-Jeffrey Randolph, Esq.
ANJC Legal Counsel

The top two revenue-boosting wells for payers, i.e., recruiting new members and raising premiums, are drying up. Premiums increased disproportionately beyond inflation and workers' earnings growth in 2001-2006 (health insurance premiums - 65.8%, inflation - 16.4%, workers' earnings - 18.2%).

Premium wars preclude insurers from further raising rates, and recently enacted timely payment laws limit how long they can withhold repayment to earn interest as they had in the past.

To meet profit expectations and still play within the new rules, insurers must go after the reimbursements that were already paid.

Download the full article:
The "Business" of Healthcare Provider Audits
How Payers Are Getting Away with Practice Murder

Table 2. Audit Triggers - Profiling Methodology     Stage Report     Prepayment Review CCI and LMRP rules Inter-claim, intra-claim, cross-claim Lifetime duplicates Date range duplicates Re-bundling Modifier codes E&M crosswalk Visit level     Post-Payment Audit Procedure repetition High payments per day Surge analysis Unusual modifiers Unusual procedure rates Geographic improbabilities 5/50 patterns     External Resources Providers watch lists OIG sanctions databases High-risk address databases	The risks of noncompliance have changed too from money return to exclusion from government programs and loss of practice license. Administrators can be barred from working in the healthcare industry and clinicians, managers, corporate directors, even outside consultants can be jailed for healthcare fraud and abuse. The federal government strongly encourages health compliance programs and promotes voluntary compliance and self-policing in a variety of ways. The existence of a compliance program may determine whether the matter can be routinely handled as an overpayment by the payer or it must be investigated by the OIG, or even referred to the Department of Justice to be pursued as a civil infraction or as a criminal matter.
Now you can reduce audit risk and avoid audit threat by preparing for an audit: Integrate disciplined visit documentation procedures using SOAP notes. Monitor audit trigger red flags in real time. Track claims that might offend national or local frequencies for specific CPT codes. Contact Billing Precision for a demo today to discover how you can protect your practice. Billing Precision works hard to increase your collections, reduce audit risk, improve your productivity, and focus on building your practice using powerful methodology and a single, completely integrated system. Our approach is timed to meet your objectives and to adapt to your evolving priorities. The bottom line is that your audit exposure shrinks as a result of rigorous teamwork between your office and our team. Explore our methodology to discover how hundreds of office managers and doctors just like you have been delighted. "ANJC pays close attention to industry leaders who are positioned to help chiropractors in being more successful with challenges of every day practice. I am very pleased that Billing Precision services assist ANJC members with billing and collections, expediting revenue cycle, helping manage compliance, and integrating front and back office workflow." - Sigmund Miller, DC, Executive Director, Association of New Jersey Chiropractors “Billing Precision gets chiropractors paid. It uniquely embraces the vision and system required for successful high volume practices.” -Drs. Ben Lerner and Greg Loman, Founders, MaximizedLiving Read Case Study >> “Billing Precision's team is obsessed with getting chiropractors paid. Its technology is the backbone of my practice, which is now completely paperless.” - Charles Majors, DC, Planet Chiropractic, Romeoville, Illinois 1,500 patient visits per week "I know of practices that were asked to return years of payments after a random audit. Billing Precision pays enormous attention to every opportunity to reduce audit exposure. Their performance is outstanding." - Doug Cassel, MD, Director of Interventional Radiology, Hoag Memorial Hospital, Newport Beach, California “In two months we caught up with my backlog and my 120-day Accounts Receivable shrank to 4.4%. This translates to almost 20% in added revenue.” - Greg Loman, DC, Trinity Chiropractic in Naples, Florida Read Case Study >> “Billing Precision delivered. Clean claims, measurement and analysis yield greater collections.” - Ben Lerner, DC, Celebration in Kissimmee, Florida Read Case Study >> "Billing Precision has uniquely adapted Wall Street methodology to healthcare claims processing, resulting in dramatic A/R reductions and new revenue recovery for the medical practice." - Bob Ettl, Managing Director, Allianz Asset Management, Newport Beach, California “Billing Precision is an industrial strength billing solution for the family size practice. I get paid in 7 days for what used to take more than 90. It helps me daily to focus on patient care and grow my profitability.” - T. Foster Bryant, DC, Jubilee Family Chiropractic, Naples, Florida "Billing Precision goes beyond making sure we are paid in full and on time - their leading edge chiropractic billing software has turned my entire office into a completely paperless and compliant operation, so I can focus on my patient health and practice growth." - Michael Lagana, DC, BackSmart Wellness Center, Edison, New Jersey "No insurance offers protection against audit risk, which carries enormous potential penalties.  Billing Precision's unique chiropractic billing software reduces audit risk and streamlines SOAP note compliance management." - Jeffrey Randolph, Esq.  ANJC Legal Counsel "I can not speak highly enough of these guys and their chiropractic billing software.  Billing Precision has revolutionized the way I practice and my collections have gone through the roof.  The more you embrace Billing Precision technology the more it will  do for you.  I do not think there is a better overall chiropractic office management system available." - Robert White, DC, True Health Chiropractic, Springfield, New Jersey  Read More Testimonials >> Billing Precision's founders hold advanced degrees in chiropractic, computer engineering, and mathematics, and were awarded several patents in artificial intelligence and information security. Our core team has a deep understanding of the needs of chiropractors and the challenges we all face in the current healthcare environment. To achieve maximal effectiveness of Billing Precision's compliance program, our system developers teamed up with Jeffrey Randolph, Esq., the ANJC Legal Counsel. To hear Dr. Sigmund Miller, Executive Director of ANJC, interview Jeff Randolph, click here. For more information, join Interactive Online Audit Risk Seminar.

Our billing system uses centralized technology serving hundreds of stand-alone billing services and healthcare clinics. With its emphasis on centralized tracking of payer performance from a single point of control, shared coding and audit compliance rules, and accountable teamwork, our system helps every doctor using it to manage practice audit risk.

A key difference between Billing Precision and thousands of other billing services is that we all-including every Billing Precision client and our entire staff-share, use, and continuously enhance our technology platform and processes. Through this shared platform, Billing Precision's team becomes a virtual extension of your practice. Billing Precision seamlessly extends your staff and gives you powerful control over your practice workflow and billing productivity.

Contact Billing Precision for a demo to discover how you can protect your practice.

The federal Department of Justice, the Office of Inspector General (OIG) at the Department of Health and Human Service, state Medicaid fraud control units, and other enforcement agencies have brought multiple enforcement actions against various healthcare practices - even small practices - over the course of the past twenty years

The institutional risks of noncompliance have grown since 1995 from relatively non-adversarial audits and occasional return of payments to formal investigations, prosecution under the False Claims Act, and whistleblower action.

The personal risks of noncompliance have changed too from money return to exclusion from government programs and loss of practice license. Administrators can be barred from working in the healthcare industry and clinicians, managers, corporate directors, even outside consultants can be jailed for healthcare fraud and abuse.

The federal government strongly encourages health compliance programs and promotes voluntary compliance and self-policing in a variety of ways. For instance, in the case of Medicare and the OIG, the existence of a corporate compliance program influences the approach to a violation of a federal requirement in terms of an innocent mistake or a fraudulent act. The existence of a corporate compliance program may determine whether the matter can be routinely handled as an overpayment by the payer or it must be investigated by the OIG, or even referred to the Department of Justice to be pursued as a civil infraction or as a criminal matter.

Sending sick undocumented immigrants back home
By Judith Graham
Chicago Tribune - August 20, 2008

'Never events': Utah hospitals saw nearly 60 serious errors in 2007
By Heather May
Salt Lake Tribune - August 19, 2008

New PhRMA Code Bans Meals, Pens, Mugs and Other Common Gifts to Physicians
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Atlantic Information Services, Inc. - August 11, 2008

Money missing from DPC patient accounts
Withdrawals in '07 hit $521,473, auditor says
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The News Journal - August 10, 2008

Give the doctor a checkup before ordering a house call
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Los Angeles Times - August 10, 2008

Alleged Scheme Involved Homeless
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New York Times - August 9, 2008

Lee won't contest losing ND license
By Kelly Smith and Erin Hemme Froslie
In-Forum - August 9, 2008

Whistle Blown On Medicare Scam
Taxpayers Get Refund From A Big Provider Accused Of Padding The Bill
CBS News - August 8, 2008

Hospitals ready for hit from new Medicare rules
Federal payments will end for care related to medical errors
By Peter Korn
Sherwood Gazette - August 8, 2008

52 public employees named as OxyContin scam suspects
By Jay Weaver
Miami Herald - August 7, 2008

Two Charged in Medical-Care Billing Scam
By Amy Kaufman
Wall Street Journal - August 7, 2008

Anaheim General Hospital hit with dozens of citations over staffing, care
By Daniel Costello
Los Angeles Times - August 7, 2008

Courtroom heats up in Ole Pettersen / Medicaid Fraud case
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WKTV - August 7, 2008

Padavan calls on Medicaid inspector general to crack down on Medicaid fraud
Empire State News - August 6, 2008

A former scam artist tells how it works
By Jay Weaver
Miami Herald - August 5, 2008

Medicare fraud fugitives evade capture
By Jay Weaver
Miami Herald - August 5, 2008

Former Orthoscript COO gets jail time for Medicare scam and fraud
Triangle Business Journal - August 4, 2008

Nurse takes down phony equipment dealers
By Jay Weaver
Miami Herald - August 4, 2008

AIS Launches HIPAA Compliance Center - a Web-Based Service that Helps Organizations Safeguard Patient Privacy and Data
PRWeb - August 4, 2008

New Privacy Risk: Patients Who Assume Someone Else's Identity to Obtain Treatment
Atlantic Information Services, Inc. - August 4, 2008

Skimpy oversight endangers millions of Medicare dollars
Fictitious suppliers OKd for payment, investigation finds
By Hope Yen, Associated Press
San Francisco Chronicle - August 4, 2008

Medicare fraud rampant in South Florida
By Jay Weaver
Miami Herald - August 2, 2008

Agreement spells out tasks for Cox board
By Kathleen O'Dell
News-Leader - August 1, 2008

Senate Republicans talk Medicare anti-fraud fixes
By John Pulley
Government Health IT - July 29, 2008

Chevy Chase Social Worker Sentenced for Health Care Fraud
Trading Markets - July 29, 2008

Private medical data exposed
By Andy Miller
Atlanta Journal Constitution - July 29, 2008

Dominican suspects in $110M Medicare fraud face extradition to U.S.
Dominican Today - July 28, 2008

CMS Targets Hospital Readmissions as a Probable Marker for Poor Quality of Care, Wasted Revenues and Resources
By Nina Youngstrom
Atlantic Information Services, Inc. - July 17, 2008

Attorney General Abbott Recovers $15.7 Million in Medicaid Costs Under National Settlement
KOSA - July 17, 2008

Medicare billings tracked to 14 dead doctors here
By Monifa Thomas
Chicago Sun-Times - July 13, 2008

An ailing program: Medicare needs more safeguards to prevent fraud
Anderson Independent Mail - July 13, 2008

Pain doctor gets three years in prison for fraud
Paper trail shows at least $1.75 million in bogus billing
By Jim McElhatton
Washington Times - July 12, 2008

Miami Doctor Sentenced to 41 Months in Prison for Medicare Fraud
Market Watch - July 11, 2008

Montgomery Woman Recieves Prison Sentence for Theft
By Markeshia Ricks
Montgomery Advertiser - July 11, 2008

Oak Harbor denturist arrested in theft, Medicaid fraud case
By Justin Burnett
Small Town Papers - July 11, 2008

Home Medical Equipment Providers Are Appalled by 'Dead-Doctor' Scam, Strongly Support Anti-Fraud Efforts to Protect Medicare System
Market Watch - July 9, 2008

Big Pharma Whistleblower Awarded $1.6 Million for Exposing Cancer Drug Medicare Fraud
By David Gutierrez
Natural News - July 2, 2008

Maximizing' Medicare fraud
World Net Daily - July 2, 2008

Jury: 2 drug firms owe Ala. $114M in price fraud
By Bob Johnson
The Associated Press - July 2, 2008

State sues Prime Healthcare over HMO billing
Victorville Daily Press - July 2, 2008

Fraud Inc.
By David Villano
Florida Trend - July 1, 2008

Implant firms pay doctors millions
By Josh Goldstein
Philadelphia Inquirer - June 29, 2008

Woman indicted in Medicare fraud
By Bill Lodge
2The Advocate - June 28, 2008

Two Southwest Florida residents arrested for Medicaid fraud
WBBH - June 27, 2008

Effort Grows to Protect Seniors by Removing Social Security Number from Medicare Card
SeniorJournal.com - June 27, 2008

Gynecologist's medical license suspended
By Valarie Honeycutt Spears
Kentucky.com - June 26, 2008

OIG reports billions in expected Medicare recoveries and exclusions of providers
CCH - June 26, 2008

Nursing home operator's fraud sentencing put on hold
By Sue Guinn Legg
Kingsport Times News - June 25, 2008

Eleven Houston Suspects Face Felony Medicaid Fraud Charges
KOSA - June 23, 2008

Report Traces $200 in U.S. Health Costs To Claims Processing Errors
California Healthline - June 17, 2008

Ala. attorney: 2 drug companies cheated Medicaid
By Bob Johnson
Forbes - June 17, 2008

Loss of Patient Information at University Hospital Reveals Risk of Acquiring Physician Practices
Atlantic Daily Services - June 17, 2008

Premier group vindicated
By Getahn Ward
Clarksville Leaf Chronicle - June 14, 2008

State seeks to pull Medicaid funds from kids mental-services provider
By Carolyne Park
Arkansas Democrat Gazette - June 14, 2008

Audit finds problems at city-owned clinic
By Michelle Ku
Kentucky.com - June 14, 2008

Shoring Up Medicare's Weak Spot
By Carrie Johnson
Hartford Courant - June 13, 2008

Medical Fraud a Growing Problem
By Carrie Johnson
Washington Post - June 13, 2008

Health IT office awards contract to fight medical identity theft
By Bob Brewin
Nextgov - June 12, 2008

Medicaid fraud probe
By John Williams
Arkansas Times - June 12, 2008

Four arrested in $110M HIV infusion fraud
South Florida Business Journal - June 12, 2008

Audits for Medicare fraud put doctors on defensive
By Jetahn Ward
The Tennessean - June 12, 2008

Pharmacy chain settles Medicaid fraud claims
CCH - June 12, 2008

Judge rejects Licht affidavit
By Mike Stanton
Providence Journal - June 12, 2008

Police warn seniors about new ID scams
Belleville View - June 12, 2008

Dentists who prey on children
World Net Daily - June 11, 2008

Hospitals peer into patients' credit reports
By Urvaksh Kararia
MSNBC - June 11, 2008

Americas Watchdog Seeks Financial Partners to Go After US Medicare/Medicaid Fraud Cases Involving Hospitals & Nursing Homes With the Potential for Large Rewards
PR Web - June 11, 2008

Chicago Whistleblower Attorney Michael I. Behn Spotlights Greater Role of State False Claims Acts and Qui Tam Actions at Rhode Island Bar Association Annual Meeting
PR Web - June 11, 2008

After Fraud Conviction, Houston Physician Allegedly Plots Murder of Prosecutor and FBI Agent
By Nina Youngstrom
Atlantic Information Services INC. - June 11, 2008

Walgreens Agrees To Stop Altering Prescriptions In $35M Settlement
Greeneville Sun - June 10, 2008

Cahokia mayor's workmen's comp claims total $145,000
By Beth Hundsdorfer and George Pawlaczyk
Belleville News Democrat - June 9, 2008

For hospitals, Sarbanes Act a shot in arm
Indianapolis Star - June 9, 2008

Federal fraud probe targets artificial leg maker in Mansfield
By Linda Martz
Mansfield News Journal - June 7, 2008

Woman arrested on suspicion of Madicare bill scam
By Brian Day
San Gabriel Valley Tribune - June 6, 2008

