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Liberty Ambulance Service investigated for fraudulently billing federal agencies

By |July 12th, 2018|

Liberty Ambulance Service, located in Jacksonville, has agreed to a $1.2 million settlement. This is in response to allegations that it, for more than 10 years, fraudulently billed federal health benefits providers for transportation of patients.

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Allstate Files $2M Suit

By |July 9th, 2018|

Allstate, one of the largest insurance companies in the world, has filed 81 fraud lawsuits in New York since 2003. Most recently, the company filed another suit against 13 new corporations. This has been an attempt to cover $2 million in damages from the no-fault healthcare firms and their owners.

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Sanford Health to expand into Chicago market

By |July 6th, 2018|

Five years after South Dakota-based Sanford Health failed to acquire Minneapolis-based Fairview Health Services, the 45-hospital system is looking to expand outside of state lines for the second time and eyeing potential opportunities in Chicago.

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FWC Urogynecology Agrees To Pay $1.7 Million in Settlement

By |July 6th, 2018|

US Attorney Maria Lopez announced that FWC Urogynecology, LLC, in Florida, has agreed to pay the US $1,700,000.00 to resolve allegations that it violated the False Claims Act by knowingly billing the government for services that were inflated or that it did not provide.

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Orthopedic Surgeon in $700K fraud scheme

By |July 4th, 2018|

CA-based physician Gary Royce Wisner, MD, was scheduled for arraignment June 13 on 11 felony counts of insurance fraud.

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Tennessee Podiatrist Sentenced For Health Care Fraud Scheme

By |July 2nd, 2018|

Dr. John J. Cauthon, 51, of Murfreesboro, Tennessee, was sentenced yesterday in U.S. District Court to two years in prison for healthcare fraud, announced Don Cochran, U.S. Attorney for the Middle District of Tennessee.  Cauthon was indicted in October 2015 on seven counts of healthcare fraud and was found guilty on four counts, after a […]

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Stay Compliant with Medicare Requirements

By |June 25th, 2018|

Staying profitable in the wake of Medicare reimbursement cuts is an ongoing struggle.

During Fiscal Year (FY) 2017, OIG’s report reveals recoveries of more than $4.13 billion in health care fraud judgments and settlements. The report also mentions exclusions of 3,244 individuals and entities from participation in Federal health care programs; which means you need to be […]

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Pakistani transcriber threatens UCSF over back pay

By |June 18th, 2018|

A woman in Pakistan doing cut-rate clerical work for UCSF Medical Center threatened to post patients’ confidential files on the Internet unless she was paid more money. To show she was serious, the woman sent UCSF an e-mail earlier this month with actual patients’ records attached.

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Missouri hospital allegedly fired coder for refusing to ignore improper billing

By |June 15th, 2018|

Debra Conrad, a medical coder sued Mosaic Life Care Medical Center in St. Joseph, Mo., May 25 for wrongful discharge, unlawful retaliation and age discrimination. She alleges Mosaic Life Care fired her for disclosing the hospital’s fraudulent billing practices.

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Woman convicted for filing false medical claims

By |June 13th, 2018|

Lajuana Scott was sentenced to one year in jail and five years on probation following her conviction of three felony counts of embezzlement from a nonprofit or charitable organization. The former clinic biller made Medicaid claims for services never performed and then used nonprofit money for personal use.

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