Cuban immigrant joins Medicaid racket in Miami but flees back to island with loot, feds say
A Cuban immigrant became a millionaire by falsely owning a Miami mental health clinic that defrauded Medicaid of millions.
NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims
A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients.
Cuban immigrant joins Medicaid racket in Miami but flees back to island with loot, feds say
A Cuban immigrant became a millionaire by falsely owning a Miami mental health clinic that defrauded Medicaid of millions.
NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims
A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients.
Veterans Dept. Investigating Acadia Healthcare for Insurance Fraud
Acadia Healthcare is under investigation for allegedly holding patients longer than necessary, raising concerns about potential fraud against government health programs.
O.C. man charged with workers' comp fraud involving $100 million of billings
A major fraud scheme involving nearly $100 million in fraudulent workers' comp billing has resulted in charges against several individuals, including a convicted fraudster.
Medicare Advantage plans have successfully evaded stringent regulatory oversight, leading to billions in potential overpayments and growing political influence over time.
How Medicare Advantage insurers gain influence and keep billions in overcharges
CMS has failed to recover taxpayer funds from overpayments to Medicare Advantage despite longstanding concerns and industry pressure.
Feds killed plan to curb Medicare Advantage overbilling after industry opposition
Federal officials backed off plan to curb Medicare Advantage overcharges due to industry pressure, leading to ongoing fraud allegations against insurers.
The Medicare Advantage influence machine
Medicare Advantage plans have successfully evaded stringent regulatory oversight, leading to billions in potential overpayments and growing political influence over time.
How Medicare Advantage insurers gain influence and keep billions in overcharges
CMS has failed to recover taxpayer funds from overpayments to Medicare Advantage despite longstanding concerns and industry pressure.
Feds killed plan to curb Medicare Advantage overbilling after industry opposition
Federal officials backed off plan to curb Medicare Advantage overcharges due to industry pressure, leading to ongoing fraud allegations against insurers.
Before rotting body found, state ripped North Miami nursing home for nasty conditions
The North Dade Nursing and Rehabilitation Center has a history of neglect and poor regulatory compliance, culminating in the recovery of a decomposed body.
Recent criticisms highlight a culture of disrespect and inadequate care for nursing home residents. Especially notable was the mockery directed at residents with feeding difficulties.
An Aventura doctor accused of bad penile and breast injections and a $1.3 million fraud
Dr. Muhammad Mirza surrendered his Florida medical license after being sentenced to federal prison for healthcare fraud and questionable medical practices.
US charges 193 people in $2.7bn healthcare fraud crackdown
Healthcare fraud crackdown in the US resulted in charges against nearly 200 people for false claims exceeding $2.7 billion, including a $900m scheme in Arizona.
Bay Area psychiatrist arrested in $100 million drug fraud investigation
A psychiatrist executive was arrested for alleged involvement in a $100 million medication fraud scheme.
An Aventura doctor accused of bad penile and breast injections and a $1.3 million fraud
Dr. Muhammad Mirza surrendered his Florida medical license after being sentenced to federal prison for healthcare fraud and questionable medical practices.
US charges 193 people in $2.7bn healthcare fraud crackdown
Healthcare fraud crackdown in the US resulted in charges against nearly 200 people for false claims exceeding $2.7 billion, including a $900m scheme in Arizona.
Bay Area psychiatrist arrested in $100 million drug fraud investigation
A psychiatrist executive was arrested for alleged involvement in a $100 million medication fraud scheme.
Canton surgeon convicted of health care fraud in opioid scheme
An orthopedic surgeon in Canton, Massachusetts was convicted of health care fraud involving opioid prescriptions.
The surgeon billed more than 60 patients per day and prescribed opioids that were not medically needed.
The conviction highlights the commitment to combat opioid abuse and protect taxpayer-funded health care programs.
Money malpractice: Ex-SUNY physician charged with grand larceny for million-dollar theft to support 'lavish lifestyle' * Brooklyn Paper
A former chair of emergency medicine at SUNY Downstate Medical Center is facing criminal charges for allegedly using company credit card for personal expenses.