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The Iowa Insurance Division Issues Four Cease and Desist Orders Against Contractors Acting as Unlicensed Public Adjusters

The Iowa Insurance Division has issued four cease and desist orders against contractors (Recon Roofing & Construction, Exterior + Home and Remodeling, American...

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China intensifies crackdown on medical insurance fraud

China is intensifying its crackdown on organized criminal networks involved in medical insurance fraud, as they pose a serious threat to...

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Office of Public Affairs | Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds | United States Department of Justice

New York ophthalmology practices Mark D. Fromer, P.C. doing business as Fromer Eye Centers and Floral Park Ophthalmology P.C. have agreed...

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Ventura County DA Gets $900,000 to Combat Workers’ Comp Fraud

The Ventura County District Attorney’s Office was awarded $898,840 from to investigate prosecute workers’ compensation fraud for the fiscal year. The...

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Weaponizing Fraud Against Medicaid in California and Minnesota: Another Quarter, Another Round of Deferrals

At a July 21 press conference, CMS Administrator Mehmet Oz announced that his agency was deferring payment of $1.1 billion in federal Medicaid matching...

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The government is going after healthcare fraud. What health systems should know.

The federal government is seeing more suits alleging violations of the False Claims Act, and bigger settlements and judgments for cases....

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CMS Medicaid Fraud War Room Stops More Than $203 Million in Improper Payments During First 88 Days

The Centers for Medicare & Medicaid Services (CMS) announced that enforcement efforts from its Medicaid Fraud War Room (MFWR) stopped more...

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Drug rehab company agrees to $16M judgment over Medicaid fraud allegations

Addiction Recovery Care, LLC, and its affiliates have agreed to a civil judgment of more than $16 million dollars in favor...

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Opinion: Is the new Labour government getting serious about insurance fraud?

Editor Katie Scott questions whether the new administration is making insurance fraud a priority, building on the foundations left behind by...

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Veterans Affairs investigating Acadia over insurance fraud, NY Times says

The Veterans Affairs Department is investigating whether Acadia Healthcare (ACHC) is defrauding government health insurance programs by holding patients longer than...

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