 20, 2008
North Wildwood doctor pleads not guilty to drug, insurance fraud charges
By Trudi Gilfillian
Press of Atlantic City - March 20, 2008
$1.1 Million Judgment Entered Against Cleveland Psychiatrist On TennCare Fraud
The Chattanoogan - March 20, 2008
Doc accused of billing for the dead
By Jeff Lipton
East Meadow Herald - March 20, 2008
Boynton doctor, wife accused in trial of allegedly making millions in fraud
By Sally Apgar
South Florida Sun-Sentinel - March 20, 2008
ACHE has problem securing insurance
By Nathaniel Lukefahr
Brazosport Facts - March 20, 2008
Site visits reveal noncompliance with DMEPOS supplier standards
CCH - March 20, 2008
CVS/Caremark Corp. settles with TennCare
Nashville Business Journal - March 19, 2008
Attorney General, Chief State's Attorney, DSS Announce CVS To Pay State $769,000 For Alleged Medicaid Fraud
Media Newswire - March 19, 2008
Florida Woman Faces Death Unless Hospital Reimburses Illegal Medicare Charges
PR Web - March 19, 2008
Maryland Attorney General: Attorney General Gansler Announces Settlement with National Retail Pharmacy CVS/Caremark to Pay More Than $800,000 to Maryland's Medicaid Program
Insurance News Net - March 19, 2008
Kentucky Attorney General Announces Medicaid Fraud Settlement With CVS Pharmacy
All American Patriots - March 18, 2008
Attorney General Corbett Announces $36.7 Million Multi-State Settlement With CVS/Caremark in National Dosage-Switching Investigation
Earthtimes - March 18, 2008
Nevada Clinic's Unsafe Practices Lead to 6 Confirmed Hepatitis C Cases
By Jo Hartley
Natural News - March 18, 2008
Former Health Care Clinic CEO Sentenced To 30 Months In Federal Prison For Health Care Fraud
Media Newswire - March 18, 2008
CVS Caremark to pay $37M to settle Medicaid fraud claims
By Ashley M. Heher
USA Today - March 18, 2008
Tampa Company Defrauded Medicaid $41K
North Country Gazette - March 17, 2008
Prying In Britney Spears' Medical Records May Cost Employees' Jobs
By K.C. Jones
Information Week - March 17, 2008
YNHH Pays $3.8 Million to Settle Medicare Case
By BNH
Connecticut Business News Journal - March 17, 2008
Court dismisses King's complaint
Physician accused Putnam General of filing false claims
By Paul J. Nyden
Charleston Gazette - March 17, 2008
Physicians can become entangled in DME fraud
Federal investigators are cracking down on Medicare supply schemes
By David Glendinning
American Medical News - March 17, 2008
Pharmacist Accused Of $3.2 Million Fraud Scam
Pharmacist disputes auditor’s assertion about discrepancies that points to six-year swindle
By Alex Wood
Hartford Business - March 17, 2008
Dabash attorney barred from using FOIA
By Bruce Rushton
Macomb Daily Journal - March 16, 2008
Surprise man indicted in Medicare wheelchair ruse
By Elias C. Arnold
The Arizona Republic - March 16, 2008
State needs a False Claims Act
By Sidney Rocke
Annapolis Capital - March 16, 2008
Voices of reason for crisis
By David McGrath Schwartz
Las Vegas Sun - March 16, 2008
Guess says Bamberg hospital needs new leader; Hammett sees no bad management
By Dionne Gleaton
The Times and Democrat - March 16, 2008
Healthcare practitioners with drug problems hidden by the system
By John Dorschner and Patrick Danner
Miami Herald - March 16, 2008
Grand jury: Colo. Springs Dr. involved in Medicare fraud
By Associate Press
Summit Daily News - March 15, 2008
UCLA workers snooped in Spears' medical records
By Charles Ornstein
Los Angeles Times - March 15, 2008
We Care settles with state
Tampa Bay Business Journal - March 14, 2008
Tampa Company Settles Medicaid Fraud Case
Tampa Tribune - March 14, 2008
Clinic doctor accused of Medicare fraud
By Brian Newsome
Colorado Springs Gazette - March 14, 2008
Nurses, healthcare advocates rally to protest service cuts
By John Han
Fog City Journal - March 14, 2008
East Meadow doctor charged in $30G Medicaid fraud
By Gary Huffenberger
Newsday - March 14, 2008
Pharmacist faces federal fraud charges
By Gary Huffenberger
Wilmington News Journal - March 14, 2008
Jericho Doctor Arrested For Billing The Dead
North Country Gazette - March 13, 2008
House kills medical privacy bill
By Bob Sanders
New Hampshire Business Review - March 13, 2008
Audit: Area firm owes state about $500,000
Ironton Tribune - March 13, 2008
Yank His License
TriCities.com - March 13, 2008
Bad management plagues Bamberg hospital
By Clair Guess
Orangeburg Times Democrat - March 12, 2008
DA: Phony Medical Mill Bilked Insurance Firms
North Country Gazette - March 12, 2008
Appleton, Green Bay surgeon named in 87-count fraud indictment
By John Lee
Appleton Post Crescent - March 12, 2008
Not so saintly Medicare fraud
By Joel Hesch
World Net Daily - March 12, 2008
Hospitals nationwide sue to stop cuts in Medicaid
New regulations would cost $11 million annually
By Suzanne Bohan
San Mateo County Times - March 12, 2008
Maryland Husband and Wife Convicted of Defrauding State Medicaid Program of $900,000
All American Patriots - March 12, 2008
Law Suit Aims to to Expose Planned Parenthood's 'Extensive, Organized Fraud'
By Michael Baggot
Catholic Online - March 12, 2008
Federal Jury Convicts Former Nursing Home Executive
PressZoom - March 12, 2008
Six medical offices raided in probe into hepatitis C outbreak
By Brian Haynes
Las Vegas Review - March 11, 2008
State lays out fraud case against Manchester druggist
By Alex Wood
Journal Inquirer - March 11, 2008
60 Minutes and a Guilty Verdict for $34 Million Tax Fraud! Stephen Michael Ewing Facing Prison
By Chuck Gallagher
News Release Wire - March 11, 2008
Sunset passes retest from state health dept., has new administrator
By John La Porte
Fort Morgan Times - March 11, 2008
Audits of drug programs for healthcare providers sought
End of confidential diversion for doctors spotlights procedures for others in medicine
By Charles Ornstein
Los Angeles Times - March 11, 2008
Hispanics get worse medical care
By John Dorschner
Miami Herald - March 11, 2008
Medicare Fraud Organizer Sentenced To 19 Years In $7,000,000 Fraud And Money Laundering Scheme
Media Newswire - March 11, 2008
Former WCMH surgeons under fire
By Katie Duffey
Monticello Herald Journal - March 10, 2008
2 minutes on....Data breach law expands
By Jim Carr
SC Magazine US - March 10, 2008
Former Clermont County Coroner Sentenced For Role In Operation Of Southern Ohio 'Pain Clinics'
Media Newswire - March 10, 2008
Tehachapi Valley Healthcare District complaints addressed
By Ed Gordon
Tehachapi News - March 10, 2008
Medical board stronger, but is it up to task?
Critics say past leniency makes them wonder about clinic case
By Steve Kanigher
Las Vegas Sun - March 9, 2008
Dempsey Hospital Slammed For Patient Suicide
Health department fines hospital, cites numerous patient safety, supervision violations
By Mary Johnson
Hartford Business - March 9, 2008
Doctor surrenders licence
Calcutta Telegraph - March 8, 2008
New program focuses on health-care fraud
Pensacola News Journal - March 8, 2008
Amid allegations of Medicare fraud, Y-NH settles for $3.7 million
Fine marks second this year for embattled hospital
By Thomas Kaplan
Yale Daily News - March 8, 2008
More Nevada Surgery Clinics to Be Cited
By Kathleen Hennessey
The Associated Press - March 7, 2008
Medical Biller Pleads Guilty In Laboratory Scam - US Attorney
Lawfuel - March 7, 2008
Miami Jury Convicts Physician and Three Business Owners of Medicare Fraud
Earthtimes - March 7, 2008
Senior group spreads word on fraud scams
By Drew Andersen
Waterloo Cedar Falls Courier - March 7, 2008
Stephen Michael Ewing Has Day In Court Over Massive Payroll Tax Fraud Nursing Home Scheme
By Chuck Gallagher
News Release Wire- March 7, 2008
FBI, IRS launch Medicare fraud investigations
Former clinic doctor says unnecessary biopsies were done
By Paul Harasim and Steve Tetreault
Las Vegas Review - Journal - March 7, 2008
Congress should stop pandering to health data miners
By Deborah C. Peel
Government Health IT - March 6, 2008
Hospital donor files compromised
Data breach at Cascade Healthcare may affect more than 11,500 people
By Markian Hawryluk and Betsy Q. Cliff
Bend Bulletin - March 6, 2008
With every step, clinic's boss fails to demonstrate professionalism
By John L. Smith
Nevada Appeal - March 6, 2008
Jury deliberates in fraud case involving dentist
Richmond Times Dispatch - March 6, 2008
Deputies: Office Manager Took Thousands From Boss
By Lisa A. Davis
Tampa Tribune - March 6, 2008
Steneker exonerated from medical board charges
By Leslie Brown
Vashon-Maury Island Beachcomber - March 5, 2008
New Jersey Healthcare Consulting Firm to Pay U.S. $2.875 Million to Resolve Allegations of Medicare Fraud
US Department of Justice - March 5, 2008
Cathedral network to pay $5.3M to settle Medicare fraud charges
By Ted Sherman
The Star-Ledger - March 5, 2008
Wichita Woman Indicted In Medicaid Fraud Case
KAKE - March 5, 2008
Medicare dollars and sense
Toledo Blade - March 5, 2008
Lomita nurse pleads guilty to fraud
Daily Breeze - March 4, 2008
Cathedral Healthcare System to Pay U.S. $5.3 Million to Resolve Allegations Involving Inflated Charges to Obtain Higher Medicare Reimbursement
US Department of Justice - March 4, 2008
Bay State Senate bill would mandate electronic health records
Mass High Tech - March 4, 2008
Potentially Deadly Medical ID Theft
WSFA - March 4, 2008
Two arrested for chemical dependency treatments not rendered: Medicaid fraud suspected
By Attorney General Gregg Abbott
East Texas Review - March 4, 2008
Defense opens its case with experts' testimony
Information on computers' hard drives may have been lost, jurors hear
By Jodi Andes
Columbus Dispatch - March 4, 2008
Sugar Land Man Busted, Accused Of Major Medicare Fraud Via Wheelchair Scam
By Bob Dunn
FortBendNow - March 4, 2008
Former Findlay businessman given maximum at resentencing
By Erica Blake
Toledo Blade - March 4, 2008
NY Attorney General investigates health insurers' fraud scheme
CCH - March 4, 2008
Enforcement Agencies May Soon Look at Hospitals for Improper Financial Relationships With Device Manufacturers
Atlantic Information Services, Inc. - March 4, 2008
Mass. lawmakers file bill to reduce health costs through incentives and regulatory pressure
Boston Business Journal - March 3, 2008
Audit finds Medicare violations in LA County that suggest fraud
By Associated Press
San Francisco Chronicle - March 3, 2008
Two Cardiologists Admit $840,000 Embezzlement from UMDNJ
Media Newswire - March 3, 2008
Oregon Attorney General Settles Drug Pricing Case With Aventis Pharmaceuticals
All American Patriots - March 3, 2008
Medicare fraud cited in Los Angeles County
By Molly Hennessy-Fiske
Los Angeles Times - March 3, 2008
Medical identity theft is often an 'inside job'
By Beth Wilson
American Medical News - March 3, 2008
Doctors Billing For Medical Malpractice
By Brooks Schuelke
Injury Board - March 2, 2008
Medicare records to face auditors
Northwest Herald - March 2, 2008
Audits Sting Hospitals, Physicians
By Kevin Freking
The Associated Press - March 1, 2008
2 get prison terms in ID theft from clinic patients
More indictments likely in fraud case, federal agent says
By Cindy George
Houston Chronicle - March 1, 2008
Task force discusses Medicaid cost, issues
By Kim Dunne
Herkimer Evening Telegram - February 29, 2008
Editorial: Prison overseer betrayed public trust by overspending
Mercury News Editorial
San Jose Mercury News - February 29, 2008
Health care organizations see cyberattacks as growing threat
By Ellen Messmer
InfoWorld - February 28, 2008
Brown Announces Sixteen Arrests In $2 Million Medi-Cal Pregnancy Fraud
California Chronicle - February 28, 2008
O.C. psychiatrist suspended for Medi-Cal overbilling
Dr. John Rajaratnam denies false billing allegations
By Courtney Perkes
OCRegister - February 28, 2008
Assembly members discuss Medicaid fraud
By Elizabeth Cooper
Utica Observer Dispatch - February 28, 2008
Former Nursing Home Executive/Lawyer Pleads Guilty to Conspiracy and Tax Evasion Charges
PRNewswire - February 28, 2008
State audit accuses ex-prison executive of double-billing
By Edwin Garcia
San Jose Mercury News - February 28, 2008
Ex-prison healthcare receiver's staff was well paid
By Tim Reiterman
Los Angeles Times - February 28, 2008
5 arrested in Medi-Cal fraud raid
An L.A. clinic allegedly recruited pregnant women for bogus services
By Molly Hennessy-Fiske and Ari B. Bloomekatz
Los Angeles Times - February 28, 2008
U.S. joins surgeon's suit against hospital accused of fraud
By John Monk
The State - February 28, 2008
Are Healthcare Organizations Under Cyberattack?
By Ellen Messmer
PC World - February 27, 2008
Hospital Merger Slow But Still On Track
By Bob White
Kentucky Post - February 27, 2008
Thomson Healthcare Selected by Centers for Medicare & Medicaid Services to Help Detect Medicaid Overpayments
Trading Markets - February 27, 2008
Workers' Compensation Cheaters Hurt Legitimate Claimants
By Brent Adams
InjuryBoard.com - February 26, 2008
A life preserver for Medicare
By Donna Arduin
San Francisco Chronicle - February 26, 2008
State seeking $4.2 million in Medicaid funds from mental health providers in Gaston, Cleveland and Lincoln counties
By Daniel Jackson
Gaston Gazette - February 26, 2008
Missouri City Woman, Partner Busted In $376,000 Medicaid Billing Scam
By Bob Dunn
FortBendNow - February 26, 2008
US Attorney Reports Organizer Guilty Of Medicare Fraud & Money Laundering
Lawfuel - February 26, 2008
Anthem to stop paying for errors
The insurer will no longer pay for preventable mistakes
By Christina Rogers
Roanoke Times - February 26, 2008
AstraZeneca Ordered to Pay $215 Million in Medicaid Fraud Suit
By Bob Johnson
Law.com - February 25, 2008
State report: AHCA falls short in fighting Medicaid fraud
By Margie Manning
Tampa Bay Business Journal - February 25, 2008
At First Sight
By Lynn Jusinski
ADVANCE - February 25, 2008
How a doctor’s visit can be harmful, not healthy
By Maria Tomasch
ABC15.com - February 25, 2008
Medicare Advantage sales tactics draw fire as Senate panel investigates
By Doug Trapp
American Medical News - February 25, 2008
Dublin Doctor Who Defrauded Medicaid And Medicare Pleads Guilty To Health Care Fraud
Rockbridge Weekly - February 24, 2008
Deral Charges Brought Against Virginia Health Care Corporation And Its Two Owners For Over $14 Million In Medicaid Fraud
Media Newswire - February 24, 2008
Freehold man, father are indicted in health care fraud
By Charles Webster IV
Asbury Park Press - February 23, 2008
5 charged in $10M Medicare fraud case
Livonia clinic 1 of 6 in Detroit area that FBI ties to billing scheme
By Paul Egan
DetNews.com - February 23, 2008
New River Valley pain doctor admits fraudulent Medicare and Medicaid claims
By Mike Allen
Roanoke Times - February 23, 2008
Woman indicted over billing claims
Richmond Times Dispatch - February 23, 2008
Updated: Pulaski County doctor pleads guilty to health-care fraud
By John E. Lichtenstein
WDBJ7.com - February 22, 2008
Feds need your help fighting rampant Medicare fraud
By James Kirley
TCPalm - February 22, 2008
UPDATE: AstraZeneca To Appeal $215 Million in Alabama Fraud Suit
CNN Money - February 22, 2008
LPN’s death raises questions about Helia nursing home
by Dean Olsen
Journal Register - February 22, 2008
Trial set for trio accused of insurance fraud, money laundering
The Bakersfield Californian - February 22, 2008
Fraud rampant in health network
By Michael Neibauer
The Examiner - February 21, 2008
Records System Suit or Nonpayment Dispute?
