Medicare Advantage insurer and CEO to pay up to $100 million to settle fraud case
A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn’t exist.
Western New York Medicare provider to pay up to $98 million in fraud scheme
A health insurance provider in western New York will have to pay $98 million after it submitted invalid diagnoses to Medicare to increase its payments.
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn't exist.
Medicare Advantage Fraud Case Settled for Up to $100 Million
A New York health insurer and a former top executive of its subsidiary agreed to pay up to $100 million to resolve a long-running whistleblower lawsuit alleging that the company defrauded Medicare by exaggerating how sick patients on its plans were.
OIG Issues Special Fraud Alert Regarding Marketing Payments Related to Medicare Advantage
OIG issued a Special Fraud Alert to warn the industry about the fraud and abuse risks associated with abusive Medicare
Medicare Advantage fraud case settled for up to $100M
A whistleblower alleged Independent Health inflated payments in Medicare Advantage plans by billing the government for illnesses that patients didn’t have.
Fentress County pharmacist charged in multi-million dollar health care fraud scheme
Hall submitted false claims to Medicare, Medicaid, and TRICARE totaling more than $6 million, according to the indictment.
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Don’t Be Suspicious, Don’t Be Suspicious: New OIG Special Fraud Alert Warns About Suspect Payments in Medicare Advantage Marketing Arrangements
The latest Special Fraud Alert from the U.S. Department of Health and Human Services Office of Inspector General (OIG) warns ...
See what South Florida real estate got seized after a $54 million Medicare fraud plot
A gang of four — two men from Broward County and two from Palm Beach County — pulled off a Medicare fraud scheme that cost ...
Illinois doctor who killed witness in fraud case among those spared from death row by Biden
Ronald Mikos, a podiatrist, was convicted in May of 2005 of shooting Joyce Brannon in her church basement apartment to keep ...
No Medicare Fraud Here, Says Federal Judge in Case of Foreign Physicians in Operating Room
A federal judge in the Southern District of Texas threw out on summary judgment a qui tam lawsuit alleging that a hospital ...
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Seniors, Beware This Medicare Fraud: Durable Medical Equipment
Op-Ed: Fraudsters target Medicare beneficiaries with schemes to sell unnecessary equipment, like back, knee or wrist braces.
New Proposal Would Require Insurance Agents To Disclose More About Medicare Advantage Plans
Medicare regulators want beneficiaries to be told explicitly about some potential risks of signing up for Medicare Advantage plans instead of original Medicare.