Patel case moves forward
Judge denies motion to end doctor's case
By Marsha Sills
The Daily Advertiser - June 6, 2008

Wisconsin to get $1.9M of Walgreens settlement
The Business Journal of Milwaukee - June 5, 2008

A Fresh Look at Health Care Reform: Part II
By Maggie Mahar
Century Foundation - June 5, 2008

Calais Ambulance Service Finances Under Review
By Diana Graettinger
Red Orbit - June 3, 2008

Three Miami Area Doctors and Six Others Charged in $56 Million Health Care Fraud Schemes
Earthtimes - May 29, 2008

Dublin doctor sentenced for fraud
By Mike Gangloff
Roanoke Times - May 28, 2008

FBI Warns of Doctors Bilking Patients
KLAS-TV - May 28, 2008

Dublin Doctor Defrauds Medicare, Medicaid, Gets Four Years Probation For Healthcare Fraud
Rockbridge Weekly - May 28, 2008

Hartford Hospital Agrees To Reimburse Medicare
By HILARY WALDMAN
Hartford Courant - May 28, 2008

State drops Medicaid transportation plan
By Wilson Ring
Berlington Free Press - May 28, 2008

AG Cuomo charges two Rochester area nursing home aides
By Tara Smith
News 10NBC - May 28, 2008

Fact Sheet: Department of Justice Efforts to Combat Health Care Fraud and Abuse
PR Newswire - May 28, 2008

Attorney general: 20% of Medicare fraud cases in South Fla.
By Curt Anderson
Florida Times Union - May 28, 2008

Seniors Are Prime Targets For Fraud
Kalamazoo Gazette - May 27, 2008

Four Arrested Over Medical Equipment Scam
Lawfuel - May 17, 2008

Patients may foot the bill after Blue Shield suspends care agreement with UCLA
By Brett Noble
The UCLA Daily Bruin - May 15, 2008

Blocking Medicaid Rules: Hurting Families and Taxpayers Alike
By Daniel P Moloney
Heritage - May 14, 2008

Everett woman arrested in ID-fraud case
Seattle Times - May 14, 2008

Home Alone—With Medicaid Fraudsters
In a $30 million home health-care scam, some well-connected names
By Tom Robbins
Village Voice - May 13, 2008

Nationally Honored Chicago Whistleblower Attorney Michael I. Behn Delivers Keynote Address to International Whistleblowers Assembly in Nation's Capital
PR Web - May 13, 2008

City Woman Pleads Guilty To HIPAA Violation For Disclosing Patient Information Used To Commit Identity Theft
Media Newswire - May 12, 2008

Salient Corporation's Performance Management Solution Helps NY State Counties Identify Medicaid Fraud, Waste, and Abuse
PR Newswire - May 12, 2008

Florida AG sues pharmacy over $400,000 fraud
By Lin Young
Legal News Line - May 12, 2008

Deschutes County notifies mental health clients of missing records
Bend Weekly - May 9, 2008

Nurse indicted
Grand jury adds to kickback scheme
By Warren Watkins
Searcy Daily Citizen - May 9, 2008

Whistleblowers Announce Annual Washington Lobby Meeting May 11-18
OpEdNews - May 9, 2008

Strike Force Targets Medicare Fraud By Los Angeles Area Health Care Companies
PR Newswire - May 8, 2008

New task force to fight scams targeting seniors
By Robert Kittle
Florence Morning News - May 8, 2008

Identity Thieves Start To Target Patients' Health Care Records
iHealthBeat - May 7, 2008

America's Pay-or-Die Health Care System
By Ralph Nader
Counter Punch - May 6, 2008

AHIMA Releases Privacy Roundtable Report
ADVANCE - May 6, 2008

Hospitals struggle with user control
By Steve Ragan
The Tech Herald - May 5, 2008

Medicaid provider sentenced to jail on charges of health care fraud
Media Newswire - May 5, 2008

Medicare to no longer pay for medical providers' mistakes
By Anne Geggis
Daytona Beach News-Journal - May 5, 2008

Hospice Officer Charged With Stealing From Patients
North Country Gazette - May 4, 2008

Secret Service probing Select Dental
By Brendan Brosh
New York Daily News - May 4, 2008

State Senate Endorses Medicaid Home Care Bill
By Jon Lender
Hartford Courant - May 3, 2008

Small businesses upset by Medicare changes
By Amy Dominello
Media General Washington Bureau - May 2, 2008

Another sex harassment suit filed against Kingston medical practice
By Dietrich Knauth
Kingston Daily Freeman - May 2, 2008

CoxHealth anticipates Medicare fraud settlement of about $60 million
By Marie Saavedra
KY3 - May 1, 2008

HHS Secretary Leavitt Suggests Compromise On Medicaid Bill, Senate Support Unclear
Medical News Today - May 1, 2008

Report Shows Medicaid Recoveries Double Over 2006
North Country Gazette - April 30, 2008

Miami Jury Convicts Dermatologist of Medicare Fraud
Earthtimes - April 30, 2008

Medical Data Breaches Put Patients at Risk
Despite HIPAA, hospitals leave patient data unprotected; one CIO offers tips for getting IT security funding
By Kim S. Nash
CIO - April 29, 2008

Orthoscript's former COO facing jail for Medicare scam, fraud
Atlanta Business Chronicle - April 28, 2008

Former executive found guilty of Medicare fraud
By The Associated Press
Columbus Ledger-Enquirer - April 28, 2008

Podiatrist pleads guilty to fraud
West Peoria man billed Medicare for procedures he didn't perform
By Andy Kravetz
Peoria Journal Star - April 26, 2008

Audit: Lynbrook medical center overcharged state
By Sandra Peddie
Newsday - April 26, 2008

Maryland Attorney General: Baltimore Pharmacists plead guilty to Medicaid fraud
Insurance News Net - April 25, 2008

Police warn of Medicare phone scam
By Ron Maloney
Seguin Gazette-Enterprise - April 25, 2008

Miami Jury Convicts Pharmacy Owner of Medicare Fraud
Eighth Trial Conviction for Medicare Strike Force
PR Newswire - April 24, 2008

Firm accused of fraud gave Harkin cash through PAC
By Jane Norman
Des Moines Register - April 22, 2008

BF psychologist faces new charges of Medicaid fraud
By Dan Bustard
Eagle Times - April 22, 2008

Woodbridge woman indicted on federal fraud charges
By Elisa A. Glushefski
Inside NoVA - April 22, 2008

Joplin River Of Life, Family Members Indicted For Health Care Fraud, Money Laundering
Media Newswire - April 21, 2008

N.Y. loses $28M in Medicare funds as state stalls fraud audits
By Kathleen Lucadamo
New York Daily News - April 21, 2008

Antifraud Compliance Getting More Complex for Hospitals
PR Newswire - April 21, 2008

Medicare members may save 40% on some medical supplies
By Bob LaMendola
TCPalm - April 20, 2008

Medicare data should stay private, government says in appeal
By Ricardo Alonso-Zaldivar
Los Angeles Times - April 19, 2008

Criminal complaint filed against suspended doctor
By Paul Grimaldi
Providence Journal - April 18, 2008

700,000 people could be affected by security breach
By Richard Essex
WTHR - April 18, 2008

Feds settle with hospital over Medicare claims
The Times-Picayune - April 17, 2008

Former Medicare Fraud Investigator Is Sentenced to 26 Months in Jail for Stealing From Government Bank Accounts
By Eve Collins
Atlantic Information Services, Inc. - April 17, 2008

Nurse pleads guilty to privacy violation
By Carolyne Park
Arkansas Democrat Gazette - April 17, 2008

County Seeking Medicaid Help: Officials Pleased With Progress So Far
By Dennis Phillips
Jamestown Post Journal - April 17, 2008

Bush administration issues veto threat on Medicaid bill
By Kevin Freking
The Associated Press - April 16, 2008

Medicaid Rules Would Be Blocked by U.S. House Committee Measure
By Justin Blum
Bloomberg - April 16, 2008

Audit finds $1M owed to state Medicaid program
Dayton Business Journal - April 16, 2008

New charges against owner of Mo. group home that burned
By Marcus Kabel
The Associated Press - April 15, 2008

Patients can get $100 to reveal hospital bills
By Cheryl Powell
Akron Beacon Journal - April 15, 2008

At first blush, a tough J-1 board
Council formed in wake of criticism doesn’t roll over on first application
By Marshall Allen
Las Vegas Sun - April 15, 2008

Firm that managed Lincoln dental offices settles claims
By Dean Olsen
Lincoln Courier - April 14, 2008

Lawmakers may change Medicaid mandate
By Leah Rupp
Jackson Clarion Ledger - April 14, 2008

Sugar Land man sentenced to five years for Medicaid fraud
Villager - April 14, 2008

Medrium and Emergenuity Collaborate to Help Beleaguered Emergency Departments
Business Wire - April 14, 2008

Bill encourages transparency in medical costs
By David A. Lieb
Columbia Missourian - April 14, 2008

Telephone fraud affects Adans
By Judd Morse
Ada Evening News - April 14, 2008

Time to become a security advocate
By Anne Zieger
Fierce Health IT - April 14, 2008

Florida Radiologist to Pay U.S. $7 Million to Resolve Fraud Claims
Earthtimes - April 14, 2008

Possible Medicaid changes could threaten families
By Tom Wrobleski
Staten Island Advance - April 13, 2008

Business owners charged in fraud
Youngstown Vindicator - April 12, 2008

Audit: Memorial's software isn’t secure
By Debbie Kelley
Colorado Springs Gazette - April 11, 2008

Rednam sentenced to 6 months in prison for obstructing health-care fraud investigation
St. Louis Business Journal - April 11, 2008

Medicare bidding disqualifies 100+ South Florida suppliers
By Brian Bandell
South Florida Business Journal - April 11, 2008

House Subcommittee Approves Measure Blocking Seven New Medicaid Rules
Medical News Today - April 11, 2008

Doctor’s fraud totals $3 million, prosecutors say
By Scott MacKay
Providence Journal - April 11, 2008

Medicaid dentists disciplined
Probation, reprimands were given before $10 million settlement
By Karen Garloch and Gary L. Wright
Charlotte Observer - April 11, 2008

PCMA: 'Protect Your Pharmacy Week' Should Focus on Safeguarding Part D Anti-Fraud Tools
Earthtimes - April 10, 2008

Authorities Seek Forfeiture From Doctor
By Associated Press
Turn to 10 - April 10, 2008

Bill Advances to Suspend Medicaid Cost-Shift Rules
By Jane Zhang
Wall Street Journal - April 9, 2008

Bill aims to thwart Medicaid fraud
By Peggy O'Farrell
Cincinnati Enquirer - April 9, 2008

Corzine takes heat on watchdog post
By Jonathan Tamari
Cherry Hill Courier Post - April 9, 2008

A Larger Health Lesson from UCLA: For the Rest of Us, Tabloids Are Not the Problem
By Judy Dugan
California Progress Report - April 9, 2008

Frustrated lawmakers pressing for Medicaid inspector general
By Susan K. Livio
The Star-Ledger - April 9, 2008

Gaps in Hospital Security Policies Put Patient Data at Risk, According to New Report
Business Wire - April 8, 2008

Medical Mutual of Ohio Seeks to Discourage Fraud Before It Occurs
By Nathan Conz
Insurance & Technology - April 8, 2008

Legislators frustrated by NJ's health care spending woes
By Tom Hester Jr.

Philadelphia Inquirer - April 8, 2008

Doctor’s license suspended
By Felice J. Freyer
Providence Journal - April 8, 2008

More UCLA records abuses
A hospital worker checked files of 61 patients, including Maria Shriver and other celebrities
By Charles Ornstein and Dan Morain
Los Angeles Times - April 7, 2008

7 S. Fla. Medicare providers busted in fraud ring
By Jay Weaver
Miami Herald - April 6, 2008

Six arrested and charged in connection with $2 million health care fraud ring
Student Operated Press - April 5, 2008

Hospital to settle in case of doctor
$1.8 million set in 100 cases
By Richard Burgess
2TheAdvocate - April 5, 2008

Fraud, waste dim hopes for universal health care
New Brunswick Home News Tribune - April 4, 2008

D.C. suing two companies for fraud that have been given $100M contracts
By Michael Neibauer
Examiner - April 4, 2008

Chan receives probation, fine
Neurosurgeon to return to Canada
By Warren Watkins
Searcy Daily Citizen - April 3, 2008

Company aims to stop prescription fraud
By Karl Stark
Philadelphia Inquirer - April 3, 2008

Belleville psychiatrist sentenced to more than two years for fraud
By Beth Hundsdorfer
Belleville News Democrat - April 3, 2008

Forest Hills doc charged in false billing scam: DA
By Alex Christodoulides
Forest Hills Ledger - April 3, 2008

A HIX tax moves ahead in Vermont
By Dana Blankenhorn
ZDNet - April 3, 2008

AG asked to investigate alleged fraud at Health Alliance subsidiary
By Erin Smith
Cambridge Chronicle - April 3, 2008

Doctor's complaint started lawsuit
Retiree says hospital knew about deal
By Peggy O'Farrell
Cincinnati Enquirer - April 3, 2008

Insurer Anthem to no longer pay for medical errors
By Mary Jo Feldstein
St. Louis Post-Dispatch - April 3, 2008

Rabbit Healthcare Systems Puts Medical Practices on Ground Floor of Quality-of-Care Initiative
PQRI Destined to Become Mandatory Program, Rabbit Warns
Market Wire - April 2, 2008

Seven Miami-Area Residents Charged in $11 Million Medicare Fraud Scheme
Earthtimes - April 2, 2008

Six face charges of Medicare fraud
By Jay Weaver
Miami Herald - April 2, 2008

FamilyCare fraud: Keep audits coming
Press of Atlantic City - April 2, 2008

Making off with millions – in wheelchairs
By Joel Hesch
World Net Daily - April 2, 2008

More unsanitary procedures documented
Clinic did 2-minute surgeries amid complaints by nurses, report finds
By Marshall Allen
Las Vegas Sun - April 2, 2008

Lawmaker: Funds risked when state provides treatment to pregnant illegal immigrants
By Michael McNutt
NewsOK - April 2, 2008

Attorney for doctor: Evidence tainted
By Richard Burgess
2TheAdvocate - April 2, 2008

Federal lawsuit accuses Cincinnati hospital of billing fraud
WDTN - April 1, 2008

Budget: NYers to get discount drug card, reform of detox system
By Michael Gormley
Newsday - April 1, 2008

$894,0000 returned to state's Medicaid fraud unit
WLFI - April 1, 2008

Six charged in Medicare fraud
South Florida Business Journal - April 1, 2008

Money seized from local dentist will be used to fight health care fraud
By Leanne Tokars
WSBT-TV - April 1, 2008

Mom of 15 avoids jail in 50G scam
By Chrisena Coleman
New York Daily News - April 1, 2008

Local Psychologist Indicted For Fraud
Media Newswire - April 1, 2008

Two Georgia Medical Providers Indicted for Medicaid Fraud
All American Patriots - March 31, 2008

Two Henry health care providers indicted in fraud
By Kathy Jefcoats
Atlanta Journal Constitution - March 31, 2008

Two Florida Men Sentenced To Prison For Medicare Fraud
PR Newswire - March 31, 2008

Indiana AG Reports a Record $14 Million Recovered by the Medicaid Fraud Control Unit in 2007
All American Patriots - March 31, 2008

Aurora store owner pleads guilty to medicare fraud
By Howard Pankratz
Denver Post - March 30, 2008

Half of medevac patients are not seriously injured
By Earl Kelly
Annapolis Capital - March 30, 2008

Who makes sure the message is understood?
By Elizabeth Huff
Battle Creek Enquirer - March 30, 2008

Hospital says doctors case bogus
By John Monk
The State - March 30, 2008

United States: The New Wave Of Hospital Bankruptcies
By Mary H. Rose and Benjamin S. Seigel
Mondaq News Alerts - March 29, 2008

Local psychologist indicted; Medicaid fraud is alleged
By David Kassabian
Corpus Christi Caller Times - March 29, 2008

