All Latest Medicare News
Billing government programs for prescriptions your customers never received can get you in hot water.
Oak Street Health, a CVS subsidiary, agreed on Sept. 18 to pay $60 million to resolve allegations that it paid kickbacks to third-party insurance agents, according to a DOJ press release.
“Ignorance and Empathy” may sound like the title of a Jane Austen novel, but they are two causes of what can be called “innocent” Medicare fraud. However, health care providers must remember two maxims: ignorance of the law is no excuse, and the road to Hell is paved with good intentions.
Owners of the medical practice named Orange Medical Care P.C. from Newburgh, New York, Ashikkumar A. Raval, and Manish A. Raval, were ordered to repay at least $600,000 of a $1.6 million lawsuit by the U.S. federal government, according to a press release by the U.S. Attorney, Southern District of New York.
When your doctor prescribes a custom compound medication for you, the last thing you’d expect is they’d get extra cheddar for doing so.
The owner of a Spokane Valley medical supply company will pay almost $225,000 for a kickback scheme to bill Medicare for unnecessary medical equipment, the U.S. Attorney’s Office reported.
A New Orleans man, John M. Spivey, who pled guilty on July 30 to conspiracy to commit Medicare fraud will not be sentenced until April 15, 2025, the U.S. Attorney’s Office said in a press release.
A North Carolina/Tennessee healthcare company has been charged in federal court with Medicare fraud, according to a complaint filed by the U.S. Attorney for the Western District of North Carolina.
In a significant move to combat healthcare fraud, the Justice Department, in coordination with the FTC, filed an amended complaint last month against Cerebral, Inc., a telehealth provider, and its executives.
Daniel Hurt, of Fort Lauderdale, has agreed to pay the government $27 million to settle allegations that he conspired to violate the False Claims Act (FCA) by submitting fraudulent claims to Medicare for cancer genomic tests (CGx) that were not necessary, according to a Department of Justice (DOJ) press release.
It’s a crime that costs Americans billions. An offense that endangers lives. And no one is immune from the effects of these unlawful acts– they literally affect each and every one of us. The crime is medical fraud.
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