Recent FinCEN Advisory Highlights Rising Health Care Fraud Risk for Financial Institutions
As the federal government intensifies its “whole of government” approach to combat fraud, waste, and abuse, particularly in Federal Health Care...
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Minnesota spent $20 billion on Medicaid programs at high risk for fraud since 2018
Last year, Minnesota paid $4.32 billion in Medicaid reimbursements to the 14 programs now identified as being a high risk for...
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But “We Don’t Take Insurance”: Why Cash-Pay Digital Health Companies Still Face Kickback and Fee-Splitting Risk
Executive Summary Introduction Cash-pay healthcare companies enjoy many regulatory freedoms that their insurance-accepting counterparts do not. However, cash-pay healthcare companies, their...
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Lessons from the OIG: Common Billing Errors Texas Home Health Providers Need to Know
The Texas Health and Human Services Office of Inspector General (HHSC-OIG) has a message for Texas providers and suppliers: Billing compliance...
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Kansas arms insurance commissioner with new civil fraud powers
Kansas has handed its insurance commissioner a new weapon against fraud – and it is set to change how producers and...
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Trump’s $39M nursing home fraudster pardon sparks outrage
A presidential pardon granted to a New Jersey businessman convicted of defrauding nursing home residents out of millions of dollars has...
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CMS revokes LA doctor’s Medicare access over $71M billing probe
The Centers for Medicare and Medicaid Services (CMS) has barred Los Angeles physician Dr. Rajiv Bhuva from participating in Medicare after...
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LexisNexis: Synthetic Identity Fraud Rises Significantly in 2025
A recent report by LexisNexis Risk Solutions found synthetic identity fraud is on the rise. According to its latest Cybercrime Report...
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Richland County coroner talks dangerous new opioid identified in SC
WIS spoke with Richland County Coroner Nadia Rutherford amid new warnings from state officials about an opioid recently identified in South...
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DisplayRide Launches AIVA to Combat the Surging Commercial Auto Fraud Crisis
The moment a commercial vehicle incident occurs, a race begins. On one side: organized fraud networks — recruiting passengers, coordinating medical...
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