Berwick decries Medicare and Medicaid fraud and waste in parting interview
Dec 06, 2011
On the heels of his departure from the Centers for Medicare & Medicaid Services, Donald Berwick, M.D., said he came to Washington with an agenda to eliminate waste from the system.
Healthcare waste accounts for a third of all spending, government official says
By
McKnight's Staff
May 02, 2012
With healthcare waste taking up to a third of all healthcare costs, reducing waste and fraud remain primary goals of the Office of the Inspector General, the head of the agency said Monday.
The projected recoveries to the federal government from fraud-related audits and investigations are expected to rise 33% — or by $1.7 billion — in fiscal 2012, the Department of Health and Human Services...
CA man gets 30 months in prison, hefty fine in clinic ‘fraud’ case
By
John Hall
Apr 09, 2015
A San Diego man will serve 2½ years in custody after being ordered to repay the government nearly $1 million for what prosecutors say were phony Medicare claims for medically unnecessary and unsupervised...
Nursing home operator to repay $1 million in Medicaid fraud case
By
Tim Mullaney
Jul 19, 2013
A South Carolina man will pay $1 million in restitution for his role in a nursing home Medicaid fraud scheme, the state’s attorney general announced Thursday.
Nursing home psychiatrist in federal custody on 52 counts of fraud, including upcoding
Oct 17, 2014
Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.
New payment models clash with fraud laws; waivers might not be the answer, official says
By
Elizabeth Newman
Nov 21, 2014
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
Hospice director, also the town mayor, charged in $150M federal fraud case
By
Kimberly Marselas
Jan 12, 2018
A Texas mayor and three others were indicted Wednesday for their alleged roles in a $150 million healthcare fraud and money laundering scheme, prosecutors said.
U.S. announces new Medicaid audit program aimed at preventing fraud
Nov 08, 2010
The Centers for Medicare & Medicaid Services announced late Friday new rules aimed at stopping improper Medicaid payments to providers. Taking a page from the Medicare program, regulators have proposed...
Operator accused of falsely billing for skilled nursing services in $100M fraud scheme
By
Danielle Brown
Feb 02, 2021
The part-owner and operator of a Massachusetts-based home health company and a licensed practical nurse are accused of falsely billing for home health services that were never provided, including skilled...