By Linda Gross
ADVANCE - February 21, 2008
Wrangling Over 'Reasonable' Fees
By Chad Terhune
BusinessWeek - February 21, 2008
Family members charged with insurance fraud
KGET - February 21, 2008
Whistleblower Wins Suit Over Medical Billing Fraud
by Tony Shin - February 21, 2008
Caritas St. Elizabeth's Medical Center Enhances Patient Safety Initiatives With Perioperative Technology From DocuSys
PR Newswire - February 21, 2008
Jury in Medicaid pharmaceutical fraud trial finds in favor of Alabama
By Dana Beyerle
Tuscaloosa News - February 21, 2008
Doctor, wife accused of Medicaid fraud
Russian immigrants got $14 million since 2002, federal indictment says
By Frank Green
Richmond Times Dispatch - February 21, 2008
Christ Hospital leaves alliance
Departure from Health Alliance will cost millions, at first
by Cliff Peale
The Enquirer - February 21, 2008
Testimony indicates credit balances disappeared from files in dentist fraud trial
by Daniel Gilbert
Tricities - February 21, 2008
Fraud trial begins for Pennington Gap dentist
By the Associated Press
Daily Press - February 20, 2008
Medical ID Theft Could Be Fatal For Victims
nbc5i - February 20, 2008
Martinez bill doubles penalties for Medicare fraud
by JAY WEAVER
Miami Herald - February 20, 2008
Medicaid provider charged with fraud
WAVY-tv - February 20, 2008
Health Care Fraud in North Carolina
By teresa_92417
BlueNC - February 20, 2008
I-Team: Conspiracy, Fraud Trial of Lawyer Underway
By George Knapp
Las Vegas Now - February 20, 2008
United States: CMS Proposes New Standards For Suppliers Of Durable Medical Equipment, Prosthetics, Orthotics, And Supplies
by Elizabeth Elson, Judith Waltz, Lena Robins, Maria E. Gonzalez Knavel and Katherine Siddon O'Brien
Foley & Lardner LLP - February 20, 2008
Ambulances as vehicles for fraud
By Joel Hesch
WorldNetDaily - February 20, 2008
Trial begins for dentist accused of racketeering
By D. Gilbert
Tricities.com - February 20, 2008
Personal Health Records Can Imperil Privacy - Report
By Victoria E. Knight
CNN Money - February 20, 2008
I-Team: Conspiracy, Fraud Trial of Lawyer Underway
By George Knapp
KLAS-TV - February 20, 2008
Qui Tam Whistleblowers Awarded $140 Million Under False Claims Act in Medicare and Medicaid Fraud Cases in FY 2006
By Finch McCranie, LLP
Whistleblower Lawyer Blog - February 19, 2008
Sen. Mel Martinez wants to double Medicare fraud penalties
By JAY WEAVER
Miami Herald - February 19, 2008
Healthcare Slow to Respond to Denial Engine Threat Says Healthcare IT Transition Group
PR Leap - February 17, 2008
Sweet sound of settlement
By Ameet Sachdev
Chicago Tribune - February 17, 2008
Barre man takes on scammers
By Mel Huff
Barre Montpelier Times Argus - February 16, 2008
Theft case dismissed against therapist
By Tillie Fong
Rocky Mountain News - February 16, 2008
Plastic surgeon gets probation, fine
By Robert Patrick
STL Today - February 16, 2008
Senator Martinez targets Medicare fraud
Tampa Bay's 10 - February 15, 2008
Universal Healthcare Is a Fraud
By Chris Rice
OpEdNews - February 15, 2008
Former Dentist Confesses Criminal Behavior at Kids Clinic
By Jane Flasch
13WHAM-TV - February 15, 2008
Does healthcare fraud tie into organized crime, illegal immigration and ... corporations?
By Ed Dickson
Blogger News Network - February 14, 2008
N.Y. probes insurer's payments
By Jeff May
The Star-Ledger - February 14, 2008
Inquiry Set on Health Care Billing
By Reed Abelson
New York Times - February 14, 2008
Aetna, CIGNA In N.Y. Probe
Out-Of-Network Costs Of 16 Insurers At Issue
By Diane Levick
Hartford Courant - February 14, 2008
Rate scam bilks patients
By CATHLEEN F. CROWLEY
Times Union - February 14, 2008
LOCAL WOMAN PLEADS GUILTY TO CONSPIRACY TO DEFRAUD MEDICARE
Media Newswire - February 13, 2008
16 Health Care Insurers Face Investigation For Rigged Billing Case
By Windsor Genova
AHN - February 13, 2008
Fraud made too easy
By Star-Ledger editorial board
The Star-Ledger - February 13, 2008
Congress May Stop Hunt For Medicare Swindlers
By Donna Arduin
Tampa Tribune - February 13, 2008
Psychiatrist Accused Of Putting Price On Prayer
News Channel 5 - February 13, 2008
Identity thief had access to area information
By Daniel Brownstein
Beaufort Gazette - February 13, 2008
Insurer sues Raleigh clinic, claims fraud
By David Ranii
News & Observer - February 13, 2008
UnitedHealth unit charged with fraud
New York state says alleged practices left consumers shortchanged
By Russ Britt
Market Watch - February 13, 2008
Two NY doctors sentenced for $15B scam
Forbes - February 12, 2008
Hospitalists Can Help Reduce Rate of Medically Unnecessary Admissions
Atlantic Information Services, Inc. - February 12, 2008
2 New York doctors are sentenced in $15 million billing scam
Newsday - February 11, 2008
Redesign of Healthcare Coding Industry Website Provides Medical Coders Better Access to Key CMS Changes
Business Wire - February 11, 2008
Meet Medicare Fraud's Whistleblower
Hospitals Across The Nation Are Sending Medicare Fraudulent Charges
CBS News - February 8, 2008
Surgeons' billing questioned by secret TAC audit
By Richard Baker and Nick McKenzie
The Age - February 8, 2008
LA Times Reveals Horrific New Details about Raided Abortion Clinics
By Thaddeus M. Baklinski
Lifesite - February 8, 2008
Malpractice lawyers helped indict Kansas doctor
By Roxana Hageman
Hays Daily News - February 6, 2008
Ex-con held in health fraud case
By Jason Kandel
Los Angeles Daily News - February 6, 2008
Bad Boys, Bad Boys: Glendale Traffic Stop Yields Man Wanted by FBI for Health Care Fraud
By Lindsay William-Ross
LAist - February 6, 2008
Pediatrix Medical Group, Inc. Q4 2007 Earnings Call Transcript
Seeking Alpha - February 6, 2008
Pain doctor faces federal charges in Medicare scam
By Jim McElhatton
Washington Times - February 6, 2008
Five MDs overbilled province
Must return $114,000
By Jen Skerritt
Winnipeg Free Press - February 5, 2008
MedAssets Expands Relationship with Valley Medical Center for Cash Flow and Margin Enhancement Initiatives
Trading Markets - February 5, 2008
Adaptis Compliance Officer Earns Advanced Certificate
FOX Business - February 5, 2008
Study: Lack of face-to-face aid impedes Medicaid rolls
By Megha Satyanarayana
Biloxi Sun Herald - February 5, 2008
Allergist regrets part in alleged fraud
No prison for Despot, but judge issues $10,000 fine
By Dean Olsen
Springfield State Journal Register - February 5, 2008
State Sues 79 Drug Companies, Claims Fraud, Overcharging in Medicaid Drug Billing
By Chris Holmes
WSFA - February 5, 2008
East Brunswick Man Admits Defrauding Insurance Companies
Media Newswire - February 4, 2008
Medical audits scarce and ineffective, N.L. review finds
CBC - February 4, 2008
Hospital Sues Correctional Healthcare Company
NewsChannel5.com - February 4, 2008
Newport pair among many struggling to set record straight after ID theft
By Marti Davis
Knoxville News Sentinel - February 3, 2008
Trials in huge fraud case to begin
By Jodi Andes
Columbus Dispatch - February 3, 2008
Editorial: Ready and billing
Hudson should take third-party insurance
The Post Online - February 1, 2008
PacificCare draws record fine for mishandled claims; 8 largest firms face audits
By Keith Darcé
San Diego Union Tribune - January 30, 2008
Stolen computers may hold hospital billing information
By Craig Cassidy
Union Democrat - January 30, 2008
PacifiCare fined record $3.5 million
By Gilbert Chan
Sacramento Bee - January 30, 2008
Florida: Miami Pharmacy Owner Sentenced to 4 Years in Prison for Medicaid Fraud
All American Patriots - January 30, 2008
More Women File Lawsuits Against Dallas' Presbyterian Hospital in Eating Disorders Fraud Case
PR Newswire - January 29, 2008
Ambulance service pays $958,000
The Union Leader - January 29, 2008
Nashua ambulance firm pays nearly $1m for overbilling
By Andrew Wolfe
Nashua Telegraph - January 29, 2008
Zero tolerance scheme on NHS fraud launched
By Robbie Dinwoodie
The Herald - January 28, 2008
St. Luke's files suit against former attorney
Hospital complaint alleges Luciani failed to properly defend it in ongoing litigation
By Nate Poppino
Twin Falls Times-News - January 28, 2008
Citizens updated
LSU officials cite multiple reasons behind Dr. Dennis LaRavia's removal
By John H. Walker
Bogalusa Daily News - January 27, 2008
Restitution, fine ordered in dentist's fraud case
Cherry Hill Courier Post - January 26, 2008
Medical office personnel chart futures at Perry Tech
By James Joyce III
Yakima Herald-Republic - January 26, 2008
Feds Join Cases Against Hospitals
WKTV - January 25, 2008
Whistleblower in fraud case against doctor gets $175K
By Matthew Rink
Massillon Independent - January 25, 2008
Nurse charged in Medicare fraud at clinics
Miami Herald - January 25, 2008
Our view: No silver bullet
Space Coast cities with tax cut jitters shouldn't rush to privatize local services
Florida Today - January 24, 2008
Doctor Accused Of Treating Patients With Weed Killer; Pleads Guilty To Fraud
WSBtv.com - January 24, 2008
14 accused in cash-for-AIDS-drugs scam
By Rick Hepp
NJ Blog - January 24, 2008
Nine Miami Defendants in Strike Force Cases Sentenced for $56.5 Million in Medicare Fraud
US Department of Justice - January 23, 2008
Ohio woman pleads guilty to obstruction in wheelchair case
By Chris Dumond
Lynchburg News and Advance - January 23, 2008
Moorestown woman sentenced for fraud
phillyBurbs.com - January 23, 2008
Ohio's top lawyer asks nonprofit hospitals to justify tax breaks
Akron Beacon Journal - January 22, 2008
Drill & Fill 'Scam'
City Dentists Eyed
By Kenneth Lovett
New York Post - January 22, 2008
Nonprofit hospitals back under microscope
By James Nash
Columbus Dispatch - January 22, 2008
Moorestown dentist sentenced for Medicaid fraud
By South Jersey News Online
NJ Blog - January 22, 2008
FBI says crimes are drawing agents north to Palm Beach County
By Sally Apgar
South Florida Sun-Sentinel - January 21, 2008
Sausalito doctor accused of Medi-Cal fraud
By Richard Halstead
Marin Independent-Journal - January 20, 2008
Disparities in Idaho's mental health
The Associated Press
Idaho Press-Tribune - January 20, 2008
State probes Machias hospital
By Eric Russell
Bangor Daily News - January 19, 2008
Rednam pleads guilty to obstructing health-care fraud investigation
St. Louis Business Journal - January 18, 2008
Medicaid fraud rampant in Dade, state says
By Dominick Tao
Miami Herald - January 18, 2008
State should avoid 'law of unintended consequences'
Legislators need to consider potential ramifications of sales tax on legal services
By Kenneth L. Shigley
Daily Report - January 18, 2008
Physician Financial Relationships, Conflicts of Interest Are Expected to Top List of 2008 Enforcement Targets
Atlantic Information Services, Inc. - January 18, 2008
Audits find $5 million in extra Medicaid payments
Newsday - January 17, 2008
Medicare write-off would be fraud
By Jayne Lemli
Sarasota Herald-Tribune - January 17, 2008
Doctor has detention hearing
By Telegraph-Forum staff
Bucyrus Telegraph Forum - January 16, 2008
Dr. Iskander appears in federal court on health care fraud charges
Mansfield News Journal - January 15, 2008
Resolution of case against physician's company delayed
By Jim Dooley
Honolulu Advertiser - January 15, 2008
Tiwari prescriptions tied to several deaths
Reporter-Times - January 14, 2008
CAGW Denounces Efforts to Scuttle Medicare Provider Audits
Taxpayers Deserve to Reclaim Millions in Improper Payments to Hospitals
Centre Daily Times - January 14, 2008
IT Worker Jailed for Creating Logic Bomb
By Sharon Gaudin
Computerworld - January 14, 2008
Group home CFO lived large off loot
By Stephen Huba
Massillon Independent - January 11, 2008
Glades General pays feds $300,000
By Phil Galewitz
Palm Beach Post - January 10, 2008
Allegations embroil DeSoto health system
By Vickie Welborn
Shreveport Times - January 10, 2008
Medicare auditors zap Boca hospital
By Phil Galewitz
Palm Beach Post - January 9, 2008
Medicare moves to reduce fraud over medical equipment
By Victoria Colliver
San Francisco Chronicle - January 9, 2008
Medicaid Examination
By BDN Staff
Bangor Daily News - January 9, 2008
Man gets 2 1/2 years for computer 'bomb'
60 million drug users could have lost Rx data
By Guy Sterling and Jeff Whelan
NJ.com - January 9, 2008
Massachusetts Attorney General Announces Record Year Of Medicaid Fraud Recoveries In 2007
All American Patriots - January 8, 2008
Feds to enforce tighter restrictions to help prevent Medicare fraud
By Molly Hennessy-Fiske
Los Angeles Times - January 8, 2008
Medco sys admin gets 30 months for planting logic bomb
By Sharon Gaudin
Computerworld - January 8, 2008
Prison pharmacy probe may yield big savings
TheReporter.com - January 4, 2008
State disputing claim of Medicaid overcharges
By Paul Carrier
Kennebec Journal - January 3, 2008
E.M. Health attempts to borrow away debt
By Cecily Burt and G.W. Schulz
Oakland Tribune - January 1, 2008
Four Surgeons to Repay U.S. $2.5 Million
By Don Jacobs
InjuryBoard.com - December 31, 2007
Martinez case has another day in court
By Leah Beth Ward
Yakima Herald-Republic - December 30, 2007
Chiropractor's patients file complaints
By Karen Shideler
Kansas.com - December 30, 2007
Surgeons cut deal in billing fraud case
By Tim Christie
The Register-Guard - December 29, 2007
Chiropractor guilty of fraud given three weeks to transfer practice
By Julie Manganis
The Salem News - December 29, 2007
Stokes sent to prison, restitution to be later
By Ryan Jeltema
Greenville Daily News - December 28, 2007
Audits: NYS Health Plan Overpaid Providers Millions
North Country Gazette - December 28, 2007
Another Chan lawsuit
By Warren Watkins
Searcy Daily Citizen - December 27, 2007
Stokes sentenced to less than maximum
By Chronicle News Service
mlive.com - December 27, 2007
'Recalcitrant' doctor's sentencing is Thursday
By Ryan Jeltema
Greenville Daily News - December 26, 2007
Two men sent to prison for staging a car crash in Lauderdale Lakes...
