Chester County News and Community Website
WASHINGTON, D.C. — U.S. financial institutions flagged about $17.5 billion in activity potentially tied to health care fraud over a one-year period, giving federal investigators a broad view of suspected …
FinCEN Flags $17.5 Billion in Suspected Health Care Fraud Read More
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services barred 11 medical-equipment suppliers from future Medicare Advantage and Part D payments after identifying more than $3.4 billion in suspected …
CMS Bars 11 Suppliers Over $3.4 Billion in Suspect Billing Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services said its laboratory-fraud enforcement efforts have prevented or recovered more than $1.6 billion in potentially improper Medicare payments, including $732 …
CMS Says Lab Fraud Crackdown Blocked $1.6 Billion in Payments Read More
WASHINGTON, D.C. — The Department of Health and Human Services last week referred hospitals and clinics involved in pediatric gender-transition care for possible federal investigation after a commissioned report identified …
HHS Refers Pediatric Gender-Care Billing for Fraud Review Read More WASHINGTON, D.C. — The Department of Health and Human Services and the Centers for Medicare & Medicaid Services last week deferred more than $1 billion in federal Medicaid payments to …
CMS Defers $1 Billion in Medicaid Payments to States Read More
WASHINGTON, D.C. — Medicare hospice providers could face increased scrutiny under a proposed federal rule that introduces a new scoring system to flag questionable billing and care patterns while expanding …
New Hospice Oversight Aims to Expose Fraud, Protect Patients Read More
PHILADELPHIA, PA — A federal court has entered a consent judgment requiring Segal Arts, LLC, and its owner, Irina Segal, to pay $200,000 to resolve allegations that they improperly billed …
Court Orders Segal Arts to Pay $200,000 in Medicare Fraud Case Read MorePHILADELPHIA, PA — Federal prosecutors have filed a civil complaint under the False Claims Act alleging a scheme to improperly bill Medicare for treatments involving an electrical stimulation device and …
U.S. Files False Claims Act Case Over Sanexas Billing Scheme Read More
WASHINGTON, D.C. — Federal health officials this week announced a sweeping series of actions ranging from new drug approval guidance and Medicare fraud enforcement to more than $1 billion in …
HHS Rolls Out Health Push, Fraud Crackdown, Farm Plan Read More
WASHINGTON, D.C. — In a move aimed at curbing government waste and improving coordination, the U.S. Department of Veterans Affairs and the Centers for Medicare & Medicaid Services announced a …
VA and CMS Target $106 Million in Duplicate Payments Under New Data-Sharing Partnership Read More