Fraud news and information

Community groups are hustling to meet an Oct. 1 deadline to launch a new health insurance marketplace in Nebraska, a key piece of the federal healthcare law designed to steer users toward a coverage plan.
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Medical identity theft is a growing problem, but many of the victims know the thief and do not want to report him or her, says a survey released Thursday.
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The head of New Mexico's Human Services Department says the relationships between six nonprofit behavioral health service providers and a for-profit Arizona company appear fraught with conflicts of interest.
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The hospital industry says Medicare's retrospective program of auditing hospital bills challenges too many claims that later turn out to be justified. But a report by HHS' Office of the Inspector General found that the Medicare recovery audit program is more accurate than hospital lobbyists...
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One warm night in mid-July, more than 4 million patient records breezed out the door of the Advocate Medical Group administrative office in the arms of an unidentified thief who stole four computers from the largest medical group in Illinois. The 1,100-physician medical group based in Park Ridge is...
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The former chief executive of a U.S. Virgin Islands hospital has been convicted of tax fraud.
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I was reading with great interest the article by Jessica Zigmond on fraud, and I have to say that HHS' Office of the Inspector General and all the rest of the agencies are interested in nothing but lip service.
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Medicare's much-criticized recovery audit program is far more accurate than hospital lobbyists say it is, though it's far from perfect and detects too little fraud rather than too much, according to a new report from HHS' inspector general's office.
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A lawyer fired by the state Human Services Department says she was let go because of her criticism of an audit of government-funded mental healthcare, according to a lawsuit against the state agency.
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A federal judge rejected former HealthSouth Corp. CEO Richard Scrushy's bid to lift a ban on his serving as an officer or director of a public company, which was part of his settlement of U.S. Securities and Exchange Commission charges that he masterminded a $2.6 billion accounting fraud.
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