By Dan Christensen
Miami Herald - December 26, 2007
He faked brain surgery to get insurance money
City worker faces fine and prison term for health care fraud
By Frank Donnelly
Staten Island Advance - December 23, 2007
Hospital whistle blower got cold shoulder from colleagues
By Graig Schneider
Atlanta Journal Constitution - December 22, 2007
Saint Joseph's Hospital of Atlanta to Pay U.S. $26 Million to Settle False Claims Allegations
Earthtimes - December 21, 2007
Three Men Sentenced to Prison in DME Health Care Fraud Scheme
Media Newswire - December 21, 2007
St. Joseph's Settles Lawsuit
WXIA-TV Atlanta - December 21, 2007
Saint Joseph's Hospital of Atlanta Pays $26 Million To Settle False Claims Act Allegations
Department of Justice - December 21, 2007
Two women convicted in health care scam
San Francisco Chronicle - December 20, 2007
3 charged in billing theft
Medical office found abandoned upon TBI investigation into embezzlement
By Matt Rennels
Clarksville Leaf Chronicle - December 20, 2007
Owners & Employee of Newark Home Health Care Agency Charged with Submitting Nearly $1 Million in Fraudulent Medicaid Bills
All American Patriots - December 20, 2007
US Attorney Reports Two DME Owners Sentenced In Separate Health Care Schemes
Lawfuel - December 20, 2007
Red Flags at Arthrocare
By Andrew Left
Seeking Alpha - December 20, 2007
Oxendine announces Medicare scam arrest
Duluth Weekly - December 19, 2007
Anti-fraud campaign has local ties
Jacksonville firms review claims for Medicare, catching bogus bills in a million-dollar racket
By Steve Patterson
Florida Times-Union - December 19, 2007
Medical billing employee charged with embezzling
By Lisa Medendorp
MLive.com - December 18, 2007
N.Wildwood doctor facing charges has license suspended
By Trudi Gilfillian
Press of Atlantic City - December 18, 2007
Orange County to audit pharmacies
Investigation targets abuse of Medicaid
By Chris McKenna
Times Herald-Record - December 17, 2007
US Attorney Reports Three Men Sentenced To Prison In DME Health Care Fraud Scheme
Lawfuel - December 17, 2007
Managing Frauds in Health Insurance
There are still no fool-proof mechanisms to deal with the burning issue of fraudulent claims
By Dr Biswendu Bardhan
Express Healthcare Management - December, 2007
Psychiatrist Billed Medicaid For Patients Never Treated
North Country Gazette - December 17, 2007
Man Sentenced 10 Years, $7M Fine For Health Billing Scam
KNBC.com - December 17, 2007
Stokes could get up to 15-1/2 years
By Pat Shellenbarger
The Grand Rapids Press - December 17, 2007
Mental Health Providers Overbilled Taxpayers $1.3 Million
NewsChannel 9 WSYR - December 17, 2007
Court: Non-radiologists can't refer for in-office imaging
By Amy Lynn Sorrel
American Medical News - December 17, 2007
Santa Monica Doctor Arrested on State Income Tax Evasion
$5.2 million in unreported income for 2002 - 2004
By Judyth Piazza
NewsBlaze - December 16, 2007
Doctors suing Medical Center
By S. Heather Duncan
Macon Telegraph - December 16, 2007
UMDNJ trustees vote to take back the reins
Christie to end monitorship after board declines offer to continue
By Josh Margolin and Ted Sherman
The Star-Ledger - December 14, 2007
Miami-Dade Pediatrician Arrested for Defrauding Medicaid
All American Patriots - December 14, 2007
Niece of Somali leader convicted in HMO billing scam
By Dan Browning
Minneapolis Star Tribune - December 14, 2007
Commissioner Reports Improvements To Legislative Committee
By Dennis Phillips
Jamestown Post Journal - December 13, 2007
Medicare Fraud Strike Force Cases Result in Long Prison Terms for Five Health Care Company Owners
PR Newswire - December 13, 2007
The Department of Veteran Affairs Awards QuadraMed $21.8 Million Contract For HIM And Revenue Cycle Management Technology
Trading Markets - December 12, 2007
Medical board rules against eye doctor
By Dave Gram
Barre Montpelier Times Argus - December 12, 2007
Lawyers OK'd Medicare billing, hospital insists
Warren Hospital has five years to pay $7.5 million settlement
By Tom Quigley
The Express Times - December 12, 2007
How healthy is your medical credit score?
System being designed to help hospitals figure out whether you'll pay them
By Jason Roberson
Dallas Morning News - December 12, 2007
STATE: $5M overpaid for Medicaid work
By Zachary R. Dowdy
Newsday - December 11, 2007
Doctor In 'Rent-A-Patient' Scam Gets Nearly Five Years' Prison
Lawfuel - December 11, 2007
Blatant Medicare fraud costs taxpayers billions
Officials say outrageous fraud schemes are 'off the charts'
By Mark Potter
MSNBC - December 11, 2007
Stolen laptop holds private information
By Elizabeth Wilson
Lake County Record-Bee - December 10, 2007
Legal Alert!
By Lorin E. Patterson
Today's SurgiCenter - December 10, 2007
Officials Warn Of Medicare Fraud
Bentonville Part Of 180 Stop Educational Tour
By James Bowie
Springdale Morning News - December 10, 2007
Medical board disciplines Bastrop, Austin doctors
Two are among 64 physicians discplined by board this week
By Mary Ann Roser
Austin American-Statesman - December 8, 2007
Embattled doctor loses property dispute
By David Saleh Rauf
Herald Zeitung - December 8, 2007
New York Eye Doctor License Suspended by State Health Commissioner
Incompetence, Gross Negligence, and Fraud Presumed
By Jeanne Marie Kerns
Associated Content - December 7, 2007
Local seniors struck hard by Medicare fraud
By Danielle Parker
Pegasus News - December 7, 2007
Houston Man Investigated By Medicaid Fraud Control Unit Receives 15 Years In Prison For Theft
All American Patriots - December 7, 2007
Fraud case against doctor goes to jury
By Leah Beth Ward
Yakima Herald-Republic - December 7, 2007
Boston Dental Corporation Pleads Guilty To Fraudulently Billing Medicaid
All American Patriots - December 6, 2007
Businessman gets 15 years in jail for Medicare fraud
Defendant is accused of stealing around $900,000
Houston Chronicle - December 6, 2007
State: Eye doc performed needless surgeries
By Laura Rivera
Newsday - December 6, 2007
Texas Medical Board Disciplines Doctors
KFDM-TV News - December 6, 2007
Pair found guilty in fraud case face charges of lying
By Erica Blake
Toledo Blade - December 6, 2007
DME Operators Charged In Health Care Fraud And Identity Theft Conspiracy
United States Attorney for Southern District of Florida - December 5, 2007
'InvoiceCHECK' Cuts Prescription Benefit Waste
PR Newswire - December 5, 2007
State: 3 LI health facilities inflated claims
By James Bernstein
Newsday - December 4, 2007
Former Plainview Health Care Clinic CEO Pleads Guilty to Fraud
KCBD-TV - December 4, 2007
The Sentinel Group Signs Summit Administration Services TPA to Receive Its Health Claim Anti-Fraud Services
Market Wire - December 3, 2007
Incarcerated former doctor hit with $1.5 million judgment
By Marie Price
Journal Record - December 3, 2007
Investigative Report: Remade board treads gently
State chiropractors' overseer is light on discipline, big on license leniency
By John Hill
Sacramento Bee - December 2, 2007
Foot doctor appears on fraud charges
West Peoria man charged with bilking Medicare out of more than $270,000
By Andy Kravetz
Peoria Journal Star - December 1, 2007
Hillary's '$50 Billion to Avoid Paying Claims' Is a Claim Debunked
By Tom Blumer
News Busters - December 1, 2007
Newport News chiropractor charged with health care fraud: The U.S. attorney's office says a Newport News chiropractor submitted fraudulent bills
Trading Markets - December 1, 2007
Alva doctor faces civil judgment
Enid News & Eagle - November 30, 2007
North St. Louis County nursing home among the nation's worst
By Mary Jo Feldstein
St. Louis Post-Dispatch - November 30, 2007
Newport News chiropractor charged with health care fraud
By Peter Dujardin
Daily Press - November 30, 2007
Two years of doctor's files found so far
By Pat Shellenbarger
The Grand Rapids Press - November 27, 2007
Taking license with medicine
The Grand Rapids Press - November 26, 2007
Whistle-blower risks job to expose medical fraud
By Shane Hoover
Canton Repository - November 25, 2007
Medicare Continues To Reduce Improper Claims Payment, Coverage
eMaxHealth - November 23, 2007
Doctor seeks to limit evidence at fraud trial
By Richard Burgess
2TheAdvocate - November 23, 2007
Ex-Worker Accused of 8-Year Health Scam
By Associated Press
Chicago Tribune - November 21, 2007
Kentucky Abortion Practitioner Jailed for Alleged Medicaid Fraud
By Steven Ertelt
LifeNews.com - November 21, 2007
Steroid, fraud charges filed
Northeast Richland clinic chief accused of illegal steroid distribution, fraud, money laundering
By Lee Higgins
The State - November 21, 2007
Abortion Doctor Hamid Hussain Sheikh Indicted for Huge Medical Fraud Charges
By Rachel Krech
Associated Content - November 21, 2007
Doctor accused of illegally billing state for abortions
By Roger Alford
Louisville Courier-Journal - November 21, 2007
Feds won't freeze Stokes' assets
MLive.com - November 20, 2007
Government wants to limit Stokes' spending
By Nate Reens
The Grand Rapids Press - November 20, 2007
Doctor charged with falsely billing state for abortions
By Roger Alford
Louisville Courier-Journal - November 20, 2007
Complicated billing makes it hard to shop for health-care
By David Wahlberg
Wisconsin State Journal - November 20, 2007
40 Port Authority Officers Accused Of Health Fraud
Dentist Indicted By Federal Prosecutors
WNBC - November 19, 2007
Attorney General of Maryland: Bell Sentenced for Role in Felony Medicaid Fraud Scheme Company Received More Than $4,000,000 for Services Never Rendered
Insurance News Net - November 19, 2007
Former Florida Health Care Company Owner Sentenced for Medicare Fraud
Lawfuel - November 18, 2007
Deering vindicated by Justice probe
By Terry Organ
Kingman Daily Miner - November 18, 2007
Fresno Man Gets Five-year Prison Term In $600,000 Medicaid Scam
By FortBendNow Staff
FortBendNow - November 16, 2007
Hocking College Trustee Named In Pharmacy Board Complaint
WLWT - November 16, 2007
Fayette Co. facility under investigation
Chillicothe Gazette - November 16, 2007
Some pharmacies cry foul over Medicaid audits
By James Goodman
Rochester Democrat and Chronicle - November 16, 2007
Medicare Continues To Reduce Improper Claims Payments, USA
Medical News Today - November 16, 2007
Woman questions why AnMed charges some more than others
By Carrie Davis
Anderson Independent Mail - November 15, 2007
Medical Overcharges
By Carrie Davis
News Channel 7 - November 15, 2007
FOUR MIAMI HEALTH CARE COMPANY OWNERS SENTENCED TO 57 MONTHS IN PRISON FOR MEDICARE FRAUD
Media Newswire - November 15, 2007
Ambu-Star accused of Medicaid fraud
By Sean P. Flynn
Spartanburg Herald Journal - November 15, 2007
Chiropractor ordered to cough up billing records in class action against Safeco
By Steve Korris
St. Clair Record - November 15, 2007
Stryker, former therapy unit settle Medicare billing case for $16.6M
By Associated Press
Boston Herald - November 15, 2007
How To Use The False Claims Act To Prevent Nursing Home Fraud And Patient Abuse
By Frank Bailey & Sach Oliver
InjuryBoard.com - November 14, 2007
GAO Probe Finds Tax Fraud in Medicaid
By Jane Zhang
Wall Street Journal - November 14, 2007
Former Florida Health Care Company Owner Sentenced to 66 Months in Prison for Medicare Fraud
WebWire - November 14, 2007
Judge turns down Detelich's bid for new trial
By Joe Pinchot
Sharon Herald - November 13, 2007
Three indicted for alleged health care fraud
By Michael Ratcliffe/The Times
NJ Blog - November 13, 2007
Doctor Reopens Clinic After Police Raid
By Demond Fernandez
WOAI - November 12, 2007
Read medical bills closely to avoid overpaying
By Victoria E. Knight
Columbus Dispatch - November 11, 2007
Doctor reopening clinic despite investigation
By David Saleh Rauf
Herald Zeitung - November 11, 2007
Adult Day Care Facilities Owner Admits Defrauding Medicaid of $5.5 Million
Media Newswire
Weir requests to leave county
Man accused of billing fraud wants to see lawyers in Chicago
By Dean Olsen
Springfield State Journal Register - November 10, 2007
Four Miami Health Care Company Owners Sentenced to 57 Months in Prison For Medicare Fraud
PR Newswire - November 9, 2007
Justice Department Recovers $2 Billion for Fraud Against the Government in Fy 2007; More Than $20 Billion Since 1986
Web Wire - November 7, 2007
Former OIG Medicare Fraud Investigator Confesses to Stealing $1 Million From the Government
Atlantic Information Services, Inc. - November 7, 2007
Boston Area Medical Providers Named In Multimillion Dollar Healthcare Fraud Scheme
Insurance News Net - November 6, 2007
Audit: Feds Paid Too Much in Evacuations
The Associated Press - November 4, 2007
Martineau pleads guilty to fraud
By Jim Baron
Pawtucket Times - November 3, 2007
Vineland day-care fraud charged
By Jason Laday
The Bridgeton News - November 3, 2007
Doctor Indicted in Verizon Billing Scam
By Associated Press
Forbes - November 2, 2007
Doctor indicted in Verizon health plan billing scam
Newsday - November 1, 2007
Therapist Sentenced To 90 Days For Medicaid Fraud
KETV.com - October 31, 2007
Physical therapist pleads to fraud scam
His seven-month scheme stole more than $700,000
By Teresa Stepzinski
Florida Times-Union - October 31, 2007
Plastic surgeon pleads guilty in fraud case
By Heather Ratcliffe
St. Louis Post-Dispatch - October 31, 2007
Former physical therapist admits fraud
By Jan Skutch
Savannah Morning News - October 30, 2007
TRICARE's Program Integrity Office Battles Fraud
Blackanthem.com - October 29, 2007
CUOMO VS. MEDICAID FRAUD
New York Post - October 29, 2007
Case management technology could cure some of state's health care ills
Cookeville Herald Citizen - October 27, 2007
Allergist's practice faces fines
Cardinal Respiratory plans to plead guilty to one count of felony health-care fraud
By Dean Olsen
Springfield State Journal Register - October 27, 2007
Medicaid fraud nets therapist probation term
By Marc R. Masferrer
Bradenton Herald - October 26, 2007
Clients Aided Health Fraud, State Alleges
By Sarah Kershaw
New York Times - October 26, 2007
Federal trial resumes for homeopathic doctor
By Jaclyn O'Malley
Reno Gazette Journal - October 23, 2007
National Health Law Group of Ober/Kaler Welcomes Four New Attorneys to Washington Office
Earthtimes - October 22, 2007
Fraud and Florida's multimillion-dollar wheelchair
By Tom Brown
Reuters AlertNet - October 22, 2007
State says lab filed thousands of false Medicaid claims
By Nicole Haley
Daily News Tribune - October 22, 2007
Houston Businessman Pleads Guilty to Medicare Fraud
By Regina Sass
Associated Content - October 18, 2007
Massachusetts AG Charges Boston Clinical with False Claims
Corporate Crime Reporter - October 18, 2007
Indictment: Dentist filed false claims for insurance
By Ramon Bracamontes
El Paso Times - October 18, 2007
Medical board suspends plastic surgeon's license
By Fayetteville Observer Staff
Fayetteville Observer - October 17, 2007
Businessman Admits To Fraud With Motorized Wheelchairs
North Country Gazette - October 17, 2007