HealthEssentials to plead guilty to charges
Business First of Louisville - March 28, 2008

Glitch by the U.S. Government Is Delaying Medicare Payments
By E.B. Solomont
New York Sun - March 28, 2008

Woman sentenced in health fraud case
By Robert Patrick
St. Louis Post-Dispatch - March 28, 2008

California To Pay $2.1M To Resolve Overbilling for Computer System
California Healthline - March 27, 2008

Millions Recovered in 2007 for State Medicaid Program
Inside INdiana Business - March 27, 2008

Hayes sentenced for health-care fraud
St. Louis Business Journal - March 27, 2008

Lilly settles in Zyprexa case
Indianapolis drug maker to pay $15M to Alaska over diabetes incidence
By John Russell
Indianapolis Star - March 27, 2008

Medicare fraud warning
By Aaron LeClair
Laramine Boomerang - March 27, 2008

Government has health-care answers -- but not a solution
By Peter J. Nelson
Star Tribune - March 26, 2008

Chan sentencing date set
Neurosurgeon pleaded guilty to pair of charges in January
By Warren Watkins
Searcy Daily Citizen - March 26, 2008

Medicare Advantage Plans Leave Clients With Few Choices
By Kurt Madar
Curry Coastal Pilot - March 26, 2008

Reform sought to increase medical oversight
Critics say the state isn't doing enough to discipline doctors
By Tim Carpenter
Topeka Capital Journal - March 26, 2008

What Are the Top 10 Compliance Challenges for Hospitals?
By Nina Youngstrom
Atlantic Information Services, Inc. - March 26, 2008

The Role of Business Intelligence in Managing Compliance
By Shawn Edney, Greg Nelson
B-EYE-Network - March 25, 2008

Task force strikes hard at Medicare scams
A joint strike force makes gains against rampant Medicare fraud in Florida
By Bill Frogameni
Christian Science Monitor - March 25, 2008

U.S. government examining doctor kickbacks for medical devices
By Barnaby J. Feder
International Herald Tribune - March 24, 2008

Miami DME Owner Pleads Guilty To Medicare Fraud
Media Newswire - March 24, 2008

YNHH settles in Medicare-fraud case
By Thomas Kaplan
Yale Daily News - March 24, 2008

CVS To Pay Md. $830K Under Settlement for Improper Medicaid Billing
Southern Maryland Online - March 23, 2008

Dennis Quaid's Misdiagnosis
By Alison Rose Levy
Huffington Post - March 22, 2008

Access Denied
By Jim Boyle
ADVANCE - March 22, 2008

New Focus of Inquiry Into Bribes: Doctors
By Barnaby J. Feder
New York Times - March 22, 2008

Sales tactics can put seniors at disadvantage
By Andy Miller
Atlanta Journal Constitution - March 22, 2008

Criminal Charges Could Void Victim Awards in Hep C Lawsuits
By Jane Akre
Injury Board - March 21, 2008

CVS agrees to $36.7 million fraud settlement
By Ameet Sachdev
Chicago Tribune - March 21, 2008

Medicaid fraud victimizes public, state, experts say
By Diane Ivey
MLive.com - March 21, 2008

UCSF Among 11 Hospitals Assessed Administrative Penalties
UCSF Today - March 20, 2008

North Wildwood doctor pleads not guilty to drug, insurance fraud charges
By Trudi Gilfillian
Press of Atlantic City - March 20, 2008

$1.1 Million Judgment Entered Against Cleveland Psychiatrist On TennCare Fraud
The Chattanoogan - March 20, 2008

Doc accused of billing for the dead
By Jeff Lipton
East Meadow Herald - March 20, 2008

Boynton doctor, wife accused in trial of allegedly making millions in fraud
By Sally Apgar
South Florida Sun-Sentinel - March 20, 2008

ACHE has problem securing insurance
By Nathaniel Lukefahr
Brazosport Facts - March 20, 2008

Site visits reveal noncompliance with DMEPOS supplier standards
CCH - March 20, 2008

CVS/Caremark Corp. settles with TennCare
Nashville Business Journal - March 19, 2008

Attorney General, Chief State's Attorney, DSS Announce CVS To Pay State $769,000 For Alleged Medicaid Fraud
Media Newswire - March 19, 2008

Florida Woman Faces Death Unless Hospital Reimburses Illegal Medicare Charges
PR Web - March 19, 2008

Maryland Attorney General: Attorney General Gansler Announces Settlement with National Retail Pharmacy CVS/Caremark to Pay More Than $800,000 to Maryland's Medicaid Program
Insurance News Net - March 19, 2008

Kentucky Attorney General Announces Medicaid Fraud Settlement With CVS Pharmacy
All American Patriots - March 18, 2008

Attorney General Corbett Announces $36.7 Million Multi-State Settlement With CVS/Caremark in National Dosage-Switching Investigation
Earthtimes - March 18, 2008

Nevada Clinic's Unsafe Practices Lead to 6 Confirmed Hepatitis C Cases
By Jo Hartley
Natural News - March 18, 2008

Former Health Care Clinic CEO Sentenced To 30 Months In Federal Prison For Health Care Fraud
Media Newswire - March 18, 2008

CVS Caremark to pay $37M to settle Medicaid fraud claims
By Ashley M. Heher
USA Today - March 18, 2008

Tampa Company Defrauded Medicaid $41K
North Country Gazette - March 17, 2008

Prying In Britney Spears' Medical Records May Cost Employees' Jobs
By K.C. Jones
Information Week - March 17, 2008

YNHH Pays $3.8 Million to Settle Medicare Case
By BNH
Connecticut Business News Journal - March 17, 2008

Court dismisses King's complaint
Physician accused Putnam General of filing false claims
By Paul J. Nyden
Charleston Gazette - March 17, 2008

Physicians can become entangled in DME fraud
Federal investigators are cracking down on Medicare supply schemes
By David Glendinning
American Medical News - March 17, 2008

Pharmacist Accused Of $3.2 Million Fraud Scam
Pharmacist disputes auditor’s assertion about discrepancies that points to six-year swindle
By Alex Wood
Hartford Business - March 17, 2008

Dabash attorney barred from using FOIA
By Bruce Rushton
Macomb Daily Journal - March 16, 2008

Surprise man indicted in Medicare wheelchair ruse
By Elias C. Arnold
The Arizona Republic - March 16, 2008

State needs a False Claims Act
By Sidney Rocke
Annapolis Capital - March 16, 2008

Voices of reason for crisis
By David McGrath Schwartz
Las Vegas Sun - March 16, 2008

Guess says Bamberg hospital needs new leader; Hammett sees no bad management
By Dionne Gleaton
The Times and Democrat - March 16, 2008

Healthcare practitioners with drug problems hidden by the system
By John Dorschner and Patrick Danner
Miami Herald - March 16, 2008

Grand jury: Colo. Springs Dr. involved in Medicare fraud
By Associate Press
Summit Daily News - March 15, 2008

UCLA workers snooped in Spears' medical records
By Charles Ornstein
Los Angeles Times - March 15, 2008

We Care settles with state
Tampa Bay Business Journal - March 14, 2008

Tampa Company Settles Medicaid Fraud Case
Tampa Tribune - March 14, 2008

Clinic doctor accused of Medicare fraud
By Brian Newsome
Colorado Springs Gazette - March 14, 2008

Nurses, healthcare advocates rally to protest service cuts
By John Han
Fog City Journal - March 14, 2008

East Meadow doctor charged in $30G Medicaid fraud
By Gary Huffenberger
Newsday - March 14, 2008

Pharmacist faces federal fraud charges
By Gary Huffenberger
Wilmington News Journal - March 14, 2008

Jericho Doctor Arrested For Billing The Dead
North Country Gazette - March 13, 2008

House kills medical privacy bill
By Bob Sanders
New Hampshire Business Review - March 13, 2008

Audit: Area firm owes state about $500,000
Ironton Tribune - March 13, 2008

Yank His License
TriCities.com - March 13, 2008

Bad management plagues Bamberg hospital
By Clair Guess
Orangeburg Times Democrat - March 12, 2008

DA: Phony Medical Mill Bilked Insurance Firms
North Country Gazette - March 12, 2008

Appleton, Green Bay surgeon named in 87-count fraud indictment
By John Lee
Appleton Post Crescent - March 12, 2008

Not so saintly Medicare fraud
By Joel Hesch
World Net Daily - March 12, 2008

Hospitals nationwide sue to stop cuts in Medicaid
New regulations would cost $11 million annually
By Suzanne Bohan
San Mateo County Times - March 12, 2008

Maryland Husband and Wife Convicted of Defrauding State Medicaid Program of $900,000
All American Patriots - March 12, 2008

Law Suit Aims to to Expose Planned Parenthood's 'Extensive, Organized Fraud'
By Michael Baggot
Catholic Online - March 12, 2008

Federal Jury Convicts Former Nursing Home Executive
PressZoom - March 12, 2008

Six medical offices raided in probe into hepatitis C outbreak
By Brian Haynes
Las Vegas Review - March 11, 2008

State lays out fraud case against Manchester druggist
By Alex Wood
Journal Inquirer - March 11, 2008

60 Minutes and a Guilty Verdict for $34 Million Tax Fraud! Stephen Michael Ewing Facing Prison
By Chuck Gallagher
News Release Wire - March 11, 2008

Sunset passes retest from state health dept., has new administrator
By John La Porte
Fort Morgan Times - March 11, 2008

Audits of drug programs for healthcare providers sought
End of confidential diversion for doctors spotlights procedures for others in medicine
By Charles Ornstein
Los Angeles Times - March 11, 2008

Hispanics get worse medical care
By John Dorschner
Miami Herald - March 11, 2008

Medicare Fraud Organizer Sentenced To 19 Years In $7,000,000 Fraud And Money Laundering Scheme
Media Newswire - March 11, 2008

Former WCMH surgeons under fire
By Katie Duffey
Monticello Herald Journal - March 10, 2008

2 minutes on....Data breach law expands
By Jim Carr
SC Magazine US - March 10, 2008

Former Clermont County Coroner Sentenced For Role In Operation Of Southern Ohio 'Pain Clinics'
Media Newswire - March 10, 2008

Tehachapi Valley Healthcare District complaints addressed
By Ed Gordon
Tehachapi News - March 10, 2008

Medical board stronger, but is it up to task?
Critics say past leniency makes them wonder about clinic case
By Steve Kanigher
Las Vegas Sun - March 9, 2008

Dempsey Hospital Slammed For Patient Suicide
Health department fines hospital, cites numerous patient safety, supervision violations
By Mary Johnson
Hartford Business - March 9, 2008

Doctor surrenders licence
Calcutta Telegraph - March 8, 2008

New program focuses on health-care fraud
Pensacola News Journal - March 8, 2008

Amid allegations of Medicare fraud, Y-NH settles for $3.7 million
Fine marks second this year for embattled hospital
By Thomas Kaplan
Yale Daily News - March 8, 2008

More Nevada Surgery Clinics to Be Cited
By Kathleen Hennessey
The Associated Press - March 7, 2008

Medical Biller Pleads Guilty In Laboratory Scam - US Attorney
Lawfuel - March 7, 2008

Miami Jury Convicts Physician and Three Business Owners of Medicare Fraud
Earthtimes - March 7, 2008

Senior group spreads word on fraud scams
By Drew Andersen
Waterloo Cedar Falls Courier - March 7, 2008

Stephen Michael Ewing Has Day In Court Over Massive Payroll Tax Fraud Nursing Home Scheme
By Chuck Gallagher
News Release Wire- March 7, 2008

FBI, IRS launch Medicare fraud investigations
Former clinic doctor says unnecessary biopsies were done
By Paul Harasim and Steve Tetreault
Las Vegas Review - Journal - March 7, 2008

Congress should stop pandering to health data miners
By Deborah C. Peel
Government Health IT - March 6, 2008

Hospital donor files compromised
Data breach at Cascade Healthcare may affect more than 11,500 people
By Markian Hawryluk and Betsy Q. Cliff
Bend Bulletin - March 6, 2008

With every step, clinic's boss fails to demonstrate professionalism
By John L. Smith
Nevada Appeal - March 6, 2008

Jury deliberates in fraud case involving dentist
Richmond Times Dispatch - March 6, 2008

Deputies: Office Manager Took Thousands From Boss
By Lisa A. Davis
Tampa Tribune - March 6, 2008

Steneker exonerated from medical board charges
By Leslie Brown
Vashon-Maury Island Beachcomber - March 5, 2008

New Jersey Healthcare Consulting Firm to Pay U.S. $2.875 Million to Resolve Allegations of Medicare Fraud
US Department of Justice - March 5, 2008

Cathedral network to pay $5.3M to settle Medicare fraud charges
By Ted Sherman
The Star-Ledger - March 5, 2008

Wichita Woman Indicted In Medicaid Fraud Case
KAKE - March 5, 2008

Medicare dollars and sense
Toledo Blade - March 5, 2008

Lomita nurse pleads guilty to fraud
Daily Breeze - March 4, 2008

Cathedral Healthcare System to Pay U.S. $5.3 Million to Resolve Allegations Involving Inflated Charges to Obtain Higher Medicare Reimbursement
US Department of Justice - March 4, 2008

Bay State Senate bill would mandate electronic health records
Mass High Tech - March 4, 2008

Potentially Deadly Medical ID Theft
WSFA - March 4, 2008

Two arrested for chemical dependency treatments not rendered: Medicaid fraud suspected
By Attorney General Gregg Abbott
East Texas Review - March 4, 2008

Defense opens its case with experts' testimony
Information on computers' hard drives may have been lost, jurors hear
By Jodi Andes
Columbus Dispatch - March 4, 2008

Sugar Land Man Busted, Accused Of Major Medicare Fraud Via Wheelchair Scam
By Bob Dunn
FortBendNow - March 4, 2008

Former Findlay businessman given maximum at resentencing
By Erica Blake
Toledo Blade - March 4, 2008

NY Attorney General investigates health insurers' fraud scheme
CCH - March 4, 2008

Enforcement Agencies May Soon Look at Hospitals for Improper Financial Relationships With Device Manufacturers
Atlantic Information Services, Inc. - March 4, 2008

Mass. lawmakers file bill to reduce health costs through incentives and regulatory pressure
Boston Business Journal - March 3, 2008

Audit finds Medicare violations in LA County that suggest fraud
By Associated Press
San Francisco Chronicle - March 3, 2008

Two Cardiologists Admit $840,000 Embezzlement from UMDNJ
Media Newswire - March 3, 2008

Oregon Attorney General Settles Drug Pricing Case With Aventis Pharmaceuticals
All American Patriots - March 3, 2008

Medicare fraud cited in Los Angeles County
By Molly Hennessy-Fiske
Los Angeles Times - March 3, 2008

Medical identity theft is often an 'inside job'
By Beth Wilson
American Medical News - March 3, 2008

Doctors Billing For Medical Malpractice
By Brooks Schuelke
Injury Board - March 2, 2008

Medicare records to face auditors
Northwest Herald - March 2, 2008

Audits Sting Hospitals, Physicians
By Kevin Freking
The Associated Press - March 1, 2008

2 get prison terms in ID theft from clinic patients
More indictments likely in fraud case, federal agent says
By Cindy George
Houston Chronicle - March 1, 2008

Task force discusses Medicaid cost, issues
By Kim Dunne
Herkimer Evening Telegram - February 29, 2008

Editorial: Prison overseer betrayed public trust by overspending
Mercury News Editorial
San Jose Mercury News - February 29, 2008

Health care organizations see cyberattacks as growing threat
By Ellen Messmer
InfoWorld - February 28, 2008

Brown Announces Sixteen Arrests In $2 Million Medi-Cal Pregnancy Fraud
California Chronicle - February 28, 2008

O.C. psychiatrist suspended for Medi-Cal overbilling
Dr. John Rajaratnam denies false billing allegations
By Courtney Perkes
OCRegister - February 28, 2008

Assembly members discuss Medicaid fraud
By Elizabeth Cooper
Utica Observer Dispatch - February 28, 2008

