The Justice Department said Tuesday it will intervene in a whistleblower lawsuit accusing California health care provider Sutter Health and its affiliate Palo Alto Medical Foundation of violating the False Claims Act by faking the health statuses of Medicare Advantage Plan enrollees.
Read moreMuch-sued DaVita Medical Holdings will pay $270 million to settle claims by the Justice Department that it overbilled Medicare in violation of the False Claims Act.
Read moreMarket Pharmacy brought a federal complaint against the Centers for Medicare and Medicaid Services for reducing payments to independent pharmacies dispensing specialty medications, which often treat “California’s neediest and most vulnerable residents.”
Read morePrime Healthcare Services, its subsidiaries and its founder and CEO Dr. Prem Reddy will pay $65 million to settle claims they knowingly submitted false claims to Medicare by admitting patients who required only less costly, outpatient care and billing for more expensive diagnoses than the patients had, the Justice Department said Friday.
Read morePrescription opioid use has not declined over the last decade despite increased efforts to educate patients and doctors in order to prevent abuse, according to a study published Wednesday.
Read moreA former home-care agency owner serving time in federal prison took to the Eleventh Circuit Tuesday to appeal his conviction on charges that he spearheaded a multimillion-dollar scheme to submit false claims to Medicare.
Read moreIn what Attorney General Jeff Session called the biggest health care fraud enforcement action in U.S. history, the Justice Department said Thursday that it charged 601 people in dozens of cases involving opioid prescriptions.
Read moreDr. Salomon Melgen, a retinal specialist in Palm Beach County, Florida, was sentenced Thursday to 17 years in prison and ordered to pay $42,6 million on charges he bilked Medicare out of $73 million over two decades.
Read moreCasting himself as a whistleblower in a federal complaint, a doctor says he lost his job after reporting Medicare overbilling to the D.C. City Council.
Read moreFacing tense questioning by lawmakers Thursday, Health and Human Services Secretary Alex Azar declined to elaborate on issues involving the Trump administration’s cuts to Medicare and Medicaid or how the department will address correlations between gun violence and mental health care.
Read moreFormer Tea Party congressman Mick Mulvaney testified Tuesday that he probably would not vote for President Trump’s $4.4 trillion proposal but that he stands by it as a member of the Trump administration.
Read moreA New York surgeon convicted of draining more than $7 million from Medicare was sentenced Wednesday to 13 years in federal prison.
Read moreFederal prosecutors indicted a Texas mayor who’s also a doctor of money laundering and conspiring with three others to defraud Medicare of $150 million in phony hospice and home health care services.
Read morePresident Donald Trump’s pick to be the nation’s next health secretary told the Senate Finance Committee on Tuesday that “drug prices are too high” but said he’s wary of the federal government having a broad role in negotiating prescription drug prices.
Read moreProsecutors told a federal judge Thursday evening that eye doctor Salomon Melgen deserves a 30-year prison sentence for bilking Medicare out of tens of millions of dollars by administering unneeded diagnostic tests, laser treatments and eye injections.
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Shareholders can sue Community Health Systems for allegedly hiding a major driver of its profitability – Medicare fraud – which a competitor revealed in a 2011 lawsuit, the Sixth Circuit ruled.
Read more(CN) – Chicago has always been a town tough on crime. Now, in the wake of a $1.2 billion takedown
Read moreCelgene will pay $280 million to the United States, 28 states and the District of Columbia to settle claims it promoted cancer drugs Thalomid and Revlimid for unapproved uses and submitted fraudulent Medicare and Medi-Cal claims for it, federal prosecutors said Tuesday.
Read moreAttorney General Jeff Sessions announced Thursday that federal prosecutors have charged more than 400 people with taking part in health care fraud and opioid scams that totaled $1.3 billion in false billing.
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