Physician Sentenced for $24M Medicare Fraud in Cancer Testing Scheme
Physician sentenced to seven years for $24M Medicare fraud involving unnecessary cancer genetic tests and durable medical equipment kickbacks.
Arizona Wound Graft Owners Sentenced for $1.2B Medicare Fraud Scheme
Arizona wound graft company owners sentenced for orchestrating a $1.2 billion Medicare fraud scheme involving medically unnecessary treatments of elderly patients. DOJ continues nationwide healthcare fraud crackdown.
Massachusetts Man Sentenced for $4M Medicare Durable Medical Equipment Fraud
Krishna Gidwani sentenced to prison and ordered to pay $3M restitution in $4 million Medicare fraud scheme involving medically unnecessary durable medical equipment. Case is part of DOJ's 2025 National Health Care Fraud Takedown targeting DME fraud and telemarketing schemes.
Senate Leader Highlights ACA Challenges Amid Calls for Reform
Senate Majority Leader John Thune discusses ACA's challenges including rising premiums, fraud risks in exchanges, and the need for healthcare system reforms.
Analysis of WISeR Pilot Program's Impact on Medicare Service Authorizations
Insightful analysis of the WISeR pilot program's implications on Medicare prior authorization processes, healthcare fraud prevention, and impact on beneficiaries.
Florida Auto Insurance Fraud Evolves as PIP Reforms Shift Focus to Bodily Injury Claims
Florida's auto insurance fraud landscape is evolving; PIP reforms curb old schemes but fraud shifts to costly bodily injury claims, impacting insurers and consumers.
Medicare Genetic Testing Fraud Nets Prison Time and $7.2M Restitution
Patrick Moore Jr. sentenced to 46 months for Medicare genetic testing fraud, highlighting ongoing challenges in healthcare compliance and anti-kickback enforcement.
$1M Medicare Fraud Scheme Nets 2-Year Prison Term for Lab Owner
Mohammed Asif sentenced to two years in prison for a Medicare fraud scheme involving over $1 million in false COVID-19 test claims, underscoring ongoing regulatory and compliance challenges in healthcare billing.
Medicare Diagnostic Lab Fraud Nets Two-Year Sentence and $1.17M Restitution
Mohammed Asif sentenced to two years for orchestrating over $1.17 million Medicare fraud through a Washington-based diagnostic lab, highlighting enforcement of healthcare billing compliance.
Georgia Man Sentenced for Illegal Medicare Genetic Testing Kickback Scheme
Georgia man sentenced to 46 months and $7.2M restitution for illegal Medicare kickbacks tied to unnecessary genetic tests, reflecting enforcement on healthcare fraud.