Former Nursing Home Executive/Lawyer Pleads Guilty to Conspiracy and Tax Evasion Charges
PRNewswire - February 28, 2008

State audit accuses ex-prison executive of double-billing
By Edwin Garcia
San Jose Mercury News - February 28, 2008

Ex-prison healthcare receiver's staff was well paid
By Tim Reiterman
Los Angeles Times - February 28, 2008

5 arrested in Medi-Cal fraud raid
An L.A. clinic allegedly recruited pregnant women for bogus services
By Molly Hennessy-Fiske and Ari B. Bloomekatz
Los Angeles Times - February 28, 2008

U.S. joins surgeon's suit against hospital accused of fraud
By John Monk
The State - February 28, 2008

Are Healthcare Organizations Under Cyberattack?
By Ellen Messmer
PC World - February 27, 2008

Hospital Merger Slow But Still On Track
By Bob White
Kentucky Post - February 27, 2008

Thomson Healthcare Selected by Centers for Medicare & Medicaid Services to Help Detect Medicaid Overpayments
Trading Markets - February 27, 2008

Workers' Compensation Cheaters Hurt Legitimate Claimants
By Brent Adams
InjuryBoard.com - February 26, 2008

A life preserver for Medicare
By Donna Arduin
San Francisco Chronicle - February 26, 2008

State seeking $4.2 million in Medicaid funds from mental health providers in Gaston, Cleveland and Lincoln counties
By Daniel Jackson
Gaston Gazette - February 26, 2008

Missouri City Woman, Partner Busted In $376,000 Medicaid Billing Scam
By Bob Dunn
FortBendNow - February 26, 2008

US Attorney Reports Organizer Guilty Of Medicare Fraud & Money Laundering
Lawfuel - February 26, 2008

Anthem to stop paying for errors
The insurer will no longer pay for preventable mistakes
By Christina Rogers
Roanoke Times - February 26, 2008

AstraZeneca Ordered to Pay $215 Million in Medicaid Fraud Suit
By Bob Johnson
Law.com - February 25, 2008

State report: AHCA falls short in fighting Medicaid fraud
By Margie Manning
Tampa Bay Business Journal - February 25, 2008

At First Sight
By Lynn Jusinski
ADVANCE - February 25, 2008

How a doctor’s visit can be harmful, not healthy
By Maria Tomasch
ABC15.com - February 25, 2008

Medicare Advantage sales tactics draw fire as Senate panel investigates
By Doug Trapp
American Medical News - February 25, 2008

Dublin Doctor Who Defrauded Medicaid And Medicare Pleads Guilty To Health Care Fraud
Rockbridge Weekly - February 24, 2008

Deral Charges Brought Against Virginia Health Care Corporation And Its Two Owners For Over $14 Million In Medicaid Fraud
Media Newswire - February 24, 2008

Freehold man, father are indicted in health care fraud
By Charles Webster IV
Asbury Park Press - February 23, 2008

5 charged in $10M Medicare fraud case
Livonia clinic 1 of 6 in Detroit area that FBI ties to billing scheme
By Paul Egan
DetNews.com - February 23, 2008

New River Valley pain doctor admits fraudulent Medicare and Medicaid claims
By Mike Allen
Roanoke Times - February 23, 2008

Woman indicted over billing claims
Richmond Times Dispatch - February 23, 2008

Updated: Pulaski County doctor pleads guilty to health-care fraud
By John E. Lichtenstein
WDBJ7.com - February 22, 2008

Feds need your help fighting rampant Medicare fraud
By James Kirley
TCPalm - February 22, 2008

UPDATE: AstraZeneca To Appeal $215 Million in Alabama Fraud Suit
CNN Money - February 22, 2008

LPN’s death raises questions about Helia nursing home
by Dean Olsen
Journal Register - February 22, 2008

Trial set for trio accused of insurance fraud, money laundering
The Bakersfield Californian - February 22, 2008

Fraud rampant in health network
By Michael Neibauer
The Examiner - February 21, 2008

Records System Suit or Nonpayment Dispute?
By Linda Gross
ADVANCE - February 21, 2008

Wrangling Over 'Reasonable' Fees
By Chad Terhune
BusinessWeek - February 21, 2008

Family members charged with insurance fraud
KGET - February 21, 2008

Whistleblower Wins Suit Over Medical Billing Fraud
by Tony Shin - February 21, 2008

Caritas St. Elizabeth's Medical Center Enhances Patient Safety Initiatives With Perioperative Technology From DocuSys
PR Newswire - February 21, 2008

Jury in Medicaid pharmaceutical fraud trial finds in favor of Alabama
By Dana Beyerle
Tuscaloosa News - February 21, 2008

Doctor, wife accused of Medicaid fraud
Russian immigrants got $14 million since 2002, federal indictment says
By Frank Green
Richmond Times Dispatch - February 21, 2008

Christ Hospital leaves alliance
Departure from Health Alliance will cost millions, at first
by Cliff Peale
The Enquirer - February 21, 2008

Testimony indicates credit balances disappeared from files in dentist fraud trial
by Daniel Gilbert
Tricities - February 21, 2008

Fraud trial begins for Pennington Gap dentist
By the Associated Press
Daily Press - February 20, 2008

Medical ID Theft Could Be Fatal For Victims
nbc5i - February 20, 2008

Martinez bill doubles penalties for Medicare fraud
by JAY WEAVER
Miami Herald - February 20, 2008

Medicaid provider charged with fraud
WAVY-tv - February 20, 2008

Health Care Fraud in North Carolina
By teresa_92417
BlueNC - February 20, 2008

I-Team: Conspiracy, Fraud Trial of Lawyer Underway
By George Knapp
Las Vegas Now - February 20, 2008

United States: CMS Proposes New Standards For Suppliers Of Durable Medical Equipment, Prosthetics, Orthotics, And Supplies
by Elizabeth Elson, Judith Waltz, Lena Robins, Maria E. Gonzalez Knavel and Katherine Siddon O'Brien
Foley & Lardner LLP - February 20, 2008

Ambulances as vehicles for fraud
By Joel Hesch
WorldNetDaily - February 20, 2008

Trial begins for dentist accused of racketeering
By D. Gilbert
Tricities.com - February 20, 2008

Personal Health Records Can Imperil Privacy - Report
By Victoria E. Knight
CNN Money - February 20, 2008

I-Team: Conspiracy, Fraud Trial of Lawyer Underway
By George Knapp
KLAS-TV - February 20, 2008

Qui Tam Whistleblowers Awarded $140 Million Under False Claims Act in Medicare and Medicaid Fraud Cases in FY 2006
By Finch McCranie, LLP
Whistleblower Lawyer Blog - February 19, 2008

Sen. Mel Martinez wants to double Medicare fraud penalties
By JAY WEAVER
Miami Herald - February 19, 2008

Healthcare Slow to Respond to Denial Engine Threat Says Healthcare IT Transition Group
PR Leap - February 17, 2008

Sweet sound of settlement
By Ameet Sachdev
Chicago Tribune - February 17, 2008

Barre man takes on scammers
By Mel Huff
Barre Montpelier Times Argus - February 16, 2008

Theft case dismissed against therapist
By Tillie Fong
Rocky Mountain News - February 16, 2008

Plastic surgeon gets probation, fine
By Robert Patrick
STL Today - February 16, 2008

Senator Martinez targets Medicare fraud
Tampa Bay's 10 - February 15, 2008

Universal Healthcare Is a Fraud
By Chris Rice
OpEdNews - February 15, 2008

Former Dentist Confesses Criminal Behavior at Kids Clinic
By Jane Flasch
13WHAM-TV - February 15, 2008

Does healthcare fraud tie into organized crime, illegal immigration and ... corporations?
By Ed Dickson
Blogger News Network - February 14, 2008

N.Y. probes insurer's payments
By Jeff May
The Star-Ledger - February 14, 2008

Inquiry Set on Health Care Billing
By Reed Abelson
New York Times - February 14, 2008

Aetna, CIGNA In N.Y. Probe
Out-Of-Network Costs Of 16 Insurers At Issue
By Diane Levick
Hartford Courant - February 14, 2008

Rate scam bilks patients
By CATHLEEN F. CROWLEY
Times Union - February 14, 2008

LOCAL WOMAN PLEADS GUILTY TO CONSPIRACY TO DEFRAUD MEDICARE
Media Newswire - February 13, 2008

16 Health Care Insurers Face Investigation For Rigged Billing Case
By Windsor Genova
AHN - February 13, 2008

Fraud made too easy
By Star-Ledger editorial board
The Star-Ledger - February 13, 2008

Congress May Stop Hunt For Medicare Swindlers
By Donna Arduin
Tampa Tribune - February 13, 2008

Psychiatrist Accused Of Putting Price On Prayer
News Channel 5 - February 13, 2008

Identity thief had access to area information
By Daniel Brownstein
Beaufort Gazette - February 13, 2008

Insurer sues Raleigh clinic, claims fraud
By David Ranii
News & Observer - February 13, 2008

UnitedHealth unit charged with fraud
New York state says alleged practices left consumers shortchanged
By Russ Britt
Market Watch - February 13, 2008

Two NY doctors sentenced for $15B scam
Forbes - February 12, 2008

Hospitalists Can Help Reduce Rate of Medically Unnecessary Admissions
Atlantic Information Services, Inc. - February 12, 2008

2 New York doctors are sentenced in $15 million billing scam
Newsday - February 11, 2008

Redesign of Healthcare Coding Industry Website Provides Medical Coders Better Access to Key CMS Changes
Business Wire - February 11, 2008

Meet Medicare Fraud's Whistleblower
Hospitals Across The Nation Are Sending Medicare Fraudulent Charges
CBS News - February 8, 2008

Surgeons' billing questioned by secret TAC audit
By Richard Baker and Nick McKenzie
The Age - February 8, 2008

LA Times Reveals Horrific New Details about Raided Abortion Clinics
By Thaddeus M. Baklinski
Lifesite - February 8, 2008

Malpractice lawyers helped indict Kansas doctor
By Roxana Hageman
Hays Daily News - February 6, 2008

Ex-con held in health fraud case
By Jason Kandel
Los Angeles Daily News - February 6, 2008

Bad Boys, Bad Boys: Glendale Traffic Stop Yields Man Wanted by FBI for Health Care Fraud
By Lindsay William-Ross
LAist - February 6, 2008

Pediatrix Medical Group, Inc. Q4 2007 Earnings Call Transcript
Seeking Alpha - February 6, 2008

Pain doctor faces federal charges in Medicare scam
By Jim McElhatton
Washington Times - February 6, 2008

Five MDs overbilled province
Must return $114,000
By Jen Skerritt
Winnipeg Free Press - February 5, 2008

MedAssets Expands Relationship with Valley Medical Center for Cash Flow and Margin Enhancement Initiatives
Trading Markets - February 5, 2008

Adaptis Compliance Officer Earns Advanced Certificate
FOX Business - February 5, 2008

Study: Lack of face-to-face aid impedes Medicaid rolls
By Megha Satyanarayana
Biloxi Sun Herald - February 5, 2008

Allergist regrets part in alleged fraud
No prison for Despot, but judge issues $10,000 fine
By Dean Olsen
Springfield State Journal Register - February 5, 2008

State Sues 79 Drug Companies, Claims Fraud, Overcharging in Medicaid Drug Billing
By Chris Holmes
WSFA - February 5, 2008

East Brunswick Man Admits Defrauding Insurance Companies
Media Newswire - February 4, 2008

Medical audits scarce and ineffective, N.L. review finds
CBC - February 4, 2008

Hospital Sues Correctional Healthcare Company
NewsChannel5.com - February 4, 2008

Newport pair among many struggling to set record straight after ID theft
By Marti Davis
Knoxville News Sentinel - February 3, 2008

Trials in huge fraud case to begin
By Jodi Andes
Columbus Dispatch - February 3, 2008

Editorial: Ready and billing
Hudson should take third-party insurance
The Post Online - February 1, 2008

PacificCare draws record fine for mishandled claims; 8 largest firms face audits
By Keith Darcé
San Diego Union Tribune - January 30, 2008

Stolen computers may hold hospital billing information
By Craig Cassidy
Union Democrat - January 30, 2008

PacifiCare fined record $3.5 million
By Gilbert Chan
Sacramento Bee - January 30, 2008

Florida: Miami Pharmacy Owner Sentenced to 4 Years in Prison for Medicaid Fraud
All American Patriots - January 30, 2008

More Women File Lawsuits Against Dallas' Presbyterian Hospital in Eating Disorders Fraud Case
PR Newswire - January 29, 2008

Ambulance service pays $958,000
The Union Leader - January 29, 2008

Nashua ambulance firm pays nearly $1m for overbilling
By Andrew Wolfe
Nashua Telegraph - January 29, 2008

Zero tolerance scheme on NHS fraud launched
By Robbie Dinwoodie
The Herald - January 28, 2008

St. Luke's files suit against former attorney
Hospital complaint alleges Luciani failed to properly defend it in ongoing litigation
By Nate Poppino
Twin Falls Times-News - January 28, 2008

Citizens updated
LSU officials cite multiple reasons behind Dr. Dennis LaRavia's removal
By John H. Walker
Bogalusa Daily News - January 27, 2008

Restitution, fine ordered in dentist's fraud case
Cherry Hill Courier Post - January 26, 2008

Medical office personnel chart futures at Perry Tech
By James Joyce III
Yakima Herald-Republic - January 26, 2008

Feds Join Cases Against Hospitals
WKTV - January 25, 2008

Whistleblower in fraud case against doctor gets $175K
By Matthew Rink
Massillon Independent - January 25, 2008

Nurse charged in Medicare fraud at clinics
Miami Herald - January 25, 2008

Our view: No silver bullet
Space Coast cities with tax cut jitters shouldn't rush to privatize local services
Florida Today - January 24, 2008

Doctor Accused Of Treating Patients With Weed Killer; Pleads Guilty To Fraud
WSBtv.com - January 24, 2008

14 accused in cash-for-AIDS-drugs scam
By Rick Hepp
NJ Blog - January 24, 2008

Nine Miami Defendants in Strike Force Cases Sentenced for $56.5 Million in Medicare Fraud
US Department of Justice - January 23, 2008

Ohio woman pleads guilty to obstruction in wheelchair case
By Chris Dumond
Lynchburg News and Advance - January 23, 2008

Moorestown woman sentenced for fraud
phillyBurbs.com - January 23, 2008

Ohio's top lawyer asks nonprofit hospitals to justify tax breaks
Akron Beacon Journal - January 22, 2008

Drill & Fill 'Scam'
City Dentists Eyed
By Kenneth Lovett
New York Post - January 22, 2008

Nonprofit hospitals back under microscope
By James Nash
Columbus Dispatch - January 22, 2008

Moorestown dentist sentenced for Medicaid fraud
By South Jersey News Online
NJ Blog - January 22, 2008

FBI says crimes are drawing agents north to Palm Beach County
By Sally Apgar
South Florida Sun-Sentinel - January 21, 2008

Sausalito doctor accused of Medi-Cal fraud
By Richard Halstead
Marin Independent-Journal - January 20, 2008

Disparities in Idaho's mental health
The Associated Press
Idaho Press-Tribune - January 20, 2008

State probes Machias hospital
By Eric Russell
Bangor Daily News - January 19, 2008

Rednam pleads guilty to obstructing health-care fraud investigation
St. Louis Business Journal - January 18, 2008

Medicaid fraud rampant in Dade, state says
By Dominick Tao
Miami Herald - January 18, 2008

State should avoid 'law of unintended consequences'
Legislators need to consider potential ramifications of sales tax on legal services
By Kenneth L. Shigley
Daily Report - January 18, 2008

Physician Financial Relationships, Conflicts of Interest Are Expected to Top List of 2008 Enforcement Targets
Atlantic Information Services, Inc. - January 18, 2008

Audits find $5 million in extra Medicaid payments
Newsday - January 17, 2008

Medicare write-off would be fraud
By Jayne Lemli
Sarasota Herald-Tribune - January 17, 2008