Ringleader in Dallas staged-accident conspiracy pleads guilty
By Pegasus News Wire
Pegasus News - October 17, 2007
Three Syracuse nurses arrested for fraud
WSTM-TV - October 17, 2007
Audit: Medical Providers Double Billed State DOH
North Country Gazette - October 16, 2007
Former exec files whistleblower suit against Iasis
By John Cummins
Nashville City Paper - October 16, 2007
TASB Risk Management Fund Selects Jopari Medical EDI Gateway for E-Bill Compliance
Insurance News Net - October 15, 2007
ACHE staff told board of concerns
By Nathaniel Lukefahr
Brazosport Facts - October 14, 2007
Pasco's La Clinica fined for missing deadline
By Michelle Dupler
Mid Columbia Tri City Herald - October 13, 2007
Doctors' homes and offices raided in Anna Nicole Smith case
By Andrew Blankstein and Tim Reiterman
Los Angeles Times - October 13, 2007
State: Nursing home owes $300,000
By Jon Craig
Cincinnati Enquirer - October 11, 2007
Auditor finds billing errors at local nursing home
By James Ritchie
Business Courier of Cincinnati - October 11, 2007
Medical identity theft: the importance of protecting your health records
EurekAlert - October 9, 2007
Former exec files whistleblower suit against Iasis
By John Cummins
Nashville City Paper - October 8, 2007
Five facing charges in body-parts scam
By Kitty Caparella & Julie Shaw
Philadelphia Daily News - October 5, 2007
Allergist's husband allegedly involved in scheme released
By Dean Olsen
Springfield State Journal Register - October 5, 2007
Federal judge grants class-action status for billing suit
The Athens News - October 4, 2007
Podiatrist gets 5 years in fraud
LOST FOREVER: His license to practice podiatry
By Asbury Park Press Staff
Asbury Park Press - October 4, 2007
Charge Queens pair in home health scam
By Tonia N. Cimino
Queens Courier - October 4, 2007
Former bookkeepers face embezzlement charges
By Chris Collins
Baker City Herald - October 3, 2007
SK&A Issues Warning on NPI Data Quality
PharmaLive.com - October 2, 2007
New York AG, DA Charge LI Home Care Agency Operators With Medicaid Fraud, Wide Range Of Financial Crimes
All American Patriots - October 1, 2007
Long Island home care agency boss held in Medicaid fraud probe
Newsday - October 1, 2007
800,000 Job Seekers At Risk In Gap Data Breach
Laptop containing applicant data stolen from contractor
By Martin H. Bosworth
Consumer Affairs - October 1, 2007
Patients misled by bills
Two tell their experiences with allergist's office facing charges
By Dean Olsen
Springfield State Journal Register - September 30, 2007
State audit identifies highly irregular Medicaid billing by dentist
EmpireStateNews.net - September 29, 2007
Allergist pleads guilty to misdemeanor in billing scam
By Dean Olsen
Springfield State Journal Register - September 28, 2007
Mo. Group Home Owner Faces First Charge
By Marcus Kabel
Forbes - September 27, 2007
Despot: Weir blocking money
Allergist's ability to make plea deal called into question
By Dean Olsen
Springfield State Journal Register - September 27, 2007
$1 million bail set for doctor's husband
Authorities fear Weir was planning to flee to Nigeria
By Jayette Bolinski
Springfield State Journal Register - September 25, 2007
Speech pathologist practicing in Coral Springs arrested for false Medicaid claims
By Nicol Jenkins
Boca Raton News - September 25, 2007
Owner of Burned Mo. Group Home Arrested
By Marcus Kabel
The Associated Press - September 24, 2007
Feds look at fraud in area's soaring HIV/AIDS billing
By Larry Lipman
Palm Beach Post - September 22, 2007
Maryland Attorney General: Bell Pleads Guilty to Felony Medicaid Fraud Company Received More Than $4,000,000 for Services Never Rendered
Insurance News Net - September 21, 2007
Witness challenged in massage parlor case
By Michael P. Mayko
Baltimore Sun - September 21, 2007
Howard man pleads guilty in Medicaid fraud
Baltimore Sun - September 21, 2007
Amityville medical provider billing questioned
By Christina Hernandez
Newsday - September 21, 2007
Audit finds abusive, potentially fraudulent billing in state health insurance program
EmpireStateNews.net - September 21, 2007
South Florida bills billions for HIV
By Jim McElhatton
Washington Times - September 21, 2007
Man pleads guilty to felony Medicaid fraud
By Robert J. Terry
Baltimore Business Journal - September 20, 2007
City man in alleged insurance scheme arrested
Rickey Weir may have been trying to flee to Africa
By Amanda Reavy
Springfield State Journal Register - September 20, 2007
Report: Medicare overbilling rampant in South Florida HIV claims
By Brian Bandell
South Florida Business Journal - September 19, 2007
Minnesota is first state with policy to stop billing after medical errors
By Maura Lerner
Minneapolis Star Tribune - September 18, 2007
Guilty plea by hearing aid center owner
Newsday - September 18, 2007
Nursing school data theft latest at U-M
Thousands of patients' records at risk
By Dave Gershman
The Ann Arbor News - September 14, 2007
Feds Fight Infusion Therapy Fraud
By Barbara Kram
DOTmed.com - September 13, 2007
Tapes containing patient records stolen from U-M
By Dave Gershman
The Ann Arbor News - September 13, 2007
Investigators seize psychiatrist's billing records
By Dan Horn
Cincinnati Enquirer - September 13, 2007
NY: AG seeks home health aide registry
BusinessWeek - September 12, 2007
Doctor's Offices Raided By State Investigators
Investigation Involves Billing Practices
WLWT - September 12, 2007
Doctor's husband faces felonies
Charges include health-care, mail fraud
By Dean Olsen
State Journal-Register - September 12, 2007
Jamestown dentist charged with Tenncare fraud
By Knoxville Sentinel staff
Knoxville News Sentinel - September 11, 2007
Thieves stealing health care
By Jo Ciavaglia
phillyBurbs.com - September 10, 2007
Cardiologists accused of wrongly pumping money
Pueblo Business Journal - September 7, 2007
Edgecombe to repay state for Medicaid billing errors
By Zach Ahmad
Rocky Mount Telegram - September 7, 2007
Social worker arraigned
Woman faces health fraud charge after allegedly billing Medicare 50 hours a day for psychotherapy sessions
By Paul Egan
The Detroit News - September 6, 2007
Excellus BlueCross BlueShield Tackles Health Insurance Claim Fraud, Waste and Abuse With New Service From IBM
CNN Money - September 6, 2007
Accusation of ID Theft by File-Sharing
By Gene Johnson
The Associated Press - September 6, 2007
AG: Speech Pathologist Stole From Medicaid
North Country Gazette - September 5, 2007
Tullahoma man gets nine months for impersonating a doctor
By Christian Bottorff
The Tennessean - September 5, 2007
Utah doctor can pursue libel case against state over fraud claims
Physicians and legal experts say the decision might make investigators think twice before unfairly targeting doctors. The state says it's an isolated case.
By Amy Lynn Sorrel
American Medical News - September 3, 2007
Owner And Operator Of Florida Durable Medical Equipment Company Convicted Of Medicare Fraud
WebWire - September 3, 2007
Patel's attorneys: Seating jury a challenge
By Richard Burgess
2TheAdvocate - September 1, 2007
Court upholds fines for firm's CEO in Medicare fraud
The government says Thomas Horras used taxpayer money to pay for luxuries
By Clark Kauffman
DesMoinesRegister.com - September 1, 2007
Owner and Operator of Florida Durable Medical Equipment Company Convicted of Medicare Fraud
Fourth Trial Conviction For Medicare Strike Force Since March
PR Newswire - August 31, 2007
Nurse pleads innocent to lifting prescription drugs
By Patrick McArdle
Rutland Herald - August 31, 2007
Northwest Arkansas seniors warned about insurance scams
By Dustin Tracy
Northwest Arkansas Times - August 30, 2007
Woman who cheated doctors sentenced
Plattsburgh Press Republican - August 30, 2007
Audit lists $10M in overpayments to Medicaid providers
By Jay Gallagher
The Journal News - August 29, 2007
Recovery Provision For Missouri Whistleblowers Provides New Tool In Fight Against Medicaid Fraud
All American Patriots - August 27, 2007
Medicaid investigator fights abuse of system -- and wins
By Thomas Goldsmith
News & Observer - August 26, 2007
Georgia doctors skirting Medicaid reimbursement rules
By Elliot Jaspin
Atlanta Journal Constitution - August 24, 2007
Metro man going to prison for health-care fraud, kickbacks
Atlanta Business Chronicle - August 24, 2007
Former Queen's official indicted
An administrator had hospital funds paid to her, court records say
By Debra Barayuga
Star Bulletin - August 24, 2007
$25.5M at stake in Medicaid audit
Albany County unit is set to scrutinize 23 suspect cases for possible fraud involving payments made to providers
By CAROL DeMARE
Times Union - August 24, 2007
Potomac doctor settles over alleged billing fraud
by Peggy Vaughn
Gazette - August 23, 2007
Dodge County man pleads guilty to health care fraud
By VONDA LEE MORTON
The Courier Herald Online - August 23, 2007
AG issues health-care subpoenas
By Alison Snyder
Long Island Business News - August 23, 2007
Alachua, Florida Medicaid Provider Arrested After $4,400 Theft from Medicaid Program
All American Patriots - August 23, 2007
Four Chemical Dependency Treatment Providers Arrested in Houston on Medicaid Fraud Charges
All American Patriots - August 22, 2007
MARYLAND ATTORNEY GENERAL OFFICE: Attorney General Settles with Medical Group Over Surcharge; Patients to Receive Refunds
Insurance News Net - August 22, 2007
Department Of Health And Human Services And Department Of Justice Fight Infusion Therapy Fraud
Medical News Today - August 22, 2007
Firm Charged With Medicare Fraud
By Catherine Larkin and Aliza Marcus
Washington Post - August 21, 2007
Man Accused Of Medicaid Fraud Arrested Again
By VANESSA DE LA TORRE
Courant - August 21, 2007
Cuomo, Investigating Medicaid Fraud, Issues Subpoenas to 59 Home Care Agencies
By NICHOLAS CONFESSORE
The New York Times - August 21, 2007
Firm Charged With Medicare Fraud
By Catherine Larkin and Aliza Marcus, Bloomberg News
The Washington Post - August 21, 2007
Sugar Land Man, Three Others Busted In Drug Counseling Medicaid Scam
by Bob Dunn
Fort Bend Now - August 21, 2007
Billing Company Owner Charged with Conspiring to Defraud Medicare of $170 Million
Associated Content - August 21, 2007
Feds announce $105M bust in Medicare fraud
Federal officials announced their biggest bust ever in infusion therapy fraud and vowed a crackdown in South Florida
BY JOHN DORSCHNER
Miami Herald - August 21, 2007
Strike Force Charges Miami Infusion Clinic Billing Company Owner With Conspiring to Defraud Medicare of $170 Million
USDOJ - August 20, 2007
Bureau probes fraud claims
by Carol Harrison
The Eureka Reporter - August 20, 2007
HEALTH-AIDE SCAM
PROBE TARGETS $100M MEDICAID FRAUD
By KENNETH LOVETT
New York Post - August 20, 2007
Judge rules criminal fraud case against Idaho doctor is frivolous
A federal judge found the government's case to be without merit. The Nevada U.S. Attorney's Office is pursuing an appeal
By Amy Lynn Sorrel
American Medical News - August 20, 2007
Identity thieves go medical
Medical identity theft can affect your credit report and discredit your health records. Officials don't know how rampant the problem is, but they advise people to guard health information closely
By DAN BEEKMAN
The News Tribune - August 19, 2007
Former Boaz physician gets prison time
By Jan McDaniel
The Sand Mountain Reporter - August 18, 2007
Eleven face insurance fraud charges
BY BEATRICE E. GARCIA
MiamiHerald.com - August 18, 2007
Psychologist guilty of fraud
By Barbara Ramirez
Caller Times - August 18, 2007
Rooting out Medicare fraud could lead to cuts
Saul Friedman
News Day - August 18, 2007
Indian River County, Florida Care Provider Arrested for Medicaid Fraud
allamericanpatriots - August 17, 2007
Hammond health firm to settle in billing allegation
2theadvocate - August 14, 2007
Medicare Fraud Lawsuit Could Cost Iasis Millions
Phillips & Cohen LLP - August 13, 2007
Hudson doc sentenced in insurance scam
by Rick Hepp
The Star-Ledger - August 10, 2007
Lab records sent to wrong patients
JoNel Aleccia
Spokesman Review - August 9, 2007
Connectivity, Privacy, and Liability
What can medical professionals and hospitals do to manage the liability risks for data breaches resulting from interconnectivity?
by Alan S. Wernick
b-eye-network - August 8, 2007
Mom of 15 avoids jail in fraud case
BY CHRISENA COLEMAN
New York Daily News - August 8, 2007
Scam Alert: 'Rent-a-patient' scam targets immigrants, well-insured workers
By Nora J. Carpenter
Idaho Statesman - August 8, 2007
Houston Doctor Sentenced to Prison for Fraud
My Fox Houston - August 6, 2007
New York Attorney General Announces Recovery Of Approximately $7 Million From Managed Care Providers
New York Attorney General - August 6, 2007
Six Southeast Texans indicted for Medicaid fraud
The Port Arthur News - August 3, 2007
New York AG Andrew Cuomo Seeks $8.8 Million from Westchester Medicaid Frauds
Westchester dentist, wife arrested for money laundering in connection with $2.8 million Medicaid fraud
Former Bronx nursing home owner to pay $6 million, spend 2 - 6 years behind bars
allamericanpatriots - August 2, 2007
4 indicted in scheme to bill government for wheelchairs
By JOHN MORITZ
Star-Telegram - August 2, 2007
Provider without actual knowledge of false claims did not violate FCA
CCH - August 2, 2007
Carbondale doc now faces federal fraud charges
A Carbondale doctor arrested Tuesday on neglect and drug-related charges was in court again Wednesday to face federal health insurance fraud charges
BY ERIN L. NISSLEY
Citizens Voice - August 2, 2007
Billing firm Craneware plans £30m AIM flotation
HAMISH RUTHERFORD
Scotsman - August 2, 2007
GORILLABILL.COM HELPS CONSUMERS DIAGNOSE MEDICAL BILLS
GorillaBill - August 1, 2007
Wyckoff Heights Medical Center Chooses Accellion to Safeguard Patient Data
New York Area Hospital Selects Accellion Secure File Transfer Solution to Safely Share Electronic Medical Records Outside its Network while Meeting HIPAA Requirements
Accellion - July 31, 2007
NASSAU COUNTY: Nurse jailed and fined for false medical bills
ALFONSO A. CASTILLO
Newsday - July 31, 2007
Feds indict 4 in scooter-overbilling scam
They are accused of charging millions while delivering cheaper models to patients
Houston Chronicle - July 31, 2007
Cuomo seeks $8.8 million from Westchester Medicaid frauds
Mid-Hudson News - July 31, 2007
Curbside M.D. Launches LookUpNPI.com
New Service for Looking Up National Provider Identifier Numbers As Required by U.S. Health & Human Services Department
Curbside M.D. - July 30, 2007
Kelly, Sloan, and Associates, LLC, Announces the Release of AuditSelf
AuditSelf - July 30, 2007
Personal care providers face state inquiries
By Thomas Goldsmith
The News & Observer - July 27, 2007
Doctor indicted on fraud charges
The Charleston Gazette - July 27, 2007
Health Dept. suspends license of chiropractor
By Felice J. Freyer
The Providence Journal - July 26, 2007
Suit accuses United Healthcare of fraud
It says the company enrolled a woman in a Medicare alternative she didn't want.
