false claims
publication date
Payer
What Are 'Improper' Medicaid Payments, and Are They as High as a Trump Official Said?
"One out of every $5 or $6 in Medicaid [payments] is improper," said Russell Vought in an interview on CNN?s...
CEO
Trump Says He'll Stop Health Care Fraudsters. Last Time, He Let Them Walk.
Trump's history of showing leniency to convicted fraudsters contrasts with his present-day crackdown.
Payer
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
Independent Health will make "guaranteed payments" of $34.5 million in installments from 2024 through 2028.
Technology
A Lesson for Healthcare Execs: Make Sure Your New Technology Isn't Fake
The founder and CEO of a medical device company has been convicted of selling an implantable medical device to providers...
CFO
Baptist Health System Inc. to Pay $1.5M to Settle False Claims Allegations
The Jacksonville, Florida-based health system self-disclosed the improper discounts to encourage patient referrals.
Revenue Cycle
MultiCare Faces Fraud Allegations in DOJ, Washington State Complaint
The allegations stem from a whistleblower lawsuit filed against a former neurosurgeon at Deaconness Hospital in Spokane.
CEO
Community Health Network Settles False Claims Allegations for $345M
The Indianapolis-based nonprofit system has admitted no wrongdoing.
Revenue Cycle
7 Lessons Learned from LVMC's $5M Settlement
The Lompoc Valley Medical Center (LVMC) is out $5 million from a recent false claims settlement?and there are several critical...
Revenue Cycle
Whistleblower Gets Large Health System Dinged Half a Million for Overbilling
Yale New Haven Health and Northeast Medical Group have agreed to a hefty settlement for allegedly submitting false claims to...
Revenue Cycle
NW Arkansas Hospitals Will Pay $1.1M to Settle Medicaid False Claims Allegations
The health system denies intentionally filing false billings, and has worked with regualtors to resolve the case.
Payer
Covenant Healthcare Paid $69M to Settle FCA Allegations
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...
CEO
AHA, AHIP, AMA, PhRMA Alliance Urges SCOTUS to Uphold False Claims Ruling
Billions of dollars at stake as high court takes up central tenets of the FCA.