OIG Doubles Healthcare Fraud Recoveries in 2019

If it seemed like the government was cracking down extra hard on healthcare fraud this year, it was. According to a recently released report from the Office of Inspector General (OIG), the watchdog agency expects to recover $5.9 billion as a result of healthcare fraud investigations in 2019. That’s nearly double the amount it recovered […]

Government cracks down on pharmacies, home health agencies, medical directors for medically unnecessary services

It’s no secret that in recent years the number of healthcare fraud investigations and prosecutions in the U.S. has rocketed. Clearly, the amount of taxpayer dollars being lost to fraud and abuse, coupled with the potential for big payoffs when fraud is detected, is a great motivator. Every year that the government racks up successful […]

Florida ALFs latest target of Medicaid fraud investigators

Assisted Living Facilities (ALFs), and the patient placement agencies with which they work, have become the latest target of Florida’s Medicaid Fraud Control Unit (MFCU) investigators. Recently, these agencies have been conducting interviews with ALF owners, managers and marketing personnel at facilities where they suspect possible kickbacks in violations of the Florida Patient Brokering Statute […]

CMS cracking down on fraudsters

Federal agencies are stepping up their efforts to go after providers who engage in healthcare fraud and abuse. On Dec. 3, the Centers for Medicare & Medicaid services issued new rules designed to crack down on what the agency refers to as “bad actors,” as part of an effort to increase oversight of Medicare providers, […]

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