By STEPHEN NOHLGREN
St. Petersburg Times - July 25, 2007
Virginia Company Enters Into Deferred Prosecution Agreement & Agrees to Pay $30.5 Million
US DOJ - July 23, 2007
M.D. can file libel suit against state
By Geoffrey Fattah
Deseret Morning News - July 21, 2007
Hospital district chief gets pay boost
David Lopez will have county's No. 1 wage, despite office's troubles
Hospital chief could become county's highest paid worker
By BILL MURPHY
Houston Chronicle - July 20, 2007
Newington therapist allegedly got paid for work he never provided
By FRANCINE MAGLIONE
The Herald - July 20, 2007
Pegasus Technologies Praises CRYPTOCard's Comprehensive Product Suite For Helping Healthcare Organizations Achieve HIPAA Compliance
CRYPTOCard - July 19, 2007
Volume I Issue 2 News About The Medicare Mobility Benefit July 19, 2007
Shift In Strategy: CMS Targets Fraudulent Dealers
MOBILITY TODAY - July 19, 2007
2 charged with fake billing for counseling
By THE ASSOCIATED PRESS
Journal & Courier - July 19, 2007
U.S. Targets Health-Care Fraud, Abuse
New Medicare Task Force Wins 3rd Conviction of 2007
By Carrie Johnson
Washington Post - July 19, 2007
Miami Durable Medical Equipment Company Owner Pleads Guilty to $2 Million Medicare Fraud
USDOJ - July 18, 2007
U.S. Joins Suit Against Renal Care Group Alleging False Billings to Medicare for Home Care Renal Dialysis
USDOJ - July 18, 2007
Miami Jury Convicts Defendant for Defrauding Medicare of Millions of Dollars
Third Trial Conviction for Medicare Strike Force
USDOJ - July 18, 2007
Home care crackdown on the way
Houston is a target in effort to weed out firms committing Medicare fraud
By MELANIE MARKLEY
Houston Chronicle - July 18, 2007
Pharmacy owner convicted of fraud
BY JOHN DORSCHNER
The Miami Herald - July 18, 2007
Pennington Gap, Va., dentist faces new indictment, charging he avoided federal requirements when reporting unneeded dental work on children
BY Debra McCown
Bristol Herald Courier - July 18, 2007
Leavitt Seeks Funding Increase for HHS Fraud Efforts
By Mary Agnes Carey
CQ Budget Tracker - July 18, 2007
Whistleblower Lawsuit Against Hewlett-Packard for Medical Products Fraud Allowed to Proceed — State Court of Appeals Reverses Superior Court Dismissal, Announces Law Firm
Company Knowingly Sold Thousands of Defective Medical Devices and Caused Inflated MediCal Reimbursement Claims, Former Employee Charges
Hewlett-Packard Company - July 17, 2007
D.C. probes Medicaid suppliers
By Jim McElhatton
The Washington Times - July 17, 2007
Renal Care Group faces suit for false Medicare billing
St. Louis Business Journal - July 17, 2007
Fraud of Senior Citizens by Home Health Agencies is Target for Government Initiative
Initial efforts to focus on Greater Los Angeles and Houston areas
Senior Journal - July 17, 2007
Indianapolis Man Pleads Guilty to Falsely Billing Medicaid $60,000
All American Patriots - July 16, 2007
Gaming the system
Incentive schemes often lead to gaming schemes.
Will pay-for-performance programs follow suit?
BY Brian Robinson
Government Health IT - July 16, 2007
EHRs: On the trail of trust
Audit trails track who’s seeing e-health records.
But current tools fall short, and enforcement is spotty.
Can government help restore public confidence?
BY Nancy Ferris
Government Health IT - July 16, 2007
DOCTOR PLEADS GUILTY IN 'RENT-A-PATIENT' SCHEME THAT BILLED INSURANCE COMPANIES FOR UNNECESSARY SURGERIES
FBI - July 12, 2007
Fraud case based on CPT® codes proceeds
CCH® Healthcare - July 12, 2007
Prison ordered in drugs plea
By SUZANNE McLAUGHLIN
The Republican - July 11, 2007
South County Hospital billing information stolen
By Katie Mulvaney
The Providence Journal - July 11, 2007
Postcard message: Wish cash were here
By Tom Lyons
Herald Tribune - July 10, 2007
Judge leaves open the possibility of a new trial for chiropractor
By Joe Pinchot
Herald - July 9, 2007
New Hyde Park woman sentenced to 9 months for drug fraud
BY ERIK GERMAN
Newsday - July 8, 2007
Miami-Dade Couple Arrested for $1 Million Medicaid Fraud
Company falsely billed for durable medical equipment
All American Patriots - July 6, 2007
Couple charged with Medicaid fraud
The Miami Herald- July 6, 2007
Palatka man arrested in Medicaid fraud case
By Lise Fisher
gainesville - July 6, 2007
Medicaid funds to schools at risk
New rules could reduce health service payments for Md.'s low-income, special-education students
By Sara Neufeld
baltimoresun - July 5, 2007
Doctor testifies about 'threats'
Dallas: Demotion not retaliation for concerns, UT Southwestern says
By KIM BREEN
The Dallas Morning News - July 4, 2007
Court ruling finds CPT® coding requirements are clear
CCH - July 4, 2007
Jury orders Health Care District of Palm Beach County to pay $692,400 for defamation
By Missy Diaz
South Florida Sun-Sentinel - July 4, 2007
US Government Clamps Down On Fraudulent Medical Equipment Suppliers
By Catharine Paddock
Medical News Today - July 3, 2007
Council for Quality Respiratory Care Statement on Fraud & Abuse
CQRC - July 3, 2007
Two Doctors Guilty of Medicaid Fraud
By Evan Barton
Brooklyn Daily Eagle - July 3, 2007
CRMC integrity agreement posted on Web
By Lori Glenn
The Multrie Observer - July 3, 2007
Areas Eyed in Medicare Probe
Equipment Vendors in Florida, Los Angeles Targeted
By Aliza Marcus
The Washington Post - July 3, 2007
HHS Fights Durable Medical Equipment Fraud
HHS - July 2, 2007
Medicare Fraud Strike Force Convicts Owner of Miami Durable Medical Equipment Company of Defrauding Medicare
USDOJ - July 2, 2007
South Floridians increasingly victimized by medical identity theft
By Ian Katz
South Florida Sun-Sentinel - July 2, 2007
Did You Hear the One About the Rolls Royce and the Closet?
By Larry Lipman
Statesman - July 2, 2007
Medicare Fraud Rampant in LA, Miami
By KEVIN FREKING
Forbes - July 2, 2007
American Association for Homecare Supports Overdue Efforts to Crack Down on Medicare Fraud and Calls on Congress for More Effective Measures
American Association for Homecare - July 2, 2007
Some Medicare suppliers to have to reapply each year
msn money - July 2, 2007
Program to target Medicare fraud
The 2-year U.S. effort will focus on fake billings or overcharges by medical equipment suppliers in the L.A. area and in south Florida
By Claudia Lauer and Jack Leonard
Los Angeles Times - July 2, 2007
MEDICAID FRAUD'S BITE
New York Post - July 1, 2007
Report Criticizes VA Data Security
By BEN EVANS
Guardian Unlimited - June 29, 2007
Up to 100,000 patients could receive refunds
By Keith Darcé
UNION-TRIBUNE - June 29, 2007
‘Sicko’ is a brilliant diagnosis of the U.S. health care system
By ROBERT W. BUTLER
The Kansas City Star - June 28, 2007
Medicare Fraud Strike Force Convicts Owner of Miami Durable Medical Equipment Company Of Defrauding Medicare
earthtimes - June 28, 2007
Hatboro nursing site accused by U.S. Attorney’s office
By Jeremy Rogoff
The Philadelphia Inquirer - June 28, 2007
New York Attorney General Cuomo's Medicaid Fraud Control Unit Takes Action Against Brooklyn Physician
One pleads guilty after prescribing drugs to phantom patient
Another sentenced for attempting to allow unlicensed individuals to practice medicine
All American Patriots - June 27, 2007
County To Vote On Medicaid Specialist Candidate Tonight
By DENNIS PHILLIPS
The Post Journal - June 27, 2007
Belleville psychiatrist billed government for 40-hour day
By Robert Patrick
ST. LOUIS POST-DISPATCH - June 27, 2007
Chiropractor's bond set at $1 million
By Jon Murray
IndyStar - June 27, 2007
Court rejects suit alleging St. Barnabas overbill plot
BY TED SHERMAN
The Star-Ledger - June 27, 2007
Chiropractor and Attorney Charged in Insurance Scheme
By Marlee Ginter
WISHTV8 - June 26, 2007
Confusion, Problems Are Resulting From HIPAA Minimum Necessary Standard
AIShealth - June 26, 2007
Concuity Announces the Availability of EOB PRO for Healthcare Providers
Concuity - June 26, 2007
SOA: Next Step in Healthcare Systems Evolution
By Michael Bridges
Health Management Technology - June 26, 2007
DENTAL PROBES
AGENCIES EYE SERIAL-DRILLING MEDICAID DOC
By KENNETH LOVETT, ALEX GINSBERG and ANDY GELLER
New York Post - June 26, 2007
D.D.S. IS 'FILL' OF IT: AUDIT
52-CAVITY CASH CLAIM
By KENNETH LOVETT
Yew York Post - June 25, 2007
Provider exclusion procedures struck down
CCH Medicaid - June 25, 2007
Health care fraud charged
BY ROBERT E. KESSLER
Newsday - June 23, 2007
Pharmacist admits fraudulent billing
He also repackaged, sold drug samples
By Patrick Howington and Andrew Wolfson
The Courier-Journal - June 21, 2007
U of L let Henry go after work complaints
Accreditation, hospital liability were concerns
By Joseph Gerth
The Courier-Journal - June 20, 2007
Yuma couple indicted in alleged Medicare fraud
BY JAMES GILBERT
Yuma Sun - June 19, 2007
Local psychologist indicted on fraud, money laundering charges
The Jackson Sun - June 19, 2007
HHS Office of Inspector General (OIG) Reports Criminal Enforcement Actions for Healthcare Fraud
OIG - June 19, 2007
SoftLight Development Offers Solutions for Safe Data Storage During Hurricane Season
SoftLight - June 18, 2007
White Paper Guides Hospitals in Preparing for Unannounced Joint Commission Audits
Cape Cod Hospital - June 18, 2007
Medicaid fraud fight has risks
By Mark Taylor
Post-Tribune - June 17, 2007
Exposing fraud can pay for informants
By Elaine Zimmermann
Commercial Appeal - June 16, 2007
Wheelchair fraud on the rise
By DAVID SCHECHTER
wfaa - June 16, 2007
IMH accepts settlement
By Carrie May
Laramie Boomerang - June 16, 2007
Audit: Firm overbilled Medicaid $592,355
Official doubts Brookeside was trying to defraud
By Julie M. McKinnon
Toledo Blade - June 16, 2007
Jury's fraud conviction reinstated on government appeal
CCH Medicare - June 15, 2007
Judge limits facts in trial of surgeon
By Paul J. Nyden
Saturday Gazette-Mail - June 14, 2007
Florida Assisted Living Facility Owner Arrested for Falsifying Medicaid Claims
All American Patriots - June 14, 2007
Working at home may not pay
The Federal Trade Commission warns that not all work-at-home opportunities deliver on their promises
Daily Press - June 14, 2007
Sugar Land Man Busted For Alleged Multimillion-dollar Ambulance Scam
by Bob Dunn
Spokesman Review - June 13, 2007
Webster sheriff's office unaffected by coroner's arrest
By Vickie Welborn
Shreveport Times - June 13, 2007
FBI seizes documents from doctor's office
By Erica Molina Johnson and Tammy Fonce-Olivas
El Paso Times - June 13, 2007
Dozens of computer breaches reported
By LISA ARSENAULT
Concord Monitor - June 13, 2007
Man indicted for infecting county hospital computers
STNG News Service
Daily Southtown - June 13, 2007
Dilday, former lt. gov. candidate, pleads to misdemeanor
Associated Press
Action News - WMC-TV Memphis - June 12, 2007
AZ Medical Board votes to censure pain doctor
By Carla McClain
Arizona Daily Star - June 12, 2007
Three Rochester health care workers charged with false billing for phantom work
Empire State News - June 12, 2007
Nuesoft Technologies Announces Agreement With 3M Health Information Systems
3M(TM) Edit Engine Brings Enhanced Coding and Compliance Functionality to NueMD and Nuesoft Xpress Products
NueMD - June 12, 2007
UMDNJ says it is looking into its billing, purchasing
A federal monitor's report alleging irregularities prompts action
BY TED SHERMAN
The Star-Ledger - June 12, 2007
National Ambulance Provider Rural/Metro Corporation to Pay U.S. $2.5 Million for Violating False Claims Act
OIG - June 11, 2007
Health Care Trio Busted For False Timesheets
North Country Gazette - June 11, 2007
Monmouth County, New Jersey Podiatrist Pleads Guilty to Health Care Claims Fraud
Fugitive Defendant Apprehended in Dominican Republic
All American Patriots - June 11, 2007
Breach exposes patient data
It was unprotected for over a month online
By LISA ARSENAULT
Concord Monitor - June 10, 2007
Monitor: UMDNJ still has problems
Report cites billing, contract flaws
BY TED SHERMAN
The Star-Ledger - June 10, 2007
Wash. company blamed for online data breach at N.H. hospital
THE ASSOCIATED PRESS
Seattlepi - June 10, 2007
Union says Beth Israel overbills the state
By Jeffrey Krasner
The Boston Globe - June 9, 2007
Autopsy report shows doctor died of natural causes
By PAUL STONE
The Palestine Herald - June 6, 2007
Fugitive to Face Medicare and Other Fraud Charges
FBI - June 5, 2007
4 allegedly netted 300Gs from insurance scam
By FRANK DONNELLY
Staten Island Advance - June 5, 2007
Ex-top doctor loses new job
BY STEVEN MAYER AND GRETCHEN WENNER
The Bakersfield Californian - June 4, 2007
20 Brain Surgery Bills Yield Charges
The New York Times - June 3, 2007
Medicare Fraud arrests might expose ties to medical identity theft and organized crime
By Ed Dickson
American Chronicle - June 2, 2007
Boneheads busted in brain surgery scam
BY THOMAS ZAMBITO
New York Daily News - June 2, 2007
Prosecutors Say Insurer Was Billed for Brain Surgery That Never Occurred
By ALAN FEUER
The New York Times - June 2, 2007
Medical biller accused of scamming $300G from GHI
By TIMOTHY O'CONNOR
Lower Hudson Online - June 2, 2007
Emmetsburg physician gives up medical license
Regulators said Dr. David Kundel misread test results in at least 13 cases
By TONY LEYS
Des Moines Register - June 1, 2007
Healthcare fraud suspects arrested in Belle Glade
Miami-Dade residents suspected of healthcare fraud have moved to Palm Beach County, prosecutors said
BY JOHN DORSCHNER
Miami Herald - June 1, 2007
Eating disorder patients sue Presbyterian Hospital of Dallas
Dallas Business Journal - May 31, 2007
Belle Glade woman among nine arrested in $5 million health fraud scheme
By Madeline Bar-Diaz
South Florida Sun-Sentinel - May 31, 2007
US Attorney - Nine South Florida Residents Arrested in $5 Million Racketeering, Fraud, & Money Laundering Scam
Operation Dirty Dozen arrests shut down multi-county health care fraud scheme
US Attorney - May 31, 2007
Anorexia Patients Sue Dallas' Presbyterian Hospital
Cardiac test scheme led to fraudulent billing, lawsuit says
Rose Walker LLP - May 30, 2007
Anywhere MD, Inc. Announces the Initiation of Audit for Fiscal Years 2005 and 2006 as First Phase to Achieving OTC Bulletin Board Status
Anywhere MD - May 30, 2007
Fraud claims coming to court
Modesto chiropractor overbilled insurers, prosecution charges
By INGA MILLER
The Modesto Bee - May 29, 2007
New York Doctor Pleads Guilty to Health Care Claims Fraud
Doctor Stole Over $2 Million from Insurance Companies
All American Patriots - May 29, 2007
Calif. Physicians Are Charged With Performing Unnecessary Surgeries, Defrauding Insurers
aishealth - May 29, 2007
Waste, Fraud and Abuse of Diagnostic Imaging Impact Patient Safety and Significantly Drive Overall Healthcare Spending
MedSolutions - May 29, 2007
Inefficient doctor? Government considers profiling of physicians
By Liz Freeman
Naples Daily News - May 26, 2007
Couple accused of leading $56 million Medicare fraud
Federal prosecutors charged a couple with defrauding Medicare out of $56 million in one of the biggest healthcare fraud cases ever.