Doctor has detention hearing
By Telegraph-Forum staff
Bucyrus Telegraph Forum - January 16, 2008

Dr. Iskander appears in federal court on health care fraud charges
Mansfield News Journal - January 15, 2008

Resolution of case against physician's company delayed
By Jim Dooley
Honolulu Advertiser - January 15, 2008

Tiwari prescriptions tied to several deaths
Reporter-Times - January 14, 2008

CAGW Denounces Efforts to Scuttle Medicare Provider Audits
Taxpayers Deserve to Reclaim Millions in Improper Payments to Hospitals
Centre Daily Times - January 14, 2008

IT Worker Jailed for Creating Logic Bomb
By Sharon Gaudin
Computerworld - January 14, 2008

Group home CFO lived large off loot
By Stephen Huba
Massillon Independent - January 11, 2008

Glades General pays feds $300,000
By Phil Galewitz
Palm Beach Post - January 10, 2008

Allegations embroil DeSoto health system
By Vickie Welborn
Shreveport Times - January 10, 2008

Medicare auditors zap Boca hospital
By Phil Galewitz
Palm Beach Post - January 9, 2008

Medicare moves to reduce fraud over medical equipment
By Victoria Colliver
San Francisco Chronicle - January 9, 2008

Medicaid Examination
By BDN Staff
Bangor Daily News - January 9, 2008

Man gets 2 1/2 years for computer 'bomb'
60 million drug users could have lost Rx data
By Guy Sterling and Jeff Whelan
NJ.com - January 9, 2008

Massachusetts Attorney General Announces Record Year Of Medicaid Fraud Recoveries In 2007
All American Patriots - January 8, 2008

Feds to enforce tighter restrictions to help prevent Medicare fraud
By Molly Hennessy-Fiske
Los Angeles Times - January 8, 2008

Medco sys admin gets 30 months for planting logic bomb
By Sharon Gaudin
Computerworld - January 8, 2008

Prison pharmacy probe may yield big savings
TheReporter.com - January 4, 2008

State disputing claim of Medicaid overcharges
By Paul Carrier
Kennebec Journal - January 3, 2008

E.M. Health attempts to borrow away debt
By Cecily Burt and G.W. Schulz
Oakland Tribune - January 1, 2008

Four Surgeons to Repay U.S. $2.5 Million
By Don Jacobs
InjuryBoard.com - December 31, 2007

Martinez case has another day in court
By Leah Beth Ward
Yakima Herald-Republic - December 30, 2007

Chiropractor's patients file complaints
By Karen Shideler
Kansas.com - December 30, 2007

Surgeons cut deal in billing fraud case
By Tim Christie
The Register-Guard - December 29, 2007

Chiropractor guilty of fraud given three weeks to transfer practice
By Julie Manganis
The Salem News - December 29, 2007

Stokes sent to prison, restitution to be later
By Ryan Jeltema
Greenville Daily News - December 28, 2007

Audits: NYS Health Plan Overpaid Providers Millions
North Country Gazette - December 28, 2007

Another Chan lawsuit
By Warren Watkins
Searcy Daily Citizen - December 27, 2007

Stokes sentenced to less than maximum
By Chronicle News Service
mlive.com - December 27, 2007

'Recalcitrant' doctor's sentencing is Thursday
By Ryan Jeltema
Greenville Daily News - December 26, 2007

Two men sent to prison for staging a car crash in Lauderdale Lakes...
By Dan Christensen
Miami Herald - December 26, 2007

He faked brain surgery to get insurance money
City worker faces fine and prison term for health care fraud
By Frank Donnelly
Staten Island Advance - December 23, 2007

Hospital whistle blower got cold shoulder from colleagues
By Graig Schneider
Atlanta Journal Constitution - December 22, 2007

Saint Joseph's Hospital of Atlanta to Pay U.S. $26 Million to Settle False Claims Allegations
Earthtimes - December 21, 2007

Three Men Sentenced to Prison in DME Health Care Fraud Scheme
Media Newswire - December 21, 2007

St. Joseph's Settles Lawsuit
WXIA-TV Atlanta - December 21, 2007

Saint Joseph's Hospital of Atlanta Pays $26 Million To Settle False Claims Act Allegations
Department of Justice - December 21, 2007

Two women convicted in health care scam
San Francisco Chronicle - December 20, 2007

3 charged in billing theft
Medical office found abandoned upon TBI investigation into embezzlement
By Matt Rennels
Clarksville Leaf Chronicle - December 20, 2007

Owners & Employee of Newark Home Health Care Agency Charged with Submitting Nearly $1 Million in Fraudulent Medicaid Bills
All American Patriots - December 20, 2007

US Attorney Reports Two DME Owners Sentenced In Separate Health Care Schemes
Lawfuel - December 20, 2007

Red Flags at Arthrocare
By Andrew Left
Seeking Alpha - December 20, 2007

Oxendine announces Medicare scam arrest
Duluth Weekly - December 19, 2007

Anti-fraud campaign has local ties
Jacksonville firms review claims for Medicare, catching bogus bills in a million-dollar racket
By Steve Patterson
Florida Times-Union - December 19, 2007

Medical billing employee charged with embezzling
By Lisa Medendorp
MLive.com - December 18, 2007

N.Wildwood doctor facing charges has license suspended
By Trudi Gilfillian
Press of Atlantic City - December 18, 2007

Orange County to audit pharmacies
Investigation targets abuse of Medicaid
By Chris McKenna
Times Herald-Record - December 17, 2007

US Attorney Reports Three Men Sentenced To Prison In DME Health Care Fraud Scheme
Lawfuel - December 17, 2007

Managing Frauds in Health Insurance
There are still no fool-proof mechanisms to deal with the burning issue of fraudulent claims
By Dr Biswendu Bardhan
Express Healthcare Management - December, 2007

Psychiatrist Billed Medicaid For Patients Never Treated
North Country Gazette - December 17, 2007

Man Sentenced 10 Years, $7M Fine For Health Billing Scam
KNBC.com - December 17, 2007

Stokes could get up to 15-1/2 years
By Pat Shellenbarger
The Grand Rapids Press - December 17, 2007

Mental Health Providers Overbilled Taxpayers $1.3 Million
NewsChannel 9 WSYR - December 17, 2007

Court: Non-radiologists can't refer for in-office imaging
By Amy Lynn Sorrel
American Medical News - December 17, 2007

Santa Monica Doctor Arrested on State Income Tax Evasion
$5.2 million in unreported income for 2002 - 2004
By Judyth Piazza
NewsBlaze - December 16, 2007

Doctors suing Medical Center
By S. Heather Duncan
Macon Telegraph - December 16, 2007

UMDNJ trustees vote to take back the reins
Christie to end monitorship after board declines offer to continue
By Josh Margolin and Ted Sherman
The Star-Ledger - December 14, 2007

Miami-Dade Pediatrician Arrested for Defrauding Medicaid
All American Patriots - December 14, 2007

Niece of Somali leader convicted in HMO billing scam
By Dan Browning
Minneapolis Star Tribune - December 14, 2007

Commissioner Reports Improvements To Legislative Committee
By Dennis Phillips
Jamestown Post Journal - December 13, 2007

Medicare Fraud Strike Force Cases Result in Long Prison Terms for Five Health Care Company Owners
PR Newswire - December 13, 2007

The Department of Veteran Affairs Awards QuadraMed $21.8 Million Contract For HIM And Revenue Cycle Management Technology
Trading Markets - December 12, 2007

Medical board rules against eye doctor
By Dave Gram
Barre Montpelier Times Argus - December 12, 2007

Lawyers OK'd Medicare billing, hospital insists
Warren Hospital has five years to pay $7.5 million settlement
By Tom Quigley
The Express Times - December 12, 2007

How healthy is your medical credit score?
System being designed to help hospitals figure out whether you'll pay them
By Jason Roberson
Dallas Morning News - December 12, 2007

STATE: $5M overpaid for Medicaid work
By Zachary R. Dowdy
Newsday - December 11, 2007

Doctor In 'Rent-A-Patient' Scam Gets Nearly Five Years' Prison
Lawfuel - December 11, 2007

Blatant Medicare fraud costs taxpayers billions
Officials say outrageous fraud schemes are 'off the charts'
By Mark Potter
MSNBC - December 11, 2007

Stolen laptop holds private information
By Elizabeth Wilson
Lake County Record-Bee - December 10, 2007

Legal Alert!
By Lorin E. Patterson
Today's SurgiCenter - December 10, 2007

Officials Warn Of Medicare Fraud
Bentonville Part Of 180 Stop Educational Tour
By James Bowie
Springdale Morning News - December 10, 2007

Medical board disciplines Bastrop, Austin doctors
Two are among 64 physicians discplined by board this week
By Mary Ann Roser
Austin American-Statesman - December 8, 2007

Embattled doctor loses property dispute
By David Saleh Rauf
Herald Zeitung - December 8, 2007

New York Eye Doctor License Suspended by State Health Commissioner
Incompetence, Gross Negligence, and Fraud Presumed
By Jeanne Marie Kerns
Associated Content - December 7, 2007

Local seniors struck hard by Medicare fraud
By Danielle Parker
Pegasus News - December 7, 2007

Houston Man Investigated By Medicaid Fraud Control Unit Receives 15 Years In Prison For Theft
All American Patriots - December 7, 2007

Fraud case against doctor goes to jury
By Leah Beth Ward
Yakima Herald-Republic - December 7, 2007

Boston Dental Corporation Pleads Guilty To Fraudulently Billing Medicaid
All American Patriots - December 6, 2007

Businessman gets 15 years in jail for Medicare fraud
Defendant is accused of stealing around $900,000
Houston Chronicle - December 6, 2007

State: Eye doc performed needless surgeries
By Laura Rivera
Newsday - December 6, 2007

Texas Medical Board Disciplines Doctors
KFDM-TV News - December 6, 2007

Pair found guilty in fraud case face charges of lying
By Erica Blake
Toledo Blade - December 6, 2007

DME Operators Charged In Health Care Fraud And Identity Theft Conspiracy
United States Attorney for Southern District of Florida - December 5, 2007

'InvoiceCHECK' Cuts Prescription Benefit Waste
PR Newswire - December 5, 2007

State: 3 LI health facilities inflated claims
By James Bernstein
Newsday - December 4, 2007

Former Plainview Health Care Clinic CEO Pleads Guilty to Fraud
KCBD-TV - December 4, 2007

The Sentinel Group Signs Summit Administration Services TPA to Receive Its Health Claim Anti-Fraud Services
Market Wire - December 3, 2007

Incarcerated former doctor hit with $1.5 million judgment
By Marie Price
Journal Record - December 3, 2007

Investigative Report: Remade board treads gently
State chiropractors' overseer is light on discipline, big on license leniency
By John Hill
Sacramento Bee - December 2, 2007

Foot doctor appears on fraud charges
West Peoria man charged with bilking Medicare out of more than $270,000
By Andy Kravetz
Peoria Journal Star - December 1, 2007

Hillary's '$50 Billion to Avoid Paying Claims' Is a Claim Debunked
By Tom Blumer
News Busters - December 1, 2007

Newport News chiropractor charged with health care fraud: The U.S. attorney's office says a Newport News chiropractor submitted fraudulent bills
Trading Markets - December 1, 2007

Alva doctor faces civil judgment
Enid News & Eagle - November 30, 2007

North St. Louis County nursing home among the nation's worst
By Mary Jo Feldstein
St. Louis Post-Dispatch - November 30, 2007

Newport News chiropractor charged with health care fraud
By Peter Dujardin
Daily Press - November 30, 2007

Two years of doctor's files found so far
By Pat Shellenbarger
The Grand Rapids Press - November 27, 2007

Taking license with medicine
The Grand Rapids Press - November 26, 2007

Whistle-blower risks job to expose medical fraud
By Shane Hoover
Canton Repository - November 25, 2007

Medicare Continues To Reduce Improper Claims Payment, Coverage
eMaxHealth - November 23, 2007

Doctor seeks to limit evidence at fraud trial
By Richard Burgess
2TheAdvocate - November 23, 2007

Ex-Worker Accused of 8-Year Health Scam
By Associated Press
Chicago Tribune - November 21, 2007

Kentucky Abortion Practitioner Jailed for Alleged Medicaid Fraud
By Steven Ertelt
LifeNews.com - November 21, 2007

Steroid, fraud charges filed
Northeast Richland clinic chief accused of illegal steroid distribution, fraud, money laundering
By Lee Higgins
The State - November 21, 2007

Abortion Doctor Hamid Hussain Sheikh Indicted for Huge Medical Fraud Charges
By Rachel Krech
Associated Content - November 21, 2007

Doctor accused of illegally billing state for abortions
By Roger Alford
Louisville Courier-Journal - November 21, 2007

Feds won't freeze Stokes' assets
MLive.com - November 20, 2007

Government wants to limit Stokes' spending
By Nate Reens
The Grand Rapids Press - November 20, 2007

Doctor charged with falsely billing state for abortions
By Roger Alford
Louisville Courier-Journal - November 20, 2007

Complicated billing makes it hard to shop for health-care
By David Wahlberg
Wisconsin State Journal - November 20, 2007

40 Port Authority Officers Accused Of Health Fraud
Dentist Indicted By Federal Prosecutors
WNBC - November 19, 2007

Attorney General of Maryland: Bell Sentenced for Role in Felony Medicaid Fraud Scheme Company Received More Than $4,000,000 for Services Never Rendered
Insurance News Net - November 19, 2007

Former Florida Health Care Company Owner Sentenced for Medicare Fraud
Lawfuel - November 18, 2007

Deering vindicated by Justice probe
By Terry Organ
Kingman Daily Miner - November 18, 2007

Fresno Man Gets Five-year Prison Term In $600,000 Medicaid Scam
By FortBendNow Staff
FortBendNow - November 16, 2007

Hocking College Trustee Named In Pharmacy Board Complaint
WLWT - November 16, 2007

Fayette Co. facility under investigation
Chillicothe Gazette - November 16, 2007

Some pharmacies cry foul over Medicaid audits
By James Goodman
Rochester Democrat and Chronicle - November 16, 2007

Medicare Continues To Reduce Improper Claims Payments, USA
Medical News Today - November 16, 2007

Woman questions why AnMed charges some more than others
By Carrie Davis
Anderson Independent Mail - November 15, 2007

Medical Overcharges
By Carrie Davis
News Channel 7 - November 15, 2007

FOUR MIAMI HEALTH CARE COMPANY OWNERS SENTENCED TO 57 MONTHS IN PRISON FOR MEDICARE FRAUD
Media Newswire - November 15, 2007

Ambu-Star accused of Medicaid fraud
By Sean P. Flynn
Spartanburg Herald Journal - November 15, 2007

Chiropractor ordered to cough up billing records in class action against Safeco
By Steve Korris
St. Clair Record - November 15, 2007

Stryker, former therapy unit settle Medicare billing case for $16.6M
By Associated Press
Boston Herald - November 15, 2007

How To Use The False Claims Act To Prevent Nursing Home Fraud And Patient Abuse
By Frank Bailey & Sach Oliver
InjuryBoard.com - November 14, 2007

GAO Probe Finds Tax Fraud in Medicaid
By Jane Zhang
Wall Street Journal - November 14, 2007

Former Florida Health Care Company Owner Sentenced to 66 Months in Prison for Medicare Fraud
WebWire - November 14, 2007

Judge turns down Detelich's bid for new trial
By Joe Pinchot
Sharon Herald - November 13, 2007

Three indicted for alleged health care fraud
By Michael Ratcliffe/The Times
NJ Blog - November 13, 2007

Doctor Reopens Clinic After Police Raid
By Demond Fernandez
WOAI - November 12, 2007

Read medical bills closely to avoid overpaying
By Victoria E. Knight
Columbus Dispatch - November 11, 2007

Doctor reopening clinic despite investigation
By David Saleh Rauf
Herald Zeitung - November 11, 2007

Adult Day Care Facilities Owner Admits Defrauding Medicaid of $5.5 Million
Media Newswire

