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.
Steady Decline in U.S. Cancer Death Rates Amid Pandemic and Regulatory Updates
U.S. cancer death rates declined steadily from 2001 to 2022, including during the pandemic, driven by advances in detection and treatment. Regulatory fraud enforcement and new FDA approvals impact healthcare and insurance sectors.
Florida Executive Pleads Guilty in $134M ACA Subsidy Fraud Scheme
A Florida executive pleaded guilty in a $134M fraud scheme involving falsified ACA insurance subsidy applications, highlighting ongoing regulatory enforcement in healthcare.