BY JOHN DORSCHNER
Miami Herald - May 26, 2007
Peekskill woman accused of embezzling $500,000 from exclusive Bronx school
By TERENCE CORCORAN
Lower Hudson Online - May 26, 2007
FBI agents raid medical chopper firm, seize files
By Nicklaus Lovelady
The Clarion Ledger - May 26, 2007
U.S. Attorney Announces $101 Million In Health Fraud Charges
USNewswire - May 25, 2007
Pair charged with stealing $56M from Medicare
BY JOHN DORSCHNER
Miami Herald - May 25, 2007
F.B.I. Seizes Air Ambulance Company’s Files
By BARRY MEIER
The New York Times - May 25, 2007
Ex-WNY doc admits $2M billing scam
By RICK HEPP
The Jersey Journal - May 25, 2007
Couple Get 22 Years in Insurance Fraud
By Christi Anne Corpus
The Signal - May 24, 2007
Financial, medical data found on Net
The information on up to 5,000 ER patients had been sent via a private network to an Aurora billing processor
By Karen Augé
Denver Post - May 24, 2007
THREE PEOPLE INDICTED FOR DEFRAUDING MEDICARE THROUGH BILLING SCHEME
ONE ARRESTED AND TWO WANTED BY FBI
FBI - May 24, 2007
M.D. faces stiff penalties
Sand Mountain Reporter - May 24, 2007
Twin Cities / Doctors accused of insurance fraud
State accuses clinics of illegal billing practices
BY SHANNON PRATHER
Pioneer Press - May 23, 2007
DA: Queens Doc Falsely Billed Crash Victims For Medical Tests
North Country Gazette - May 22, 2007
McCool woman gets jail, restitution order for Medicaid fraud
Fremont Tribune - May 22, 2007
Clinic co-owner convicted of health-care fraud
knox News - May 22, 2007
Doctor convicted of fraud
By PAUL EGAN
The Detroit News - May 22, 2007
Detroit doctor guilty in health fraud case
By PAUL EGAN
The Detroit News - May 21, 2007
Chance slim for bill to fight insurance fraud
By JAY GALLAGHER
Lower Hudson Online - May 20, 2007
Texas Medical Board Suspends Local Doctor`s License
By Kimberly Woodard
kbtv4 - May 18, 2007
Defendant Sentenced to 10 Years for Participating in a Massive Medicare Fraud Scheme
USDOJ - May 18, 2007
Investigations Focus on Illegal Marketing by Medical Device and Supply Companies
By Evelyn Pringle
Lawyers and Settlements - May 18, 2007
3 doctors in U.S. charged with surgery scam
xinhuanet - May 18, 2007
Three Calif. Doctors Arrested in Outpatient Surgery Center Scam
Department of Insurance - May 17, 2007
3 doctors charged in 'rent-a-patient' scam
Christine Hanley
Redding - May 17, 2007
Doctors face felony charges
The three are accused of more than 1,000 unneeded surgeries at Buena Park center, bilking insurers of $30.5 million
By RACHANEE SRISAVASDI and COURTNEY PERKES
The Orange County Register - May 16, 2007
Medicare and Its Contractors Have Failed to Combat Medicare Fraud Effectively Says American Association for Homecare
American Association for Homecare - May 15, 2007
Modesto chiropractor charged in fraud case over rare procedure
Mercury News - May 14, 2007
Md. says worker siphoned off funds
Money allegedly taken from kidney program raises auditing concerns
By Jennifer Skalka
Baltimore Sun - May 13, 2007
A.G. says '70s political refugees brought in fraud from abroad
BY TROY ANDERSON
Daily News - May 12, 2007
The SCOOTER Store to Pay United States $4 Million to Resolve False Claims Act Allegations
USDOJ - May 11, 2007
Scooter Stores settles fraud claims for $4 million; owner denies allegations
By Travis E. Poling
San Antonio Express - May 11, 2007
Eye Doctor Still Being Eyed By Federal Law Enforcement
By Erin Logan
WNDU - May 11, 2007
Sham businesses bilking Medicare
By CARRIE JOHNSON
The Nashua Telegraph - May 11, 2007
Bucks therapist charged with Medicare fraud
By ARTEMIS COUGHLAN
The Trentonian - May 11, 2007
Major Medicare Fraud Detected in Florida
Medindia - May 11, 2007
Smyrna nursing home pays $550K to settle Medicaid fraud case
By ESTEBAN PARRA
delawareonline - May 10, 2007
Woman pleads guilty to mail fraud
EmpireStateNews.Net - May 10, 2007
Doctors' MRI deals a 'sham,' state says
Operators contend that leases are legal
By Bruce Japsen
Chicago Tribune - May 10, 2007
Lourdes to pay $7.4M for Patel settlement
Lawsuit alleges cardiologist performed unnecessary procedures
By Bob Moser
The Daily Advertiser - May 10, 2007
Sham firms bilked Medicare
By Kevin Freking
CentreDaily.com - May 10, 2007
Feds arrest 38 in fraud strike
Home to prevalent Medicare fraud, South Florida is now also home to a federal-state strike force looking to root out medical schemes
BY LESLEY CLARK
MiamiHerald.com - May 10, 2007
Medicare Strike Force - US Attorney And CMS Director Announce Results Of Medicare Fraud Strike Force
LAWFUEL - May 10, 2007
South Florida Medicare Strike Force Arrests 38
By Larry Lipman
statesman.com - May 9, 2007
Prepared Remarks of Attorney General Alberto R. Gonzales at Press Conference With Michael Leavitt, Secretary of Health and Human Services, to Announce Initiative to Combat Medicare Fraud
US DOJ - May 9, 2007
Strike Force Formed to Target Fraudulent Billing of Medicare Program by Health Care Companies
First Eight Weeks of Strike Force Operation Nets 34 Indicted Cases Involving More Than $142 Million in Billing
US DOJ - May 9, 2007
Judge OKs $7.4M settlement for U.S. patients who said they had unnecessary heart procedures
The Associated Press
International Herald Tribune - May 9, 2007
Michigan Dermatologist Faces Up to 10 Years in Prison for Medicare Fraud
AISHealth.com - May 9, 2007
Hospital plans to pay $7.4 million
By RICHARD BURGESS
2theadvocate.com - May 9, 2007
Therapist charged with bilking Medicaid out of more than $57K
By Bevin Milavsky
pennlive.com - May 8, 2007
Doctor's practice pleads guilty to $178,181 fraud
By KEN KOBAYASHI
The Honolulu Advertiser - May 8, 2007
PCG Software Upgrades Flagship Cost Containment Software
Virtual Examiner System Now Nearly 50 Percent Faster, While Adding New Reports, Features and Enhanced Screen Layouts
PCG Software - May 8, 2007
CRYPTOCard’s Two-Factor Authentication Helps Clinivate Achieve HIPAA Compliance
dBusinessNews - May 8, 2007
Two Indicted in Shelby County, Texas Indigent Fund Theft
Former county official, daughter-in-law charged in scheme to steal $190,000
All American Patriots - May 7, 2007
A-Life Medical Introduces Alacer, the Industry's First Billing System With Real Time NLP Coding and Patent Pending Automated Audit Tools
A-Life Medical - May 7, 2007
State chiropractor accused of insurance fraud
His lawyer says complicated medical records led to mistaken allegations
By JoNel Aleccia
Spokesman Review - May 4, 2007
Hospitals tie CEO bonuses to safety
Push for a reduction in errors, infections
By Christopher Rowland
The Boston Globe - May 5, 2007
Former Shelby County assistant auditor indicted for theft of $190,000
The Daily Sentinel - May 4, 2007
Doctor admits billing scams
By Jim McElhatton
THE WASHINGTON TIMES - May 4, 2007
Baltimore County Woman Charged with Medicaid Fraud
All American Patriots - May 4, 2007
MARYLAND ATTORNEY GENERAL: Baltimore County Woman Charged with Medicaid Fraud
Insurance Journal - May 3, 2007
Proud of These Doctors
Jordan Safirstein
The Huffington Post - May 3, 2007
Trial begins for doctor accused of insurance fraud
By Paul Egan
The Detroit News - April 30, 2007
KNOW YOUR CANDIDATES FOR GOVERNOR: STEVE HENRY
Ethical questions, inquiries tinge past
By Sarah Vos
Lexington Herald-Leader - April 30, 2007
BCBS settles with doctors in class action suit
by Gloria Gonzalez
Business Insurance - April 27, 2007
Physicians Announce That They Have Now Settled Class Action Claims With Over 90% of All Blue Cross and Blue Shield Plans in the Country and the Blue Cross and Blue Shield Association
The Lamb Firm, LLC - April 27, 2007
Grand Rapids dermatologist convicted of health care fraud
woodTV8 - April 27, 2007
U.S. Joins Case Against Healthessentials Solutions for Alleged False Claims Billings to Medicare
Insurance Newsnet - April 26, 2007
San Bernardino Hospital To Pay Over $2 Million To Resolve Whistleblower Allegations Of Overbilling Government Health Insurance Premiums
USDOJ - April 25, 2007
MARYLAND ATTORNEY GENERAL: Attorney General Settles with Medical Group Patients to Receive Refund of Surcharge
Insurance Newsnet - April 25, 2007
LAB OWNER RECEIVES 57- MONTH PRISON SENTENCE AND AGREES TO FORFEIT $2.8 MILLION
USDOJ - April 25, 2007
Billing practices result in arrest
By Kelly Dame
Our Midland - April 25, 2007
New Windsor medical group feud boils over
By John Doherty
Record Online - April 25, 2007
Pediatrician accused of $1M fraud
BY JOE CARLSON
NWI Times - April 25, 2007
Lab owner gets prison time
South Florida Business Journal - April 23, 2007
4 in Miami face Medicare fraud charges
BY JOHN DORSCHNER
Miami Herald - April 23, 2007
Pinegar sentenced to 33 months in prison
Medicare fraud sentence handed down Friday
By Helen Barrett
The Alva Review-Courier - April 22, 2007
Kentucky chiropractor sees empire crumble
Man bankrupt, charged with health-care fraud
By Patrick Howington
The Courier-Journal - April 22, 2007
Jail for former nursing home executive over 'worthless' services
By Robert Patrick
ST. LOUIS POST-DISPATCH - April 21, 2007
Nursing Home Horror: The Dark Side Of Fraud
North Country Gazette - April 20, 2007
Report: Autism center may have fraudulently bill state
KARE11 - April 20, 2007
Broward lab owner sentenced to prison
Miami Herald - April 20, 2007
Medicare Fraud Costs Billions of Dollars Each Year, CMS Officials Testify
Kaiser Network - April 19, 2007
34 Doctors Discplined By the State
By Mandi Johnston
WOAI - April 18, 2007
Dr. Solis named in scam; Rael posts bond
Del Rio News-Herald - April 18, 2007
Cell Therapeutics to pay $10.5 million to settle feds' suit
By Kirsten Orsini-Meinhard
Seattle Times - April 18, 2007
County cranks up Medicaid fraud fight
Officials aim to save money by better detecting cheating by clients, providers
By John Mariani
The Post-Standard - April 18, 2007
Miami Doctor Sentenced to Prison for AIDS Clinic Fraud - US Attorney
LawFuel - April 17, 2007
Arizona Man Arrested for Impersonating a Chiropractor
Insurance Journal - April 17, 2007
Alaska Medicaid error rate highest in U.S.
43 PERCENT: Result of a test run could mean trouble for Alaska once a federal audit gets under way
By SABRA AYRES
Anchorage Daily News - April 16, 2007
Doctor seeks delay of trial
Attorney: More time needed to prepare
Advocate Acadiana Bureau
2theadvocate - April 14, 2007
Nursing Home Owner Stole $6 Million For Illegal 'Bed Holds'
North Country Gazette - April 13, 2007
Agencies: Cuts force change
Mental-health providers say they are having to reduce services to make up for reductions
By James Romoser
JOURNAL RALEIGH - April 13, 2007
Doctor awaiting fraud trial arrested
Federal prosecutor seeks revocation of bond after man is stopped in stolen car
By Paul Egan
The Detroit News - April 13, 2007
SA lawyer warns of healthcare fraud
The Sydney Morning Herald - April 12, 2007
Consumer deals with wrong medical bill
Dave Cherry
12 news - April 11, 2007
Car Thief Dumps Medical Records in Salt Lake Alleyway
Sandra Yi Reporting
KSL.com - April 11, 2007
Medicare Appeals Process Less Than Appealing
By G. Christopher Kelly
EMS Responder - April 11, 2007
Review ongoing in fraud charges
Officials looking at evidence against Acute Care Team
By SARA KENNEDY
Bradenton Herald - April 11, 2007
Doctor could face prison in Medicare fraud case
Chicago Tribune - April 10, 2007
Healthcare fraud makes patients sicker
The age - April 10, 2007
Court Dismisses Several Claims against MedQuist in South Broward Lawsuit
MedQuist - April 9, 2007
Therapist Gets Year For Cheating Military
Playfulls.com - April 7, 2007
Audit: DOH Overpaid Medical Providers $25 Million
North Country Gazette - April 6, 2007
ELIOT TAPS TOP FED AS MED-FRAUD COP
By CARL CAMPANILE
New York Post - April 6, 2007
Medicaid overhaul backed by Missouri Senate
The senate gives its initial approval after rejecting a tough anti-fraud provision
By KIT WAGAR
The Kansas City Star - April 5, 2007
Florida Medical Clinic Owners Indicted for Defrauding Medicare Through HIV/AIDS Treatment, Medical Equipment Bills
Kaiser Network - April 5, 2007
Billing crisis continues
By STEVE CARTWRIGHT
Kennebec Journal - April 5, 2007
Brookfield woman under scrutiny
As she awaits trial on Medicaid billing fraud, investigators find boyfriend with her laptops
By DAVID DOEGE
Millwaukee Journal Sentinel - April 5, 2007
Despite call to investigator, secret files linger at library
By MARY ZAHN
Millwaukee Journal Sentinel - April 4, 2007
Audit details weaknesses in Department of Health oversight of Medicaid
Empire State News - April 5, 2007
Audit shows Medicaid overpayment
Business First of Buffalo - April 5, 2007
Audit finds $26M in Medicaid overpayments by health department
The Business Review (Albany) - April 4, 2007
Fix sought for patient fee system
Carol Chung
The Standard - April 3, 2007
Court Rules That Hospitals' Fraud Claims Against MedQuist Survive Motion to Dismiss
Greenberg Traurig Represents Hospitals in What Is Expected to Be One of the Largest Class Actions by Corporations Against Another Company
Greenberg Traurig - April 3, 2007
10 charged in $5 million Medicare fraud
BY JOHN DORSCHNER
Miami Herald - April 3, 2007
Tenet settles SEC fraud allegations
The hospital firm agrees to pay $10 million to resolve charges that it inflated profit by falsely billing Medicare
By Daniel Yi
Los Angeles Times - April 3, 2007
Establishing a Code of Conduct in the Life Sciences
By Laura H. Kahn
The Bulletin Online - April 2, 2007
Bad timing trips up Bryant
By JIM WALSH
CourierPost Online - April 1, 2007
Medicare vendors under shadow
By Bob LaMendola
South Florida Sun-Sentinel - March 31, 2007
OIG: Violations at 45% of medical equipment suppliers
by Brian Bandell
South Florida Business Journal - March 30, 2007
U.S. was overbilled
State to pay back health funds
Utah agrees with a federal audit that found a $625,000 error
By Thomas Burr
The Salt Lake Tribune - March 30, 2007
Doctor charged in drug deaths
By Ken Kobayashi
The Honolulu Advertiser - March 30, 2007
Bryant, ex-dean charged in fraud
By GREGORY J. VOLPE
CourierPost Online - March 30, 2007
Two Fort Bend women charged in Medicare wheelchair scam
Fort Bend Herald - March 30, 2007
Carbondale man pleads guilty to cheating Medicare
BY ERIN L. NISSLEY
The Times-Tribune - March 30, 2007
Undertaker's lawyer targets double billing accusations
By: Alex Wood
Journal Inquirer - March 30, 2007
Equipment firms fuel fraud
Federal investigators took a hard look at medical equipment companies, a primary source of healthcare fraud, and found that almost half don't meet government standards
BY JOHN DORSCHNER
Miami Herald - March 30, 2007
N.J. state senator indicted on fraud charges
One of New Jersey’s most influential lawmakers faces 20-count indictment
By TOM HESTER Jr.
