President Donald Trump’s election victory, significant changes to the nation’s public health and insurance policies are expected, with impli

Komfort & Kare operated as an assisted living facility licensed by the state to offer housing and services to Medicaid recipients. Following

The breach came to light when AFDS promptly alerted the Centers for Medicare and Medicaid Services (CMS) and collaborated with them to mitig

Investigators uncovered progress notes indicating that approximately 40 patients were fraudulently charged for therapy sessions purportedly

The lawsuit names key leaders from the federal Health and Human Services agency and the Centers for Medicare and Medicaid Services as defend

 The scheme involved two social adult day care centers and a home health care financial intermediary that reportedly paid kickbacks for serv

The U.S. government claimed that from January 1, 2013, to December 31, 2022, the company systematically billed federal programs for excessiv

On September 12, 2024, Judge Mays sentenced Payne to five years in prison, with all but ninety days suspended. In addition to jail time, Pay

To prevent future occurrences, Walgreens has made improvements to its electronic pharmacy management system and has self-reported certain ac

In a bid to control prescription drug costs, several states are compelling pharmaceutical companies to continue offering discounted medicati

Massachusetts is set to pay an undisclosed sum to acquire St. Elizabeth’s Medical Center in Brighton through eminent domain, one of five hos

Minnesota does not issue licenses to autism centers; however, the Department of Human Services (DHS) is currently examining the possibili

The Justice Department has concluded that Missouri is in violation of the ADA due to its failure to offer adequate community-based services

The settlement addresses allegations that from January 1, 2015, to December 31, 2019, Bluestone knowingly submitted claims for two E&M codes

Medicare did not cover CGx testing for beneficiaries who did not have cancer or lacked symptoms of cancer. Where a CGx test was procured thr

The defendants’ schemes were not limited to submitting claims for replacement nebulizers. They also engaged in two billing schemes in which

During the investigation of New York-Presbyterian/Brooklyn, it was discovered that physicians at a chemotherapy infusion center affiliated w

Baldonado faces charges including conspiracy to commit health care fraud, health care fraud, conspiracy to defraud the United States and pay

Following the departure of the chief of the attorney general's Civil Medicaid Fraud Division last year, two-thirds of the attorneys have re

Tofigh cunningly executed this fraudulent scheme by illegally practicing dentistry on Maryland Medicaid recipients, primarily children,...