Weir requests to leave county
Man accused of billing fraud wants to see lawyers in Chicago
By Dean Olsen
Springfield State Journal Register - November 10, 2007

Four Miami Health Care Company Owners Sentenced to 57 Months in Prison For Medicare Fraud
PR Newswire - November 9, 2007

Justice Department Recovers $2 Billion for Fraud Against the Government in Fy 2007; More Than $20 Billion Since 1986
Web Wire - November 7, 2007

Former OIG Medicare Fraud Investigator Confesses to Stealing $1 Million From the Government
Atlantic Information Services, Inc. - November 7, 2007

Boston Area Medical Providers Named In Multimillion Dollar Healthcare Fraud Scheme
Insurance News Net - November 6, 2007

Audit: Feds Paid Too Much in Evacuations
The Associated Press - November 4, 2007

Martineau pleads guilty to fraud
By Jim Baron
Pawtucket Times - November 3, 2007

Vineland day-care fraud charged
By Jason Laday
The Bridgeton News - November 3, 2007

Doctor Indicted in Verizon Billing Scam
By Associated Press
Forbes - November 2, 2007

Doctor indicted in Verizon health plan billing scam
Newsday - November 1, 2007

Therapist Sentenced To 90 Days For Medicaid Fraud
KETV.com - October 31, 2007

Physical therapist pleads to fraud scam
His seven-month scheme stole more than $700,000
By Teresa Stepzinski
Florida Times-Union - October 31, 2007

Plastic surgeon pleads guilty in fraud case
By Heather Ratcliffe
St. Louis Post-Dispatch - October 31, 2007

Former physical therapist admits fraud
By Jan Skutch
Savannah Morning News - October 30, 2007

TRICARE's Program Integrity Office Battles Fraud
Blackanthem.com - October 29, 2007

CUOMO VS. MEDICAID FRAUD
New York Post - October 29, 2007

Case management technology could cure some of state's health care ills
Cookeville Herald Citizen - October 27, 2007

Allergist's practice faces fines
Cardinal Respiratory plans to plead guilty to one count of felony health-care fraud
By Dean Olsen
Springfield State Journal Register - October 27, 2007

Medicaid fraud nets therapist probation term
By Marc R. Masferrer
Bradenton Herald - October 26, 2007

Clients Aided Health Fraud, State Alleges
By Sarah Kershaw
New York Times - October 26, 2007

Federal trial resumes for homeopathic doctor
By Jaclyn O'Malley
Reno Gazette Journal - October 23, 2007

National Health Law Group of Ober/Kaler Welcomes Four New Attorneys to Washington Office
Earthtimes - October 22, 2007

Fraud and Florida's multimillion-dollar wheelchair
By Tom Brown
Reuters AlertNet - October 22, 2007

State says lab filed thousands of false Medicaid claims
By Nicole Haley
Daily News Tribune - October 22, 2007

Houston Businessman Pleads Guilty to Medicare Fraud
By Regina Sass
Associated Content - October 18, 2007

Massachusetts AG Charges Boston Clinical with False Claims
Corporate Crime Reporter - October 18, 2007

Indictment: Dentist filed false claims for insurance
By Ramon Bracamontes
El Paso Times - October 18, 2007

Medical board suspends plastic surgeon's license
By Fayetteville Observer Staff
Fayetteville Observer - October 17, 2007

Businessman Admits To Fraud With Motorized Wheelchairs
North Country Gazette - October 17, 2007

Ringleader in Dallas staged-accident conspiracy pleads guilty
By Pegasus News Wire
Pegasus News - October 17, 2007

Three Syracuse nurses arrested for fraud
WSTM-TV - October 17, 2007

Audit: Medical Providers Double Billed State DOH
North Country Gazette - October 16, 2007

Former exec files whistleblower suit against Iasis
By John Cummins
Nashville City Paper - October 16, 2007

TASB Risk Management Fund Selects Jopari Medical EDI Gateway for E-Bill Compliance
Insurance News Net - October 15, 2007

ACHE staff told board of concerns
By Nathaniel Lukefahr
Brazosport Facts - October 14, 2007

Pasco's La Clinica fined for missing deadline
By Michelle Dupler
Mid Columbia Tri City Herald - October 13, 2007

Doctors' homes and offices raided in Anna Nicole Smith case
By Andrew Blankstein and Tim Reiterman
Los Angeles Times - October 13, 2007

State: Nursing home owes $300,000
By Jon Craig
Cincinnati Enquirer - October 11, 2007

Auditor finds billing errors at local nursing home
By James Ritchie
Business Courier of Cincinnati - October 11, 2007

Medical identity theft: the importance of protecting your health records
EurekAlert - October 9, 2007

Former exec files whistleblower suit against Iasis
By John Cummins
Nashville City Paper - October 8, 2007

Five facing charges in body-parts scam
By Kitty Caparella & Julie Shaw
Philadelphia Daily News - October 5, 2007

Allergist's husband allegedly involved in scheme released
By Dean Olsen
Springfield State Journal Register - October 5, 2007

Federal judge grants class-action status for billing suit
The Athens News - October 4, 2007

Podiatrist gets 5 years in fraud
LOST FOREVER: His license to practice podiatry
By Asbury Park Press Staff
Asbury Park Press - October 4, 2007

Charge Queens pair in home health scam
By Tonia N. Cimino
Queens Courier - October 4, 2007

Former bookkeepers face embezzlement charges
By Chris Collins
Baker City Herald - October 3, 2007

SK&A Issues Warning on NPI Data Quality
PharmaLive.com - October 2, 2007

New York AG, DA Charge LI Home Care Agency Operators With Medicaid Fraud, Wide Range Of Financial Crimes
All American Patriots - October 1, 2007

Long Island home care agency boss held in Medicaid fraud probe
Newsday - October 1, 2007

800,000 Job Seekers At Risk In Gap Data Breach
Laptop containing applicant data stolen from contractor
By Martin H. Bosworth
Consumer Affairs - October 1, 2007

Patients misled by bills
Two tell their experiences with allergist's office facing charges
By Dean Olsen
Springfield State Journal Register - September 30, 2007

State audit identifies highly irregular Medicaid billing by dentist
EmpireStateNews.net - September 29, 2007

Allergist pleads guilty to misdemeanor in billing scam
By Dean Olsen
Springfield State Journal Register - September 28, 2007

Mo. Group Home Owner Faces First Charge
By Marcus Kabel
Forbes - September 27, 2007

Despot: Weir blocking money
Allergist's ability to make plea deal called into question
By Dean Olsen
Springfield State Journal Register - September 27, 2007

$1 million bail set for doctor's husband
Authorities fear Weir was planning to flee to Nigeria
By Jayette Bolinski
Springfield State Journal Register - September 25, 2007

Speech pathologist practicing in Coral Springs arrested for false Medicaid claims
By Nicol Jenkins
Boca Raton News - September 25, 2007

Owner of Burned Mo. Group Home Arrested
By Marcus Kabel
The Associated Press - September 24, 2007

Feds look at fraud in area's soaring HIV/AIDS billing
By Larry Lipman
Palm Beach Post - September 22, 2007

Maryland Attorney General: Bell Pleads Guilty to Felony Medicaid Fraud Company Received More Than $4,000,000 for Services Never Rendered
Insurance News Net - September 21, 2007

Witness challenged in massage parlor case
By Michael P. Mayko
Baltimore Sun - September 21, 2007

Howard man pleads guilty in Medicaid fraud
Baltimore Sun - September 21, 2007

Amityville medical provider billing questioned
By Christina Hernandez
Newsday - September 21, 2007

Audit finds abusive, potentially fraudulent billing in state health insurance program
EmpireStateNews.net - September 21, 2007

South Florida bills billions for HIV
By Jim McElhatton
Washington Times - September 21, 2007

Man pleads guilty to felony Medicaid fraud
By Robert J. Terry
Baltimore Business Journal - September 20, 2007

City man in alleged insurance scheme arrested
Rickey Weir may have been trying to flee to Africa
By Amanda Reavy
Springfield State Journal Register - September 20, 2007

Report: Medicare overbilling rampant in South Florida HIV claims
By Brian Bandell
South Florida Business Journal - September 19, 2007

Minnesota is first state with policy to stop billing after medical errors
By Maura Lerner
Minneapolis Star Tribune - September 18, 2007

Guilty plea by hearing aid center owner
Newsday - September 18, 2007

Nursing school data theft latest at U-M
Thousands of patients' records at risk
By Dave Gershman
The Ann Arbor News - September 14, 2007

Feds Fight Infusion Therapy Fraud
By Barbara Kram
DOTmed.com - September 13, 2007

Tapes containing patient records stolen from U-M
By Dave Gershman
The Ann Arbor News - September 13, 2007

Investigators seize psychiatrist's billing records
By Dan Horn
Cincinnati Enquirer - September 13, 2007

NY: AG seeks home health aide registry
BusinessWeek - September 12, 2007

Doctor's Offices Raided By State Investigators
Investigation Involves Billing Practices
WLWT - September 12, 2007

Doctor's husband faces felonies
Charges include health-care, mail fraud
By Dean Olsen
State Journal-Register - September 12, 2007

Jamestown dentist charged with Tenncare fraud
By Knoxville Sentinel staff
Knoxville News Sentinel - September 11, 2007

Thieves stealing health care
By Jo Ciavaglia
phillyBurbs.com - September 10, 2007

Cardiologists accused of wrongly pumping money
Pueblo Business Journal - September 7, 2007

Edgecombe to repay state for Medicaid billing errors
By Zach Ahmad
Rocky Mount Telegram - September 7, 2007

Social worker arraigned
Woman faces health fraud charge after allegedly billing Medicare 50 hours a day for psychotherapy sessions
By Paul Egan
The Detroit News - September 6, 2007

Excellus BlueCross BlueShield Tackles Health Insurance Claim Fraud, Waste and Abuse With New Service From IBM
CNN Money - September 6, 2007

Accusation of ID Theft by File-Sharing
By Gene Johnson
The Associated Press - September 6, 2007

AG: Speech Pathologist Stole From Medicaid
North Country Gazette - September 5, 2007

Tullahoma man gets nine months for impersonating a doctor
By Christian Bottorff
The Tennessean - September 5, 2007

Utah doctor can pursue libel case against state over fraud claims
Physicians and legal experts say the decision might make investigators think twice before unfairly targeting doctors. The state says it's an isolated case.
By Amy Lynn Sorrel
American Medical News - September 3, 2007

Owner And Operator Of Florida Durable Medical Equipment Company Convicted Of Medicare Fraud
WebWire - September 3, 2007

Patel's attorneys: Seating jury a challenge
By Richard Burgess
2TheAdvocate - September 1, 2007

Court upholds fines for firm's CEO in Medicare fraud
The government says Thomas Horras used taxpayer money to pay for luxuries
By Clark Kauffman
DesMoinesRegister.com - September 1, 2007

Owner and Operator of Florida Durable Medical Equipment Company Convicted of Medicare Fraud
Fourth Trial Conviction For Medicare Strike Force Since March
PR Newswire - August 31, 2007

Nurse pleads innocent to lifting prescription drugs
By Patrick McArdle
Rutland Herald - August 31, 2007

Northwest Arkansas seniors warned about insurance scams
By Dustin Tracy
Northwest Arkansas Times - August 30, 2007

Woman who cheated doctors sentenced
Plattsburgh Press Republican - August 30, 2007

Audit lists $10M in overpayments to Medicaid providers
By Jay Gallagher
The Journal News - August 29, 2007

Recovery Provision For Missouri Whistleblowers Provides New Tool In Fight Against Medicaid Fraud
All American Patriots - August 27, 2007

Medicaid investigator fights abuse of system -- and wins
By Thomas Goldsmith
News & Observer - August 26, 2007

Georgia doctors skirting Medicaid reimbursement rules
By Elliot Jaspin
Atlanta Journal Constitution - August 24, 2007

Metro man going to prison for health-care fraud, kickbacks
Atlanta Business Chronicle - August 24, 2007

Former Queen's official indicted
An administrator had hospital funds paid to her, court records say
By Debra Barayuga
Star Bulletin - August 24, 2007

$25.5M at stake in Medicaid audit
Albany County unit is set to scrutinize 23 suspect cases for possible fraud involving payments made to providers
By CAROL DeMARE
Times Union - August 24, 2007

Potomac doctor settles over alleged billing fraud
by Peggy Vaughn
Gazette - August 23, 2007

Dodge County man pleads guilty to health care fraud
By VONDA LEE MORTON
The Courier Herald Online - August 23, 2007

AG issues health-care subpoenas
By Alison Snyder
Long Island Business News - August 23, 2007

Alachua, Florida Medicaid Provider Arrested After $4,400 Theft from Medicaid Program
All American Patriots - August 23, 2007

Four Chemical Dependency Treatment Providers Arrested in Houston on Medicaid Fraud Charges
All American Patriots - August 22, 2007

MARYLAND ATTORNEY GENERAL OFFICE: Attorney General Settles with Medical Group Over Surcharge; Patients to Receive Refunds
Insurance News Net - August 22, 2007

Department Of Health And Human Services And Department Of Justice Fight Infusion Therapy Fraud
Medical News Today - August 22, 2007

Firm Charged With Medicare Fraud
By Catherine Larkin and Aliza Marcus
Washington Post - August 21, 2007

Man Accused Of Medicaid Fraud Arrested Again
By VANESSA DE LA TORRE
Courant - August 21, 2007

Cuomo, Investigating Medicaid Fraud, Issues Subpoenas to 59 Home Care Agencies
By NICHOLAS CONFESSORE
The New York Times - August 21, 2007

Firm Charged With Medicare Fraud
By Catherine Larkin and Aliza Marcus, Bloomberg News
The Washington Post - August 21, 2007

Sugar Land Man, Three Others Busted In Drug Counseling Medicaid Scam
by Bob Dunn
Fort Bend Now - August 21, 2007

Billing Company Owner Charged with Conspiring to Defraud Medicare of $170 Million
Associated Content - August 21, 2007

Feds announce $105M bust in Medicare fraud
Federal officials announced their biggest bust ever in infusion therapy fraud and vowed a crackdown in South Florida
BY JOHN DORSCHNER
Miami Herald - August 21, 2007

Strike Force Charges Miami Infusion Clinic Billing Company Owner With Conspiring to Defraud Medicare of $170 Million
USDOJ - August 20, 2007

Bureau probes fraud claims
by Carol Harrison
The Eureka Reporter - August 20, 2007

HEALTH-AIDE SCAM
PROBE TARGETS $100M MEDICAID FRAUD
By KENNETH LOVETT
New York Post - August 20, 2007

Judge rules criminal fraud case against Idaho doctor is frivolous
A federal judge found the government's case to be without merit. The Nevada U.S. Attorney's Office is pursuing an appeal
By Amy Lynn Sorrel
American Medical News - August 20, 2007

Identity thieves go medical
Medical identity theft can affect your credit report and discredit your health records. Officials don't know how rampant the problem is, but they advise people to guard health information closely
By DAN BEEKMAN
The News Tribune - August 19, 2007

Former Boaz physician gets prison time
By Jan McDaniel
The Sand Mountain Reporter - August 18, 2007

Eleven face insurance fraud charges
BY BEATRICE E. GARCIA
MiamiHerald.com - August 18, 2007

Psychologist guilty of fraud
By Barbara Ramirez
Caller Times - August 18, 2007

Rooting out Medicare fraud could lead to cuts
Saul Friedman
News Day - August 18, 2007

Indian River County, Florida Care Provider Arrested for Medicaid Fraud
allamericanpatriots - August 17, 2007

Hammond health firm to settle in billing allegation
2theadvocate - August 14, 2007

Medicare Fraud Lawsuit Could Cost Iasis Millions
Phillips & Cohen LLP - August 13, 2007

Hudson doc sentenced in insurance scam
by Rick Hepp
The Star-Ledger - August 10, 2007

Lab records sent to wrong patients
JoNel Aleccia
Spokesman Review - August 9, 2007