MSNBC - March 29, 2007
N.J. state senator and a former medical school dean indicted
By ANGELA DELLI SANTI
am New York - March 29, 2007
Medical clinic for low income closing
By CAT SIEH
The Union Democrat - March 29, 2007
Chairman in the hot seat
Head of chiropractor board is apologetic as lawmakers grill him
By Kevin Yamamura - Bee Capitol Bureau
Sacramento Bee Capitol - March 29, 2007
Cabrini Medical Center to Pay $3.4 Million to Settle False Claims Act Charges
Corporate Crime Reporter - March 28, 2007
Florida Medicaid Provider Arrested for Medicaid Fraud and Grand Theft
All American Patriots - March 28, 2007
Nonprofit pays nearly $557,000 to settle improper billing
By Associated Press
Boston Herald - March 28, 2007
Persistence pays off for whistle-blower at Hospital District
Employee to share $2.8 million prize for reporting bad billing practices
By BILL MURPHY
Houston Chronicle - March 28, 2007
Whistleblower rocks county hospitals
By Christine Dobbyn
abc 13 eyewitness news - March 27, 2007
Nurse Draws 57 Months Prison For Health Care Fraud Costing $3,000,000 - Internal Revenue Service
LawFuel - March 27, 2007
Health Care IT Legislation Low on 2007 Congressional Agenda, Aides Say at Forum
kaisernetwork.org - March 27, 2007
Whistleblower, Kreindler & Associates Help Government Recover $15.5 Million from Harris County Hospital District for False Medicare/Medicaid Claims
Settlement Agreement is Among Largest in Southern District of Texas
Krendler & Associates - March 27, 2007
Healthy Savings On Hospital Bills
Advocates Who Find Overcharges And Hidden Charges Can Pare Thousands Off Sky-High Bills
CBS News - March 27, 2007
ATLANTA PHYSICIAN SENTENCED FOR MEDICAID FRAUD
United States Attorney - March 26, 2007
Former Midtown Medical Center owner heads to jail
Atlanta Business Chronicle - March 26, 2007
Atlanta Physician Pleads Guilty To Medicaid Fraud
State of Georgia Attorney General - January 5, 2007
PRMC's review into stent surgeries complete
By Joseph Gidjunis
The Daily Times - March 26, 2007
Aged, Frail And Denied Care By Their Insurers
By CHARLES DUHIGG
The New York Times - March 26, 2007
Audit questions Doyle’s plan to transfer from malpractice fund
winonadailynews.com - March 23, 2007
Psychiatrist charged with fraud
By EVAN S. BENN
Bradenton Herald - March 22, 2007
Ex-Shreveport doctor must serve almost 17 years in prison
By Adam Kealoha Causey
Shreveport Times - March 22, 2007
Medquist Provides Update
MedQuist - March 20, 2007
Hearing delayed in suit over heart procedures
Advocate Acadiana bureau
2theadvocate.com - March 20, 2007
Dr. Saleh Shenaq, pioneering surgeon
By TODD ACKERMAN
Houston Chronicle - March 19, 2007
1st arrest made in Medicare fraud case
By Paul Egan
The Detroit News - March 19, 2007
Lawmakers debate merits of no-fault protection
By JIM SAUNDERS
news-journalonline - March 18, 2007
County seeks to dismiss fraud suit
Complaint describes medical center as an 'unmitigated disaster,' the 'equivalent of Enron' Whistleblower lawsuit claims fraud at hospital Alameda County disputes charges levied by mother of ousted trustee
By Rebecca Vesely
insidebayarea - March 17, 2007
Medical clinic target of probe
Tricities - March 17, 2007
Report On Health Insurer Promised
By DIANE LEVICK
Courant.com - March 16, 2007
Medical center to pay $7.5M
STAFF REPORT
Home News Tribune - March 16, 2007
Connecticut Attorney General Says Court Ruling Confirms Suspicions Of Abusive, Pervasive Insurance Coverage Denials
All American Patriots - March 15, 2007
Update on the alleged loss of a CD containing member data
Empire - March 14, 2007
Doctors warned of billing methods
By Tim Christie
The Register-Guard - March 13, 2007
American Association For Homecare Continues Partnership With Medicare To Prevent Fraud And Protect Beneficiaries
American Association for Homecare - March 12, 2007
Gesundheit! Here’s a Kleenex and a Medi-Cal form to fill out
By Keith Reid
Recordnet.com - March 12, 2007
Three accused of overbilling Medicare for wheelchairs
By DALE LEZON
chron.com - March 10, 2007
FBI zeros in on Medicare fraud Metro Detroit
Agent: Schemes problem in area
BY RUBY L. BAILEY
FREE PRESS - March 9, 2007
FBI: Detroit-area Medicare Fraud 'out of control'
myfoxdetroit - March 9, 2007
Attorney Pleads Guilty to Medicare Fraud Conspiracy - US Attorney
LawFuel - March 8, 2007
Florida Leads The Nation In Medicaid Fraud Referrals
George McGinn - Staff Reporter
All Headline News - March 8, 2007
Punish false claims
By Sidney Rocke
Baltimore Sun - March 7, 2007
GAO recommends profiling physicians to identify inefficiencies and improve productivity
GAO - March 6, 2007
Clinic owner admits Medicare fraud
CourierPost Online - March 6, 2007
Chiropractor convicted of fraud
pennlive - March 3, 2007
Chiropractor claims innocence in misconduct case
By Cris Carl
Amherst Bulletin - March 2, 2007
'Incident to' rules violation results in false claims allegation against physician
The case is believed to be the first of its kind to focus exclusively on this type of violation
By Alan E. Reider, JD
OSN SuperSite - March 1, 2007
Timing of wrongdoings will be key to verdict
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - March 1, 2007
Carmel Chiropractors' Licenses Suspended After Fraud Charges
Authorities: Two Fraudulently Billed Insurers For Acupuncture
the Indy Channel - March 1, 2007
Medicare
scammers use billing to snare unsuspecting victims
By Jodie Snyder
The Arizona Republic - March 1, 2007
Detelich jury awaits closing arguments
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 28, 2007
Chiropractor
Detelich billed things 'a little different'
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 27, 2007
Testimony:
Detelich clinic billed for days patients weren't
treated
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 26, 2007
IRS
Prosecution - Former General Manager of Medicor LLC
Sentenced to Prison
LawFiel - February 26,
2007
Massage
Business Owners Pleads Guilty in Insurance Scheme
Insurance Journal - February 26, 2007
Florida
Assisted Living Facility Owner to Pay $640,000 for
Medicaid Fraud
American Patriots - February 23, 2007
Six
Florida Health Care Employees Arrested for Medicaid
Fraud
American Patriots - February 23, 2007
Handling
Customer Complaints
insurance newsnet- February 21, 2007
Doc
felt 'obligated' to file false claims
colleague cites help
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 21, 2007
Springs
doctor indicted in scheme
Patients enticed into unnecessary treatments, Justice Department says
By CARY LEIDER VOGRIN
THE GAZETTE - February 21, 2007
Memories
faulty for pair who witnessed wrongdoing
At trial, question's not if but when
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 20, 2007
Employee:
Detelich billed for services not rendered
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 16, 2007
Federal
jury will try to figure out whom is the real Brent
J. Detelich
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 15, 2007
Nine
doctors indicted for billing fraud
Total of 18 are accused of scheme to bilk Medicare
By BLYTHE BERNHARD
The Orange County Register - February 15, 2007
Nine
Doctors and Others Indicted in Health Care Scam that
Bilked Medicare of $12 million - US Attorney
LawFuel - February 14,
2007
Short
court day cut shorter; no jurors seated in Detelich
trial
The weather cut short what already was supposed to be an abbreviated first
day of the trial of Brent J. Detelich, the chiropractor charged by the federal
government with health care and mail fraud.
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 13, 2007
Deliberations
start in trial of doctor charged with fraud
Dr. Harriet Comite's lawyer tells a federal jury his client did what was best
for patients.
The prosecutor contends she cheated insurers.
By Holly Herman
Reading Eagle - February 13, 2007
Settlement
in billing lawsuit against AVH
By Rick Carroll
The Aspen Times - February 13, 2007
Double-check
your medical bills for errors
By Vicki Lee Parker
Raleigh (N.C.) News & Observer - February 11, 2007
Medicare
billing fraud lands three in federal prison
Judge says conduct betrays public trust
By Ron Wood
nwaonline.net - February 9, 2007
Port
Chester, New York Medical Transportation Company
To Reimburse Medicaid $503,000
Recovery based on unsubstantiated billings
allamericanpatriots - February 9, 2007
Bakersfield
clinic operator charged with insurance fraud
By Brynn Galindo
KGET.com - February 8, 2007
MEDICAL
BILLER SENTENCED TO 10 YEARS IMPRISONMENT FOR MEDICARE
FRAUD SCHEME
Media-Newswire.com - February
6, 2007
When
the medical debt starts piling up
By Debra Pressey
The News Gazette - February 4, 2007
Former
St. Lucie County Group Home Owner Arrested for Medicaid
Fraud
All American Patriots - February 1, 2007
Prison,
indictments in S. Florida healthcare frauds
BY JOHN DORSCHNER
Bradenton Herald - February 1, 2007
JURY
CONVICTS TWO IN HIV-CLINIC FRAUD
The United States Attorney's Office, Southern District of Florida - October 2,
2006
Witness wouldn't meet doctor's defense team
Under cross-examination, a physician stands by his testimony that a Berks County dermatologist billed for more expensive procedures than she performed
By Holly Herman
Reading Eagle - January 31, 2007
N.Y.'S SHOCKING MEDICAL WA$TE
STATE PAYS HOSPS $80M FOR 'PHANTOM' DOCS
By CARL CAMPANILE
New York Post - January 31, 2007
Feds say lab owner stole $17M
Joseph T. Degregorio is accused of changing bills and patient records
By TODD RUGER
Herald Tribune - January 29, 2006
Power to the Payers
Consolidation Puts Insurers in Charge
by Pamela Moore, PhD
Physicians Practice - January 2006
Health Fraud - Medical Doctor Convicted in Miami in AIDS Clinic Fraud Scheme - US Medical & Healthcare News
LawFuel - January 26, 2007
Ambulance dealings concern officials
SEYMOUR - Some town officials questions the Seymour Ambulance Association's hiring of a billing company that employs the wife of the association's director
by SUSAN HUNTER, Editor
The Valley Gazette - January 26, 2007
Local psychologist indicted on fraud charges
By Heather Ann White
Corpus Christi Caller Times - January 26, 2007
Medicare Fraud - Naples Man Convicted in Cleveland Clinic Identity Theft and Medicare Fraud Case
USDOJ - January 24, 2007
10 St. Mary Parish residents nabbed for Medicaid fraud
Gannett Capital Bureau - January 24, 2007
Mercy named in CHW suit settlement
By Paul Boerger
Mt Shasta News - January 24, 2007
Parker Hughes files for bankruptcy
Unable to stem financial losses, Parker Hughes Cancer Center has filed for Chapter 11 bankruptcy
By Glenn Howatt
Star Tribune - January 24, 2007
Autopsy performed on former physician
By PAUL STONE
The Palestine Herald - January 23, 2007
BALTIMORE COUNTY COUPLE CHARGED WITH FELONY MEDICAID FRAUD, CONSPIRACY TO COMMIT MEDICAID FRAUD AND FELONY THEFT
Maryland Office of Attorney General - January 22, 2007
Health care billing — Proposal aims to remove pain from process
Bluefield Daily Telegraph - January 22, 2007
Chiropractic Provider Audits
How Payers Are Getting Away with Practice Murder
NewswireToday - January 22, 2007
United States Settles Medicare False Claims Charges Against Physician and Medical Billing Company, Reports U.S. Attorney
U.S. Attorney - January 12, 2007
Federal grand jury indicts physician, chiropractor
Savannah Morning News - January 12, 2007
Chiropractor, Clinic Owner and Doctor Sentenced for Health Care Fraud Reports U.S. Attorney
US Attorney - January 11, 2007
Fraud case indictments announced in California
Xinua - January 11, 2007
Medicare Law - Five Plead Guilty in Medicare Fraud Scheme - US Atorney - Fraud
Defendants Billed Medicare Over $1 Million For Tests Based On Falsified Physician’s Orders
LawFuel - January 10, 2007
California Chiropractic Association Condemns Alleged Fraud Ring Activity
Association Criticizes Illegal and Unethical Conduct
CCA - January 10, 2007
Audit calls for controls on fraud
By The Associated Press
Charleston Daily Mail - January 09, 2007
State recovers $3.5M in health care fraud
By Associated Press
knoxnews - January 8, 2007
Hospital settles lawsuit on billing
EMILY DAGOSTINO, Staff Writer
GOupstate - January 6, 2007
Sting targets billing fraud
At least 86 accused in insurance scam
By Ruby Gonzales, Staff Writer
sgvtribune - January 6, 2007
Alleged pharmacy scam includes Lakeshore
By Russ Zabel
Kirkland Courier - January 3, 2007
Pa. doctors given class-action status
By Maryclaire Dale
Associated Press
The Philadelphia Inquirer - January 1, 2007
Medicare fraud in Florida has doubled in the past year
by Liz Freeman
Naples News - December 30, 2006
OIG: NHIC Physicians named wrong place of service on claims
OIG - December 27, 2006
2 physicians face fraud charges
Charges allege they billed insurance companies for acupuncture services
By Robert Annis
The Noblesville Ledger - December 27, 2006
RTI researchers seek comments on recommendations designed to improve efficiency, prevent health care fraud
RTI - December 21, 2006
Jury Convicts Doctor in Medicaid Fraud Scheme US Attorney Reports On Florida Medicaid Prosecution
Law Fuel - December 21, 2006
The Business of Health Care Provider Audits How Payers Are Getting Away With Practice Murder
By Brian Capra, DC, Yuval Lirov, PhD, and Jeffrey Randolph, Esq.
