Allstate Files $2M Suit
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. [...]
Sanford Health to expand into Chicago market
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 [...]
FWC Urogynecology Agrees To Pay $1.7 Million in Settlement
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 [...]
Orthopedic Surgeon in $700K fraud scheme
CA-based physician Gary Royce Wisner, MD, was scheduled for arraignment June 13 on 11 felony counts of insurance fraud. Read Full Story Here!
Tennessee Podiatrist Sentenced For Health Care Fraud Scheme
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 [...]
Stay Compliant with Medicare Requirements
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. [...]
Pakistani transcriber threatens UCSF over back pay
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 [...]
Missouri hospital allegedly fired coder for refusing to ignore improper billing
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 [...]
Woman convicted for filing false medical claims
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 [...]
Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud
Josh Shapiro, Attorney General, announced that a Johnstown plastic surgeon pleaded guilty today to two felonies. The surgeon bilked private insurers and the Medicaid program out of almost $300,000 by [...]