DOJ Sues California Medicaid Plan Over $320M Misused Federal Funds
The DOJ sues Inland Empire Health Plan for allegedly misusing $320 million in federal Medicaid surplus funds, highlighting compliance challenges in managed care programs.
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.
Seattle Man Sentenced for $1M Medicare Fraud Scheme Involving Lab Testing
An Everett-based lab operator was sentenced to prison for a $1.17M Medicare fraud scheme involving fraudulent billing for unperformed COVID-19 and respiratory tests. The case underscores ongoing regulatory challenges.
Illinois Physician Charged with Over $1M Medicaid and Medicare Fraud
Illinois physician faces multiple felony charges for stealing over $1 million in Medicaid and Medicare payments through fraudulent billing practices involving unlicensed medical services.
Medicare Open Enrollment Ends Soon Amid Increased Scam Risks
Medicare open enrollment closes Sunday with heightened scam risks. Seniors urged to protect information and use local resources like Emporia Friendship Center for enrollment help.
Health First Urgent Care Settles $2.8M Medicare Medicaid Overbilling Case
Health First Urgent Care agrees to $2.8 million settlement for Medicare and Medicaid overbilling linked to improper diagnostic test billing practices in Washington State.
Court Awards Attorney Fees to FCA Defendants Due to Relator's Fraudulent Conduct
A Massachusetts court awarded attorneys' fees to FCA defendants after finding relator engaged in fraudulent conduct by ordering unnecessary PCR tests to support whistleblower claims under the False Claims Act.