Billing Precision, LLC and Labady & Randolph, LLC
Chiro Audit - December 21, 2006
UnitedHealthcare to pay $45,000 to settle state claim
By David Schepp
The Journal News - December 20, 2006
Doctor jailed for falsifying patient bills
by Michelle Durand
Daily Journal Staff
The Daily Journal - December 20, 2006
Chiropractor sentenced to 8 months
Woman gets 8 months jail time
Bay Area chiropractor sentenced for false claims
by Kelly Pakula, STAFF WRITER
Inside Bay Area - December 20, 2006
Man Convicted for Automobile Insurance Fraud, Reports U.S. Attorney
US Attorney - December 15, 2006
Imaging center pays $510,000 to government
By Bill Bishop
The Register-Guard
Register-Guard - December 13, 2006
Federal, State Law Enforcers Complete Bogus Business Opportunity Sweep Crackdown Includes More Than 100 Law Enforcement Actions
USDOJ - December 12, 2006
State board revokes Norman chiropractor's license for three years
The Norman Transcript - December 8, 2006
New Billing Code and Medicare Payment Recommendation Issued for Lp-PLA2 Testing
diaDexus - December 7, 2006
Justice Department Recovers Record $3.1 Billion in Fraud and False Claims in Fiscal Year 2006
Largest Amount Ever Recovered in a Single Year
DOJ - December 4, 2006
Qui Tam/Whistleblower Case Histories In The Healthcare Industry
Pharmaceutical Online - December 4, 2006
17 Nigerians arrested in US for medical fraud
Sunday Tribune - December 3, 2006
Horizon Blue Cross Blue Shield of New Jersey Agrees to Reimburse for Separately Identifiable E&M Services
Horizon BCBS NJ - December 2, 2006
Doctor facing more than 100 suits testifies
By LAWRENCE MESSINA, Associated Press
Kentucky.com - December 1, 2006
Florida Hospital Pays $15.4 Million to Resolve Health Care Fraud Involving Unnecessary Medical Treatments
US Attorney Southern District of Florida - December 1, 2006
Knox County Grand Jury indicts McFarlands, 48 others
By Holly Anderson
Camden Bureau Chief
Village Soup - December 1, 2006
BOAZ PHYSICIAN INDICTED FOR HEALTH CARE FRAUD
USDOJ - December 1, 2006
Doctor sentenced in insurance billing scam
Camarillo Acorn - November 23, 2006
'Hospital-based' clinics can charge more
By Julie Appleby
USA TODAY - November 16, 2006
Healthcare Business Services Groups, Inc. Settles Legal Battles
HBSGI - November 15, 2006
North Shore Doctor Agrees to Repay Liberty Mutual $150,000 to Settle Suit for Fraudulent Claims
Liberty Mutual - November 14, 2006
Grand jury indicts local medical equipment company
Business First of Lousville - November 10, 2006
Cancer Clinic To Pay Nearly One Million To Settle Overcharging Claim
US Attorney Reports Palm Springs Cancer Center Operation to Pay $900,000 To Resolve Allegations Of Overcharging
US Attorney - November 8, 2006
Allstate Insurance Company Seeks $2.6 Million From Michigan Medical Practitioners
Allstate - November 6, 2006
Disputes may endanger patients
by SCOTT BLAKE
FLORIDA TODAY - November 5, 2006
OIG Work Plan - Fiscal Year 2007
OIG - November 4, 2007
MEDICARE ANNOUNCES FINAL RULE SETTING PHYSICIAN PAYMENT RATES AND POLICIES FOR 2007
NEW PAYMENT RATES WILL ENCOURAGE INCREASED PHYSICIAN/PATIENT COMMUNICATION
CMS - November 1, 2006
Man Sues Hospital System Over Misplaced Computer Discs
Lawsuit Claims Violation Of Privacy Laws
TheIndyChannel.com - October 31, 2006
Hospital Pays $4 Million to Resolve Overpayment Dispute
US Attorney reports Nebraska Hospital Failed to Return to Government Overcharge Payments
United States Attorney - October 30, 2006
Pennington Gap dentist charged with racketeering, fraud
by Walter Littrell
TimesNews.net - October 28, 2006
New York State Investigation Reveals Widespread Medicaid Fraud
Doctor and pharmacists among those indicted for multi-million dollar fraud
New York Attorney General - October 25, 2006
Home Health Care Industry Reels from Medicare Scandal
by Momar Visaya
Asianjournal.com - October 24, 2006
MEDICARE FINDS BILLIONS IN SAVINGS TO TAXPAYERS
NEW CONTRACTORS TO HELP IDENTIFY FRAUD, WASTE AND ABUSE
Centers for Medicare and Medicaid Services (CMS) - October 12, 2006
Midland doctor indicted for fraud
By Kelly Nankervis
ourmidland.com - October 12, 2006
Judgments against New Jersey Chiropractic Clinics, Owners and Doctors Brings Liberty Mutual's 2001 Auto Insurance Fraud Lawsuit to a Close
Liberty Mutual Recoups $160,000 and Allowed to Refuse Payment of Additional $90,000 for Medical and Rehab Services Not Rendered
Liberty Mutual - October 11, 2006
American Medical Response Pays $9 Million to Settle Civil Fraud Case
PressZoom - October 7, 2006
The Changing Landscape of Medicaid Fraud Compliance
By Linda A. Malek and Sam Servello
New York Law Journal - October 6, 2006
DOJ: American Medical Response Pays $9 Million to Settle Civil Fraud Case
USNewswire - October 5, 2006
State Fines Clinic For Fraud, Patient Abuse
by Colin Gustafson, Assistant Editor
Queens Chronicle - October 5, 2006
2005 Profitable Year for Whistleblowers
By Evelyn Pringle
OpEdNews.com - October 4, 2006
Federal Government won or negotiated approximately $1.47 billion in judgments and settlements during FY 2005
OIG - October 4, 2006
Southern California Doctor Sentenced to 15 Years for Defrauding Medicare Program out of $3.1 Million
FBI-US Postal Inspection Service - September 26, 2006
US Law - Van Nuys Business Man Pleads Guilty to Two Counts Information Realting to a Telemarketing Scheme
IRS - US Postal Inspection Service - FTC - September 26, 2006
GEICO's Jon Coachman Named IASIU Investigator of the Year
GEICO - September 25, 2006
Sting nets Newark chiropractors
Four Bay Area men arrested in auto insurance/collision scam
By Josh Richman, STAFF WRITER
insidebayarea - September 22, 2006
Pediatrix Agrees to Pay Over $25 Million to Settle Claim of False Billings
Health Care Provider Billed for Neonatal Critical Care Services When Patients Were Not Critically Ill
USDOJ - September 21, 2006
Doctors Oppose AMA Efforts to Halt Medicare Pay Cuts
'It's NOT about the Money'
Association of American Physicians & Surgeons - September 13, 2006
Three Floridians Sentenced for $50 Million Fraud on Several State Medicaid Programs
Florida Attorney General - September 13, 2006
Medical Mill Fraud Defendants Plead Guilty
North County Gazette - September 7, 2006
Medicaid Will Pay for Alcohol and Drug Screening Services
New Policy Will Help Diagnose People With Substance Use Disorders
CMS - September 7, 2006
Weston Distance Learning, a Leader in Distance Education Launches McKinley College
Weston Distance learning - September 7, 2006
DEFENDANT IN FAKE FLU VACCINE CASE CONVICTED
communitydispatch - September 6, 2006
Bail set on doctor, wife accused of fraud
By Doug Staley
IndeOnline - September 1, 2006
FOUR GUILTY IN $24 MILLION MEDICARE BILLING SCAM
USDOJ - August 29, 2006
One of the ringleaders of a durable medical equipment (“DME”) scheme that defrauded Medicare out of millions of dollars was sentenced to ten years in prison
US Attorney - August 28, 2006
Chiropractors Learn to Reduce Audit Risks and Improve Coding
Billing Precision's Webinar 'How to Hang Onto Your Money?' Scheduled for September 20, 2006
BillingPrecision - August 28, 2006
Allstate Insurance Company Wins $3 Million Judgment Against Broe Rehabilitation Services, Inc.
Allstate - August 21, 2006
Ex-worker in Henry's former practice sentenced to prison
Gregory - August 16, 2006
GEICO Fights Insurance Fraud with Florida Task Force to Close Plantation Chiropractic Clinic
GEICO - August 14, 2006
Unisys Statement Regarding Department of Veterans Affairs Data
UNISYS - August 7, 2006
A Plantation chiropractor has been sentenced to 34 months in prison for falsely billing insurance companies.
$100,000 criminal fine and $1.77 million in restitution on charges of conspiracy
to commit health care fraud in connection with a scheme to defraud private insurance companies
South Florida Business Journal - August 4, 2006
Governor Schwarzenegger Issues Directive to Protect Patients from Disputed Out-of-Pocket Emergency Medical Costs
California Office of the Governor - August 4, 2006
Bluegate Applauds Stark Law Rule Change Allowing Provision of Health IT for Nation's Physicians
Bluegate Medical Grade Network is 1st Private Sector Solution Operational Under New Rules
Bluegate - August 4, 2006
Sutter Health Settles Lawsuit Over Prices Charged to Uninsured
Reaffirms its Charity Care and Discount Policies
Sutter - August 4, 2006
Chiropractor charged with Medicaid fraud
By Andrew Scott
Pocono Record Writer
August 04, 2006
PALM BEACH COUNTY PHARMACIST AND DOCTORS PLEAD GUILTY IN MULTI-MILLION DOLLAR PRESCRIPTION BILLING SCHEME
USDOJ - July 24, 2006
COMPLIANCE GUIDE FOR THE MEDICAL PRACTICE:
HOW TO ATTAIN AND MAINTAIN A COMPLIANT MEDICAL PRACTICE
Trites - July 21, 2006
Dr. Stevens' wife, her dad plead guilty to healthcare fraud conspiracy
USAttorneyKY - July 21, 2006
Marion Co. Medical Center reaches settlement over accusations of false claims
Marion - July 19, 2006
Medtronic Resolves Qui Tam Suits;
Company Agrees to Civil Settlement;
Government to Seek Dismissals
Medtronic - July 18, 2006
Medtronic to Pay United States $40 Million to Settle Kickback Allegations
USDOJ - July 18, 2006
Congressional Subcommittee Hears From Indiana Executive
Evans - July 18, 2006
Gov. Blagojevich Announces Sweeping Reforms To Improve Patient Safety;
Reduce Costly Medical Errors, USA
GovernorBlagojevich - July 17, 2006
Odyssey Healthcare to Pay U.S. $12.9 Million to Resolve Hospice Fraud Case
US Department of Justice - July 13, 2006
Albany Hospital to Cease Improper Patient Billing
New York Attorney General - July 13, 2006
HALEYVILLE DEFENDANTS AGREE TO PAY $3.14 MILLION TO RESOLVE MEDICARE FRAUD CASE
US Department of Justice, Alabama - July 11, 2006
Tenet, U.S. Department of Justice Reach Broad Settlement
Tenet - June 29, 2006
Tyrone Hospital being sued by two former employees
By SAM J. ZEMA
Staff Writer
tyronepa.com - June 28, 2006
Darwin to Offer AAPC Members Professional Liability Coverage
Darwin - June 23, 2006
Allstate Files $1.8 Million Medical Fraud Suit
Suspected Fraudsters Accused of False Billing and Unlicensed Treatments
Allstate - June 20, 2006
Adaptis Strategic Partner to Discuss Compliance at MHPA Conference
MHPA State Affairs Conference Offers Forum to Address Medicaid Issues
Adaptis - June 19, 2006
Hospital Chain to Pay $265M to Settle Whistleblower Suits
Shannon P. Duffy
The Legal Intelligencer
June 16, 2006
Petaluma Chiropractor Faces More Complaints
Bizarre Treatments
Double Billing
By Dan Noyes
ABC-KGO - June 14, 2006
Chiropractors Improve Billing Compliance and Profitability
Billing Precision to Present Comprehensive Solution on June 23-24 in Denver, CO
BillingPrecision - June 12, 2006
A-Life Medical Unveils CoAudit at the 2006 RBMA Summit
ALife - June 9, 2006
A Nursing Home Industry - Breeding Ground For Whistleblowers
by Evelyn Pringle
Scoop Independent News - June 6, 2006
Acclarent Announces New Medicare Coding for the Relieva Sinus Balloon Catheter System
Endoscopic, catheter-based devices for opening blocked sinuses
Acclarent - June 5, 2006
CHIROPRACTOR BROTHERS SENTENCED IN $2 MILLION HEALTH CARE FRAUD SCHEME
FBI - June 2, 2006
Former WellPoint National Dental Director Files Multi-Million Dollar Lawsuit Against WellPoint Charging Gender Discrimination and Retaliation for Whistle Blowing
Handal - June 1, 2006
Jury Convicts Doctor in AIDS Clinic Fraud Scheme, US Attorney Reports
USDOJ - May 31, 2006
Chiropractic owner claims plea was forced
Toledoblade.com - May 27, 2006
State revokes license of Congers chiropractor
by Jane Lerner
The Journal News - May 27, 2006
Chiropractor guilty on all counts
Granger resident Choiniere could face five years in federal prison
by Patrick M. O'Connell
South Bend Tribune - May 24, 2006
Clinic staffer submitted false bills of $7 million to Highmark Blue Cross Blue Shield
By Paula Reed Ward, Pittsburgh Post-Gazette
Pittsburgh Post-Gazette - May 20, 2006
US Attorney reports owner of home health agency sentenced to two years for Medicaid fraud
LawFuel - May 18, 2006
LOCAL PSYCHIATRIST SENTENCED IN U.S. DISTRICT COURT
Doctor Ordered to Surrender License to Practice Medicine
FBI - May 17, 2006
Pasco County woman busted for Medicaid fraud amounting to $24,000
Tampa Bay Business Journal - May 16, 2006
More Indictments In Medical Mill Fraud Case
North County Gazette - May 15, 2006
Out of Prison, Doctor Hopes To Regenerate His Lost Fame
By ANEMONA HARTOCOLLIS
The New York Times - May 14, 2006
Spitzer's office announces health plan to stop improper patient billing notices
Empire to Reform Business Practices and Offer Refunds to Consumers
LawFuel - May 5, 2006
California Chiropractor and Legal Assistant Plead No Contest to Fraud
Insurance Journal - May 4, 2006
Insurance fraud case starts with 8,000 bills
Investigator is questioned in chiropractor's hearing
By INGA MILLER
Modbee - May 3, 2006
Hevesi probes clinic
A health center and a clinic may have overbilled the state for Medicaid payments for chiropractic and other therapies, that it allowed non-physicians to write drug prescriptions and that it refuses to submit to an audit
BY ZACHARY R. DOWDY
Newsday - April 27, 2006
Patients Tell Of Chiropractor's Bizarre Treatments
A North Bay chiropractor is accused of ripping off his patients -- many of them on Medicare -- by double billing
By Dan Noyes
ABC-KGO - April 27, 2006
Four plead guilty to $24 million Medicare billing scam
LawFuel - April 8, 2006
Ex-chiropractor to plead guilty in health care fraud case
Sold chiropractors services promising to increase collections dramatically by back-billing
Back-billing (using extra billing codes to charge for past treatments) is legal only to correct previous billing errors
By Torsten Ove
Pittsburgh Post-Gazette - April 7, 2006
Billing Precision Partners with Labady & Randolph for Billing Compliance
Chiropractors leverage Artificial Intelligence and Legal Expertise for Practice Risk Management
BillingPrecision - March 29, 2006
Two Individuals Who Engaged in a Medical Billing Scam Banned from Work-At-Home Business Opportunities As Part of FTC Settlement
Individuals were part of Project Busted Opportunity Sweep
FTC - March 23, 2006
JUSTICE DEPARTMENT RECOVERS $1.4 BILLION IN FRAUD & FALSE CLAIMS IN FISCAL YEAR 2005
MORE THAN $15 BILLION SINCE 1986
USDOJ - November 7, 2005
JUSTICE DEPT. CIVIL FRAUD RECOVERIES TOTAL $2.1 BILLION FOR FY 2003
FALSE CLAIMS ACT RECOVERIES EXCEED $12 BILLION SINCE 1986
USDOJ - November 10, 2003
JUSTICE RECOVERS RECORD $1.6 BILLION IN FRAUD PAYMENTS - HIGHEST EVER FOR ONE YEAR PERIOD
AllAboutQuiTam - November 14, 2001
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