Connectivity, Privacy, and Liability
What can medical professionals and hospitals do to manage the liability risks for data breaches resulting from interconnectivity?
by Alan S. Wernick
b-eye-network - August 8, 2007

Mom of 15 avoids jail in fraud case
BY CHRISENA COLEMAN
New York Daily News - August 8, 2007

Scam Alert: 'Rent-a-patient' scam targets immigrants, well-insured workers
By Nora J. Carpenter
Idaho Statesman - August 8, 2007

Houston Doctor Sentenced to Prison for Fraud
My Fox Houston - August 6, 2007

New York Attorney General Announces Recovery Of Approximately $7 Million From Managed Care Providers
New York Attorney General - August 6, 2007

Six Southeast Texans indicted for Medicaid fraud
The Port Arthur News - August 3, 2007

New York AG Andrew Cuomo Seeks $8.8 Million from Westchester Medicaid Frauds
Westchester dentist, wife arrested for money laundering in connection with $2.8 million Medicaid fraud
Former Bronx nursing home owner to pay $6 million, spend 2 - 6 years behind bars
allamericanpatriots - August 2, 2007

4 indicted in scheme to bill government for wheelchairs
By JOHN MORITZ
Star-Telegram - August 2, 2007

Provider without actual knowledge of false claims did not violate FCA
CCH - August 2, 2007

Carbondale doc now faces federal fraud charges
A Carbondale doctor arrested Tuesday on neglect and drug-related charges was in court again Wednesday to face federal health insurance fraud charges
BY ERIN L. NISSLEY
Citizens Voice - August 2, 2007

Billing firm Craneware plans £30m AIM flotation
HAMISH RUTHERFORD
Scotsman - August 2, 2007

GORILLABILL.COM HELPS CONSUMERS DIAGNOSE MEDICAL BILLS
GorillaBill - August 1, 2007

Wyckoff Heights Medical Center Chooses Accellion to Safeguard Patient Data
New York Area Hospital Selects Accellion Secure File Transfer Solution to Safely Share Electronic Medical Records Outside its Network while Meeting HIPAA Requirements
Accellion - July 31, 2007

NASSAU COUNTY: Nurse jailed and fined for false medical bills
ALFONSO A. CASTILLO
Newsday - July 31, 2007

Feds indict 4 in scooter-overbilling scam
They are accused of charging millions while delivering cheaper models to patients
Houston Chronicle - July 31, 2007

Cuomo seeks $8.8 million from Westchester Medicaid frauds
Mid-Hudson News - July 31, 2007

Curbside M.D. Launches LookUpNPI.com
New Service for Looking Up National Provider Identifier Numbers As Required by U.S. Health & Human Services Department
Curbside M.D. - July 30, 2007

Kelly, Sloan, and Associates, LLC, Announces the Release of AuditSelf
AuditSelf - July 30, 2007

Personal care providers face state inquiries
By Thomas Goldsmith
The News & Observer - July 27, 2007

Doctor indicted on fraud charges
The Charleston Gazette - July 27, 2007

Health Dept. suspends license of chiropractor
By Felice J. Freyer
The Providence Journal - July 26, 2007

Suit accuses United Healthcare of fraud
It says the company enrolled a woman in a Medicare alternative she didn't want.
By STEPHEN NOHLGREN
St. Petersburg Times - July 25, 2007

Virginia Company Enters Into Deferred Prosecution Agreement & Agrees to Pay $30.5 Million
US DOJ - July 23, 2007

M.D. can file libel suit against state
By Geoffrey Fattah
Deseret Morning News - July 21, 2007

Hospital district chief gets pay boost
David Lopez will have county's No. 1 wage, despite office's troubles
Hospital chief could become county's highest paid worker
By BILL MURPHY
Houston Chronicle - July 20, 2007

Newington therapist allegedly got paid for work he never provided
By FRANCINE MAGLIONE
The Herald - July 20, 2007

Pegasus Technologies Praises CRYPTOCard's Comprehensive Product Suite For Helping Healthcare Organizations Achieve HIPAA Compliance
CRYPTOCard - July 19, 2007

Volume I Issue 2 News About The Medicare Mobility Benefit July 19, 2007
Shift In Strategy: CMS Targets Fraudulent Dealers
MOBILITY TODAY - July 19, 2007

2 charged with fake billing for counseling
By THE ASSOCIATED PRESS
Journal & Courier - July 19, 2007

U.S. Targets Health-Care Fraud, Abuse
New Medicare Task Force Wins 3rd Conviction of 2007
By Carrie Johnson
Washington Post - July 19, 2007

Miami Durable Medical Equipment Company Owner Pleads Guilty to $2 Million Medicare Fraud
USDOJ - July 18, 2007

U.S. Joins Suit Against Renal Care Group Alleging False Billings to Medicare for Home Care Renal Dialysis
USDOJ - July 18, 2007

Miami Jury Convicts Defendant for Defrauding Medicare of Millions of Dollars
Third Trial Conviction for Medicare Strike Force
USDOJ - July 18, 2007

Home care crackdown on the way
Houston is a target in effort to weed out firms committing Medicare fraud
By MELANIE MARKLEY
Houston Chronicle - July 18, 2007

Pharmacy owner convicted of fraud
BY JOHN DORSCHNER
The Miami Herald - July 18, 2007

Pennington Gap, Va., dentist faces new indictment, charging he avoided federal requirements when reporting unneeded dental work on children
BY Debra McCown
Bristol Herald Courier - July 18, 2007

Leavitt Seeks Funding Increase for HHS Fraud Efforts
By Mary Agnes Carey
CQ Budget Tracker - July 18, 2007

Whistleblower Lawsuit Against Hewlett-Packard for Medical Products Fraud Allowed to Proceed — State Court of Appeals Reverses Superior Court Dismissal, Announces Law Firm
Company Knowingly Sold Thousands of Defective Medical Devices and Caused Inflated MediCal Reimbursement Claims, Former Employee Charges
Hewlett-Packard Company - July 17, 2007

D.C. probes Medicaid suppliers
By Jim McElhatton
The Washington Times - July 17, 2007

Renal Care Group faces suit for false Medicare billing
St. Louis Business Journal - July 17, 2007

Fraud of Senior Citizens by Home Health Agencies is Target for Government Initiative
Initial efforts to focus on Greater Los Angeles and Houston areas
Senior Journal - July 17, 2007

Indianapolis Man Pleads Guilty to Falsely Billing Medicaid $60,000
All American Patriots - July 16, 2007

Gaming the system
Incentive schemes often lead to gaming schemes.
Will pay-for-performance programs follow suit?
BY Brian Robinson
Government Health IT - July 16, 2007

EHRs: On the trail of trust
Audit trails track who’s seeing e-health records.
But current tools fall short, and enforcement is spotty.
Can government help restore public confidence?
BY Nancy Ferris
Government Health IT - July 16, 2007

DOCTOR PLEADS GUILTY IN 'RENT-A-PATIENT' SCHEME THAT BILLED INSURANCE COMPANIES FOR UNNECESSARY SURGERIES
FBI - July 12, 2007

Fraud case based on CPT® codes proceeds
CCH® Healthcare - July 12, 2007

Prison ordered in drugs plea
By SUZANNE McLAUGHLIN
The Republican - July 11, 2007

South County Hospital billing information stolen
By Katie Mulvaney
The Providence Journal - July 11, 2007

Postcard message: Wish cash were here
By Tom Lyons
Herald Tribune - July 10, 2007

Judge leaves open the possibility of a new trial for chiropractor
By Joe Pinchot
Herald - July 9, 2007

New Hyde Park woman sentenced to 9 months for drug fraud
BY ERIK GERMAN
Newsday - July 8, 2007

Miami-Dade Couple Arrested for $1 Million Medicaid Fraud
Company falsely billed for durable medical equipment
All American Patriots - July 6, 2007

Couple charged with Medicaid fraud
The Miami Herald- July 6, 2007

Palatka man arrested in Medicaid fraud case
By Lise Fisher
gainesville - July 6, 2007

Medicaid funds to schools at risk
New rules could reduce health service payments for Md.'s low-income, special-education students
By Sara Neufeld
baltimoresun - July 5, 2007

Doctor testifies about 'threats'
Dallas: Demotion not retaliation for concerns, UT Southwestern says
By KIM BREEN
The Dallas Morning News - July 4, 2007

Court ruling finds CPT® coding requirements are clear
CCH - July 4, 2007

Jury orders Health Care District of Palm Beach County to pay $692,400 for defamation
By Missy Diaz
South Florida Sun-Sentinel - July 4, 2007

US Government Clamps Down On Fraudulent Medical Equipment Suppliers
By Catharine Paddock
Medical News Today - July 3, 2007

Council for Quality Respiratory Care Statement on Fraud & Abuse
CQRC - July 3, 2007

Two Doctors Guilty of Medicaid Fraud
By Evan Barton
Brooklyn Daily Eagle - July 3, 2007

CRMC integrity agreement posted on Web
By Lori Glenn
The Multrie Observer - July 3, 2007

Areas Eyed in Medicare Probe
Equipment Vendors in Florida, Los Angeles Targeted
By Aliza Marcus
The Washington Post - July 3, 2007

HHS Fights Durable Medical Equipment Fraud
HHS - July 2, 2007

Medicare Fraud Strike Force Convicts Owner of Miami Durable Medical Equipment Company of Defrauding Medicare
USDOJ - July 2, 2007

South Floridians increasingly victimized by medical identity theft
By Ian Katz
South Florida Sun-Sentinel - July 2, 2007

Did You Hear the One About the Rolls Royce and the Closet?
By Larry Lipman
Statesman - July 2, 2007

Medicare Fraud Rampant in LA, Miami
By KEVIN FREKING
Forbes - July 2, 2007

American Association for Homecare Supports Overdue Efforts to Crack Down on Medicare Fraud and Calls on Congress for More Effective Measures
American Association for Homecare - July 2, 2007

Some Medicare suppliers to have to reapply each year
msn money - July 2, 2007

Program to target Medicare fraud
The 2-year U.S. effort will focus on fake billings or overcharges by medical equipment suppliers in the L.A. area and in south Florida
By Claudia Lauer and Jack Leonard
Los Angeles Times - July 2, 2007

MEDICAID FRAUD'S BITE
New York Post - July 1, 2007

Report Criticizes VA Data Security
By BEN EVANS
Guardian Unlimited - June 29, 2007

Up to 100,000 patients could receive refunds
By Keith Darcé
UNION-TRIBUNE - June 29, 2007

‘Sicko’ is a brilliant diagnosis of the U.S. health care system
By ROBERT W. BUTLER
The Kansas City Star - June 28, 2007

Medicare Fraud Strike Force Convicts Owner of Miami Durable Medical Equipment Company Of Defrauding Medicare
earthtimes - June 28, 2007

Hatboro nursing site accused by U.S. Attorney’s office
By Jeremy Rogoff
The Philadelphia Inquirer - June 28, 2007

New York Attorney General Cuomo's Medicaid Fraud Control Unit Takes Action Against Brooklyn Physician
One pleads guilty after prescribing drugs to phantom patient
Another sentenced for attempting to allow unlicensed individuals to practice medicine
All American Patriots - June 27, 2007

County To Vote On Medicaid Specialist Candidate Tonight
By DENNIS PHILLIPS
The Post Journal - June 27, 2007

Belleville psychiatrist billed government for 40-hour day
By Robert Patrick
ST. LOUIS POST-DISPATCH - June 27, 2007

Chiropractor's bond set at $1 million
By Jon Murray
IndyStar - June 27, 2007

Court rejects suit alleging St. Barnabas overbill plot
BY TED SHERMAN
The Star-Ledger - June 27, 2007

Chiropractor and Attorney Charged in Insurance Scheme
By Marlee Ginter
WISHTV8 - June 26, 2007

Confusion, Problems Are Resulting From HIPAA Minimum Necessary Standard
AIShealth - June 26, 2007

Concuity Announces the Availability of EOB PRO for Healthcare Providers
Concuity - June 26, 2007

SOA: Next Step in Healthcare Systems Evolution
By Michael Bridges
Health Management Technology - June 26, 2007

DENTAL PROBES
AGENCIES EYE SERIAL-DRILLING MEDICAID DOC
By KENNETH LOVETT, ALEX GINSBERG and ANDY GELLER
New York Post - June 26, 2007

D.D.S. IS 'FILL' OF IT: AUDIT
52-CAVITY CASH CLAIM
By KENNETH LOVETT
Yew York Post - June 25, 2007

Provider exclusion procedures struck down
CCH Medicaid - June 25, 2007

Health care fraud charged
BY ROBERT E. KESSLER
Newsday - June 23, 2007

Pharmacist admits fraudulent billing
He also repackaged, sold drug samples
By Patrick Howington and Andrew Wolfson
The Courier-Journal - June 21, 2007

U of L let Henry go after work complaints
Accreditation, hospital liability were concerns
By Joseph Gerth
The Courier-Journal - June 20, 2007

Yuma couple indicted in alleged Medicare fraud
BY JAMES GILBERT
Yuma Sun - June 19, 2007

Local psychologist indicted on fraud, money laundering charges
The Jackson Sun - June 19, 2007

HHS Office of Inspector General (OIG) Reports Criminal Enforcement Actions for Healthcare Fraud
OIG - June 19, 2007

SoftLight Development Offers Solutions for Safe Data Storage During Hurricane Season
SoftLight - June 18, 2007

White Paper Guides Hospitals in Preparing for Unannounced Joint Commission Audits
Cape Cod Hospital - June 18, 2007

Medicaid fraud fight has risks
By Mark Taylor
Post-Tribune - June 17, 2007

Exposing fraud can pay for informants
By Elaine Zimmermann
Commercial Appeal - June 16, 2007

Wheelchair fraud on the rise
By DAVID SCHECHTER
wfaa - June 16, 2007

IMH accepts settlement
By Carrie May
Laramie Boomerang - June 16, 2007

Audit: Firm overbilled Medicaid $592,355
Official doubts Brookeside was trying to defraud
By Julie M. McKinnon
Toledo Blade - June 16, 2007

Jury's fraud conviction reinstated on government appeal
CCH Medicare - June 15, 2007

Judge limits facts in trial of surgeon
By Paul J. Nyden
Saturday Gazette-Mail - June 14, 2007

Florida Assisted Living Facility Owner Arrested for Falsifying Medicaid Claims
All American Patriots - June 14, 2007

Working at home may not pay
The Federal Trade Commission warns that not all work-at-home opportunities deliver on their promises
Daily Press - June 14, 2007

Sugar Land Man Busted For Alleged Multimillion-dollar Ambulance Scam
by Bob Dunn
Spokesman Review - June 13, 2007

Webster sheriff's office unaffected by coroner's arrest
By Vickie Welborn
Shreveport Times - June 13, 2007

FBI seizes documents from doctor's office
By Erica Molina Johnson and Tammy Fonce-Olivas
El Paso Times - June 13, 2007

Dozens of computer breaches reported
By LISA ARSENAULT
Concord Monitor - June 13, 2007

Man indicted for infecting county hospital computers
STNG News Service
Daily Southtown - June 13, 2007

Dilday, former lt. gov. candidate, pleads to misdemeanor
Associated Press
Action News - WMC-TV Memphis - June 12, 2007

AZ Medical Board votes to censure pain doctor
By Carla McClain
Arizona Daily Star - June 12, 2007

Three Rochester health care workers charged with false billing for phantom work
Empire State News - June 12, 2007

Nuesoft Technologies Announces Agreement With 3M Health Information Systems
3M(TM) Edit Engine Brings Enhanced Coding and Compliance Functionality to NueMD and Nuesoft Xpress Products
NueMD - June 12, 2007

UMDNJ says it is looking into its billing, purchasing
A federal monitor's report alleging irregularities prompts action
BY TED SHERMAN
The Star-Ledger - June 12, 2007

National Ambulance Provider Rural/Metro Corporation to Pay U.S. $2.5 Million for Violating False Claims Act
OIG - June 11, 2007

