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In Settling Fraud Case, N.Y. 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.
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.
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.
1h
on MSN
Medicare Advantage Marketing Schemes: How Enrollees Are Being Misled
The Office of Inspector General (OIG) has issued a special fraud alert focusing on questionable marketing arrangements ...
Hosted on MSN
3h
$2.6 Billion Nursing Home Giant PAC Accused of Medicare Fraud by Hindenburg
Check out the Quiver Quantitative site for updates on what's going on behind the scenes in DC. Follow Quiver️ • TikTok - • ...
JD Supra
1d
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 ...
20h
on MSN
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.
2d
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 ...
13d
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 ...
bkreader.com
4d
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.
phillyvoice.com
3d
Couple who ran South Philly pharmacy charged in $20 million Medicare, Medicaid scheme
State prosecutors alleged the husband and wife, along with a pharmacist, submitted false claims for expensive prescriptions ...
3d
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.
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