fraud and abuse – Healthy Skeptic

Oct 21 2019

Revisions to the Fraud and Abuse Rules

By Kevin Roche Commentary No Comments

The federal fraud and abuse rules are being revised to accommodate value-based purchasing and other reimbursement changes.

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Jul 16 2018

Federal Investigations of Inappropriate Device Use

By Kevin Roche Commentary No Comments

An article in JAMA details the impact of a DOJ investigation on inappropriate use of implantable defibrillators.

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May 05 2015

DaVita got hammered with a $495 million fine to settle Medicare fraud and abuse charges relating to charging for unused drugs.

http://www.denverpost.com/business/ci_28046592/davita-will-pay-495-million-settle-atlanta-whistleblower

Oct 05 2012

Bloomberg

By Kevin Roche Headlines No Comments

U.S. Charges 91 Over Millions in False Medicare Bills

Sep 18 2012

PublicIntegrity.org

By Kevin Roche Headlines No Comments

Center investigation suggests costs from upcoding and other abuses likely top $11 billion

Aug 10 2012

Chicago Tribune

By Kevin Roche Headlines No Comments

Investors in U.S. hospital companies can expect more scrutiny of billing practices and the medical need for expensive treatments as the federal government faces greater pressure to recoup billions in fraudulent claims

Jul 30 2012

Wall Street Journal

By Kevin Roche Headlines No Comments

McKesson Corp. will pay $151 million to 29 states over allegations the company artificially raised Medicaid drug prices for years, the latest settlement over claims the pharmacy supply chain overcharged for prescription medications.

Jul 27 2012

Bloomberg

By Kevin Roche Headlines No Comments

Health insurance executives who met at the White House yesterday to mark their contributions to fighting fraud told the Obama administration that the cost of those efforts shouldn’t be counted toward profit limits that were imposed under the 2010 U.S. health-care overhaul.

Jun 15 2012

Bloomberg

By Kevin Roche Headlines No Comments

A program to fight fraud in the Medicaid health system for the poor has cost the U.S. at least $102 million in auditing fees since 2008 while identifying less than $20 million in overpayments,

Jun 04 2012

Washington Post

By Kevin Roche Headlines No Comments

Under pressure to reduce fraud, the Center for Medicare & Medicaid Services is turning to local contractors to manage a two-pronged approach to rooting out sham claims.

Sep 28 2011

Fiscal Times

By Kevin Roche Headlines No Comments

The inability to stop the bleeding at Medicare represents another lost opportunity to wring substantial savings from the federal budget

Sep 13 2011

Rueters

By Kevin Roche Headlines No Comments

Maxim Healthcare Services Inc, a home health-care services company, has agreed to pay $150 million to resolve allegations it defrauded U.S. government benefits programs.

Sep 08 2011

Washington Post

By Kevin Roche Headlines No Comments

91 people in eight cities who are accused of bilking the Medicare system out of nearly $300 million

May 18 2011

Bloomberg

By Kevin Roche Headlines No Comments

Pennsylvania Would Fund Colleges by Sniffing Out Medicaid Fraud

Apr 29 2011

The Fiscal Times

By Kevin Roche Headlines No Comments

The White House is desperate to show it can “save” Medicare, in part by significantly ramping up investigations of abuse. How? By scaring the daylights out of CEOs

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