INSURASALES

Tag: Healthcare Fraud

Michigan Woman Charged with Medicaid Fraud for Mileage Reimbursement Scheme

Michigan woman charged with Medicaid fraud through false mileage reimbursement claims. Case highlights state efforts to combat healthcare fraud and protect Medicaid integrity.

DOJ Arrests Two for $4.8M Medicare Hospice Fraud Scheme in California

The DOJ arrested two West Covina women for a $4.8 million Medicare fraud scheme involving false hospice care claims. This case underscores challenges in hospice billing and Medicare oversight.

U.S. Files False Claims Act Complaint Over Medicare Genetic Test Billing

U.S. government files False Claims Act complaint against medical billing company for submitting false Medicare claims related to unnecessary genetic tests.

Medicare Billing Accuracy and Fraud Risks in Physical Therapy Claims

Insights into Medicare billing accuracy and fraud risks in physical therapy claims, emphasizing the necessity of compliance to prevent false billing and regulatory issues.

San Diego Man Pleads Guilty to $51M Medicare Durable Medical Equipment Fraud

Fernando Valenzuela Ayub pleaded guilty to a $51 million Medicare fraud scheme involving durable medical equipment. The case highlights key issues in Medicare billing and compliance.

FDA Updates COVID Vaccine Policy; Medicare Fraud Sentencing; Immunization Funding Growth

FDA refocuses COVID vaccine approvals on high-risk groups with new evidence requirements. Medicare fraud case results in sentencing for $3.2M scheme. Lower-income countries increase self-funded vaccine investments. Bipartisan prior authorization reform bill returns in Congress.

U.S. Medicare and Medicaid Fraud Debate: Focus Shifts from Patients to Providers

Examining fraud in U.S. Medicare and Medicaid: shifting focus from patient eligibility to provider and insurer fraudulent practices amid congressional budget cuts and regulatory challenges.

CMS Strengthens Measures Against Healthcare Fraud and Abuse

CMS intensifies efforts to detect and prevent healthcare fraud, waste, and abuse in Medicare and Medicaid programs, encouraging stakeholder reporting to safeguard taxpayer funds.

Ex-York Pain Management Owner Sentenced for Multi-Million Dollar Medicare Fraud

Rodney L. Yentzer sentenced to 42 months for defrauding Medicare and Medicaid through unnecessary urine drug tests, resulting in multi-million dollar restitution. Case underscores insurance fraud risks in healthcare diagnostic billing.

Vault Medical Services Settles $8M False Claims Act Allegations for COVID-19 Billing

Vault Medical Services agreed to pay $8 million to resolve False Claims Act allegations for improper COVID-19 billing under the federal Uninsured Program, highlighting compliance risks in federally funded healthcare programs.