Federal watchdog accuses Humana, UnitedHealthcare Medicare Advantage plans of upcoding
Dive Brief: Dive Insight: In MA, the federal government pays private insurers a per member, per month fee for managing the...
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DOJ Sues Former Georgia Lab Execs for Defrauding Medicare by Targeting Faith-Based Communities and Seniors
The United States has filed a complaint under the False Claims Act against Jay Johnson, the former Chief Operating Officer and...
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Tower Hill faces malicious prosecution suit after fraud case collapses
A Florida roofing contractor has filed a federal lawsuit accusing Tower Hill Insurance of engineering a criminal fraud prosecution that ran...
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Indian American doctor pays $1,850,000 for healthcare fraud
Aarti Pandya allegedly performed and billed for unnecessary cataract surgeries and diagnostic tests An Indian American doctor has agreed to pay...
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False Claims Act Settlements For Medical Device Fraud
The Department of Justice recently announced two settlements of cases alleging medical device fraud. One case involved a Massachusetts manufacturer (Zyno...
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Reality-TV Villain Meets Desperate Homeowners: Three States Are Suing Over Alleged Fast-Cash Scam
MV Realty has an offer for cash-strapped homeowners: Forget payday loans, which frequently start borrowers down the road to financial ruin,...
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Medical Doctor To Pay $86,506.30 To Resolve Civil Liability For Alleged Violations Of The False Claims Act
The United States Attorney’s Office for the Middle District of Pennsylvania announced that Dr. Musaddiq Nazeeri, of Lebanon, Pennsylvania, has agreed...
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Attorney General James Sues Orleans County Nursing Home for Years of Fraud and Resident Neglect
New York Attorney General Letitia James today filed a lawsuit against Comprehensive at Orleans LLC doing business as The Villages of...
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EyeMed Vision Care to Pay $4.5M to NY Over Healthcare Data Breach
As a result of an investigation into a 2020 healthcare data breach, vision insurer EyeMed Vision Care will pay a $4.5...
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Empress EMS 2022 Data Breach Affects Over 318K Customers, Class Action Claims
New York ambulance service Empress EMS has been hit with a proposed class action claiming that its failure to properly secure...
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