Fraud news and information

Amid looming shortages in healthcare workers, one branch of the federal government is ramping up aggressive efforts to keep some of them far away from patients.
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With states bracing for rapid enrollment growth in their Medicaid programs, HHS’ inspector general’s office has given state-based fraud-control units more power to use sophisticated data-analysis tools to recover an estimated $60 million in the next decade.
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Scientists have finally recovered stem cells from cloned human embryos, a long-standing goal that could lead to new treatments for such illnesses as Parkinson's disease and diabetes.
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Nearly 100 people, including 14 doctors and nurses, were charged for their roles in separate Medicare scams that collectively billed the taxpayer-funded program for roughly $223 million in bogus charges in a massive bust spanning eight cities, federal authorities said Tuesday.
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The New Jersey delegation to the American Medical Association's House of Delegates meeting next month wants the AMA to “educate” the CMS that the appropriate use of templates and cutting and pasting within an electronic health-record system is not tantamount to fraud.
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Kentucky's Medicaid program will expand to cover hundreds of thousands of additional people, Gov. Steve Beshear said Thursday.
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A, jury concluded that Tuomey Healthcare in Sumter, S.C., violated the False Claims Act by submitting tens of thousands of illegal bills to Medicare worth $39 million.
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Two Montana hospitals sponsored by the Sisters of Charity of Leavenworth Health System are paying federal authorities $4 million after an internal review turned up more than 100 potentially illegal arrangements for paying doctors.
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Dr. Steven Stack, American Medical Association board chairman, gave a spirited defense of physicians and a sharp, but balanced critique of electronic health-record systems at a federal “listening” session Friday on EHRs and their potential for use in billing fraud.
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The U.S. Justice Department is alleging that Vitas, the largest for-profit hospice chain in the U.S., inappropriately admitted patients for hospice care and billed Medicare for crisis care that was either unnecessary or not actually provided.
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