On January 29, the New York State Office of the Medicaid Inspector General (OMIG) published its 2025 Work Plan, which provides a preview of the ...

From 2014 to 2022, the number of psychiatrists billing Medicare Part B declined, while the total number of active psychiatrists increased, according to a cross-sectional study. (JAMA Network Open) A ...

From an Arizona couple pleading guilty to a $1.2 billion scheme to the sentencing of a "serial healthcare fraudster," here are 10 healthcare billing fraud cases Becker's has reported on since Jan. 22: ...

The fees, which are billed separately from physician’s services, have been around for decades but have sparked nationwide ...

The federal net is widening. After wheeling and dealing through tens of millions of dollars in alleged fraudulent medical billing during their short marriage, Scottsdale couple Alexandra Gehrke, 38, ...

The owner of Buenos Dias Adult Daycare billed the Texas Medicaid Program more than $168,000 for services that were not ...

Humana (HUM) won't be alone in cutting back on its Medicare Advantage offerings. Other insurers, including CVS (CVS) and Centene (CNC), have also warned that they are cutting back on lower-profit or ...

Helen Zervas admitted to interfering with an audit of Medicaid overpayments that ended after Kosta Diamantis helped deliver a ...

A bill aimed at eliminating barriers to assisted living for older adults in Indiana is being welcomed by state senior living leaders, who say it’s an acknowledgement by state lawmakers that the ...

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 hospital outpatient prospective payment system and ...

While Medicaid fraud exists, it's dwarfed by the massive tax evasion by the wealthy. Discover the real cost to taxpayers and why focusing solely on Medicaid misses the bigger picture.

The former senior vice president of finance at Gov. Juan F. Luis Hospital on St. Croix has filed a whistleblower suit ...