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Compliance & Legal

By Beth Jones Sanborn | 02:23 pm | February 28, 2017
Defendants recruited homeless people covered by Medicare/Medicaid to act as patients, undergo unnecessary tests for cash, DOJ says.
By Susan Morse | 12:26 pm | February 28, 2017
Humble allegedly paid kickbacks of 30 percent of facility fees to 103 physicians in exchange for their referrals.
By Beth Jones Sanborn | 11:11 am | February 28, 2017
Defendants used fake Social Security number to enroll company in Medicaid, filed false claims related to pediatric patients, New York attorney general says.
By Kaiser Health News | 09:44 am | February 21, 2017
The change comes as addiction to opioids, which include heavy-duty painkillers and heroin, still sweeps the country.
By Susan Morse | 05:12 pm | February 19, 2017
Civil lawsuit alleges insurer overcharged Medicare hundreds of millions by claiming its members were sicker than they were.
By Beth Jones Sanborn | 12:17 pm | February 17, 2017
Practice submitted Medicare claims for the drugs, violating the False Claims Act, DOJ says.
By Susan Morse | 05:56 pm | February 16, 2017
Insurer hopes new Department of Justice could be more favorable to the merger.
By Susan Morse | 12:31 pm | February 14, 2017
Government is expected to appeal the first-of-a-kind victory of a risk corridors case
By Beth Jones Sanborn | 02:47 pm | February 13, 2017
Lawsuit filed by former patient alleged physician Paul Tartell knowingly billed for procedures more intrusive and expensive than those that were actually performed.
By Beth Jones Sanborn | 03:51 pm | February 09, 2017
Company billed twice for vision screenings, resting electrocardiograms and collecting blood samples for IRS agents, DOJ says.