Health Care Trio Busted For False Timesheets
North Country Gazette - June 11, 2007

Monmouth County, New Jersey Podiatrist Pleads Guilty to Health Care Claims Fraud
Fugitive Defendant Apprehended in Dominican Republic
All American Patriots - June 11, 2007

Breach exposes patient data
It was unprotected for over a month online
By LISA ARSENAULT
Concord Monitor - June 10, 2007

Monitor: UMDNJ still has problems
Report cites billing, contract flaws
BY TED SHERMAN
The Star-Ledger - June 10, 2007

Wash. company blamed for online data breach at N.H. hospital
THE ASSOCIATED PRESS
Seattlepi - June 10, 2007

Union says Beth Israel overbills the state
By Jeffrey Krasner
The Boston Globe - June 9, 2007

Autopsy report shows doctor died of natural causes
By PAUL STONE
The Palestine Herald - June 6, 2007

Fugitive to Face Medicare and Other Fraud Charges
FBI - June 5, 2007

4 allegedly netted 300Gs from insurance scam
By FRANK DONNELLY
Staten Island Advance - June 5, 2007

Ex-top doctor loses new job
BY STEVEN MAYER AND GRETCHEN WENNER
The Bakersfield Californian - June 4, 2007

20 Brain Surgery Bills Yield Charges
The New York Times - June 3, 2007

Medicare Fraud arrests might expose ties to medical identity theft and organized crime
By Ed Dickson
American Chronicle - June 2, 2007

Boneheads busted in brain surgery scam
BY THOMAS ZAMBITO
New York Daily News - June 2, 2007

Prosecutors Say Insurer Was Billed for Brain Surgery That Never Occurred
By ALAN FEUER
The New York Times - June 2, 2007

Medical biller accused of scamming $300G from GHI
By TIMOTHY O'CONNOR
Lower Hudson Online - June 2, 2007

Emmetsburg physician gives up medical license
Regulators said Dr. David Kundel misread test results in at least 13 cases
By TONY LEYS
Des Moines Register - June 1, 2007

Healthcare fraud suspects arrested in Belle Glade
Miami-Dade residents suspected of healthcare fraud have moved to Palm Beach County, prosecutors said
BY JOHN DORSCHNER
Miami Herald - June 1, 2007

Eating disorder patients sue Presbyterian Hospital of Dallas
Dallas Business Journal - May 31, 2007

Belle Glade woman among nine arrested in $5 million health fraud scheme
By Madeline Bar-Diaz
South Florida Sun-Sentinel - May 31, 2007

US Attorney - Nine South Florida Residents Arrested in $5 Million Racketeering, Fraud, & Money Laundering Scam
Operation Dirty Dozen arrests shut down multi-county health care fraud scheme
US Attorney - May 31, 2007

Anorexia Patients Sue Dallas' Presbyterian Hospital
Cardiac test scheme led to fraudulent billing, lawsuit says
Rose Walker LLP - May 30, 2007

Anywhere MD, Inc. Announces the Initiation of Audit for Fiscal Years 2005 and 2006 as First Phase to Achieving OTC Bulletin Board Status
Anywhere MD - May 30, 2007

Fraud claims coming to court
Modesto chiropractor overbilled insurers, prosecution charges
By INGA MILLER
The Modesto Bee - May 29, 2007

New York Doctor Pleads Guilty to Health Care Claims Fraud
Doctor Stole Over $2 Million from Insurance Companies
All American Patriots - May 29, 2007

Calif. Physicians Are Charged With Performing Unnecessary Surgeries, Defrauding Insurers
aishealth - May 29, 2007

Waste, Fraud and Abuse of Diagnostic Imaging Impact Patient Safety and Significantly Drive Overall Healthcare Spending
MedSolutions - May 29, 2007

Inefficient doctor? Government considers profiling of physicians
By Liz Freeman
Naples Daily News - May 26, 2007

Couple accused of leading $56 million Medicare fraud
Federal prosecutors charged a couple with defrauding Medicare out of $56 million in one of the biggest healthcare fraud cases ever.
BY JOHN DORSCHNER
Miami Herald - May 26, 2007

Peekskill woman accused of embezzling $500,000 from exclusive Bronx school
By TERENCE CORCORAN
Lower Hudson Online - May 26, 2007

FBI agents raid medical chopper firm, seize files
By Nicklaus Lovelady
The Clarion Ledger - May 26, 2007

U.S. Attorney Announces $101 Million In Health Fraud Charges
USNewswire - May 25, 2007

Pair charged with stealing $56M from Medicare
BY JOHN DORSCHNER
Miami Herald - May 25, 2007

F.B.I. Seizes Air Ambulance Company’s Files
By BARRY MEIER
The New York Times - May 25, 2007

Ex-WNY doc admits $2M billing scam
By RICK HEPP
The Jersey Journal - May 25, 2007

Couple Get 22 Years in Insurance Fraud
By Christi Anne Corpus
The Signal - May 24, 2007

Financial, medical data found on Net
The information on up to 5,000 ER patients had been sent via a private network to an Aurora billing processor
By Karen Augé
Denver Post - May 24, 2007

THREE PEOPLE INDICTED FOR DEFRAUDING MEDICARE THROUGH BILLING SCHEME
ONE ARRESTED AND TWO WANTED BY FBI
FBI - May 24, 2007

M.D. faces stiff penalties
Sand Mountain Reporter - May 24, 2007

Twin Cities / Doctors accused of insurance fraud
State accuses clinics of illegal billing practices
BY SHANNON PRATHER
Pioneer Press - May 23, 2007

DA: Queens Doc Falsely Billed Crash Victims For Medical Tests
North Country Gazette - May 22, 2007

McCool woman gets jail, restitution order for Medicaid fraud
Fremont Tribune - May 22, 2007

Clinic co-owner convicted of health-care fraud
knox News - May 22, 2007

Doctor convicted of fraud
By PAUL EGAN
The Detroit News - May 22, 2007

Detroit doctor guilty in health fraud case
By PAUL EGAN
The Detroit News - May 21, 2007

Chance slim for bill to fight insurance fraud
By JAY GALLAGHER
Lower Hudson Online - May 20, 2007

Texas Medical Board Suspends Local Doctor`s License
By Kimberly Woodard
kbtv4 - May 18, 2007

Defendant Sentenced to 10 Years for Participating in a Massive Medicare Fraud Scheme
USDOJ - May 18, 2007

Investigations Focus on Illegal Marketing by Medical Device and Supply Companies
By Evelyn Pringle
Lawyers and Settlements - May 18, 2007

3 doctors in U.S. charged with surgery scam
xinhuanet - May 18, 2007

Three Calif. Doctors Arrested in Outpatient Surgery Center Scam
Department of Insurance - May 17, 2007

3 doctors charged in 'rent-a-patient' scam
Christine Hanley
Redding - May 17, 2007

Doctors face felony charges
The three are accused of more than 1,000 unneeded surgeries at Buena Park center, bilking insurers of $30.5 million
By RACHANEE SRISAVASDI and COURTNEY PERKES
The Orange County Register - May 16, 2007

Medicare and Its Contractors Have Failed to Combat Medicare Fraud Effectively Says American Association for Homecare
American Association for Homecare - May 15, 2007

Modesto chiropractor charged in fraud case over rare procedure
Mercury News - May 14, 2007

Md. says worker siphoned off funds
Money allegedly taken from kidney program raises auditing concerns
By Jennifer Skalka
Baltimore Sun - May 13, 2007

A.G. says '70s political refugees brought in fraud from abroad
BY TROY ANDERSON
Daily News - May 12, 2007

The SCOOTER Store to Pay United States $4 Million to Resolve False Claims Act Allegations
USDOJ - May 11, 2007

Scooter Stores settles fraud claims for $4 million; owner denies allegations
By Travis E. Poling
San Antonio Express - May 11, 2007

Eye Doctor Still Being Eyed By Federal Law Enforcement
By Erin Logan
WNDU - May 11, 2007

Sham businesses bilking Medicare
By CARRIE JOHNSON
The Nashua Telegraph - May 11, 2007

Bucks therapist charged with Medicare fraud
By ARTEMIS COUGHLAN
The Trentonian - May 11, 2007

Major Medicare Fraud Detected in Florida
Medindia - May 11, 2007

Smyrna nursing home pays $550K to settle Medicaid fraud case
By ESTEBAN PARRA
delawareonline - May 10, 2007

Woman pleads guilty to mail fraud
EmpireStateNews.Net - May 10, 2007

Doctors' MRI deals a 'sham,' state says
Operators contend that leases are legal
By Bruce Japsen
Chicago Tribune - May 10, 2007

Lourdes to pay $7.4M for Patel settlement
Lawsuit alleges cardiologist performed unnecessary procedures
By Bob Moser
The Daily Advertiser - May 10, 2007

Sham firms bilked Medicare
By Kevin Freking
CentreDaily.com - May 10, 2007

Feds arrest 38 in fraud strike
Home to prevalent Medicare fraud, South Florida is now also home to a federal-state strike force looking to root out medical schemes
BY LESLEY CLARK
MiamiHerald.com - May 10, 2007

Medicare Strike Force - US Attorney And CMS Director Announce Results Of Medicare Fraud Strike Force
LAWFUEL - May 10, 2007

South Florida Medicare Strike Force Arrests 38
By Larry Lipman
statesman.com - May 9, 2007

Prepared Remarks of Attorney General Alberto R. Gonzales at Press Conference With Michael Leavitt, Secretary of Health and Human Services, to Announce Initiative to Combat Medicare Fraud
US DOJ - May 9, 2007

Strike Force Formed to Target Fraudulent Billing of Medicare Program by Health Care Companies
First Eight Weeks of Strike Force Operation Nets 34 Indicted Cases Involving More Than $142 Million in Billing
US DOJ - May 9, 2007

Judge OKs $7.4M settlement for U.S. patients who said they had unnecessary heart procedures
The Associated Press
International Herald Tribune - May 9, 2007

Michigan Dermatologist Faces Up to 10 Years in Prison for Medicare Fraud
AISHealth.com - May 9, 2007

Hospital plans to pay $7.4 million
By RICHARD BURGESS
2theadvocate.com - May 9, 2007

Therapist charged with bilking Medicaid out of more than $57K
By Bevin Milavsky
pennlive.com - May 8, 2007

Doctor's practice pleads guilty to $178,181 fraud
By KEN KOBAYASHI
The Honolulu Advertiser - May 8, 2007

PCG Software Upgrades Flagship Cost Containment Software
Virtual Examiner System Now Nearly 50 Percent Faster, While Adding New Reports, Features and Enhanced Screen Layouts
PCG Software - May 8, 2007

CRYPTOCard’s Two-Factor Authentication Helps Clinivate Achieve HIPAA Compliance
dBusinessNews - May 8, 2007

Two Indicted in Shelby County, Texas Indigent Fund Theft
Former county official, daughter-in-law charged in scheme to steal $190,000
All American Patriots - May 7, 2007

A-Life Medical Introduces Alacer, the Industry's First Billing System With Real Time NLP Coding and Patent Pending Automated Audit Tools
A-Life Medical - May 7, 2007

State chiropractor accused of insurance fraud
His lawyer says complicated medical records led to mistaken allegations
By JoNel Aleccia
Spokesman Review - May 4, 2007

Hospitals tie CEO bonuses to safety
Push for a reduction in errors, infections
By Christopher Rowland
The Boston Globe - May 5, 2007

Former Shelby County assistant auditor indicted for theft of $190,000
The Daily Sentinel - May 4, 2007

Doctor admits billing scams
By Jim McElhatton
THE WASHINGTON TIMES - May 4, 2007

Baltimore County Woman Charged with Medicaid Fraud
All American Patriots - May 4, 2007

MARYLAND ATTORNEY GENERAL: Baltimore County Woman Charged with Medicaid Fraud
Insurance Journal - May 3, 2007

Proud of These Doctors
Jordan Safirstein
The Huffington Post - May 3, 2007

Trial begins for doctor accused of insurance fraud
By Paul Egan
The Detroit News - April 30, 2007

KNOW YOUR CANDIDATES FOR GOVERNOR: STEVE HENRY
Ethical questions, inquiries tinge past
By Sarah Vos
Lexington Herald-Leader - April 30, 2007

BCBS settles with doctors in class action suit
by Gloria Gonzalez
Business Insurance - April 27, 2007

Physicians Announce That They Have Now Settled Class Action Claims With Over 90% of All Blue Cross and Blue Shield Plans in the Country and the Blue Cross and Blue Shield Association
The Lamb Firm, LLC - April 27, 2007

Grand Rapids dermatologist convicted of health care fraud
woodTV8 - April 27, 2007

U.S. Joins Case Against Healthessentials Solutions for Alleged False Claims Billings to Medicare
Insurance Newsnet - April 26, 2007

San Bernardino Hospital To Pay Over $2 Million To Resolve Whistleblower Allegations Of Overbilling Government Health Insurance Premiums
USDOJ - April 25, 2007

MARYLAND ATTORNEY GENERAL: Attorney General Settles with Medical Group Patients to Receive Refund of Surcharge
Insurance Newsnet - April 25, 2007

LAB OWNER RECEIVES 57- MONTH PRISON SENTENCE AND AGREES TO FORFEIT $2.8 MILLION
USDOJ - April 25, 2007

Billing practices result in arrest
By Kelly Dame
Our Midland - April 25, 2007

New Windsor medical group feud boils over
By John Doherty
Record Online - April 25, 2007

Pediatrician accused of $1M fraud
BY JOE CARLSON
NWI Times - April 25, 2007

Lab owner gets prison time
South Florida Business Journal - April 23, 2007

4 in Miami face Medicare fraud charges
BY JOHN DORSCHNER
Miami Herald - April 23, 2007

Pinegar sentenced to 33 months in prison
Medicare fraud sentence handed down Friday
By Helen Barrett
The Alva Review-Courier - April 22, 2007

Kentucky chiropractor sees empire crumble
Man bankrupt, charged with health-care fraud
By Patrick Howington
The Courier-Journal - April 22, 2007

Jail for former nursing home executive over 'worthless' services
By Robert Patrick
ST. LOUIS POST-DISPATCH - April 21, 2007

Nursing Home Horror: The Dark Side Of Fraud
North Country Gazette - April 20, 2007

Report: Autism center may have fraudulently bill state
KARE11 - April 20, 2007

Broward lab owner sentenced to prison
Miami Herald - April 20, 2007

Medicare Fraud Costs Billions of Dollars Each Year, CMS Officials Testify
Kaiser Network - April 19, 2007

34 Doctors Discplined By the State
By Mandi Johnston
WOAI - April 18, 2007

Dr. Solis named in scam; Rael posts bond
Del Rio News-Herald - April 18, 2007

Cell Therapeutics to pay $10.5 million to settle feds' suit
By Kirsten Orsini-Meinhard
Seattle Times - April 18, 2007

County cranks up Medicaid fraud fight
Officials aim to save money by better detecting cheating by clients, providers
By John Mariani
The Post-Standard - April 18, 2007

Miami Doctor Sentenced to Prison for AIDS Clinic Fraud - US Attorney
LawFuel - April 17, 2007

Arizona Man Arrested for Impersonating a Chiropractor
Insurance Journal - April 17, 2007

Alaska Medicaid error rate highest in U.S.
43 PERCENT: Result of a test run could mean trouble for Alaska once a federal audit gets under way
By SABRA AYRES
Anchorage Daily News - April 16, 2007

Doctor seeks delay of trial
Attorney: More time needed to prepare
Advocate Acadiana Bureau
2theadvocate - April 14, 2007

Nursing Home Owner Stole $6 Million For Illegal 'Bed Holds'
North Country Gazette - April 13, 2007

Agencies: Cuts force change
Mental-health providers say they are having to reduce services to make up for reductions
By James Romoser
JOURNAL RALEIGH - April 13, 2007

Doctor awaiting fraud trial arrested
Federal prosecutor seeks revocation of bond after man is stopped in stolen car
By Paul Egan
The Detroit News - April 13, 2007

SA lawyer warns of healthcare fraud
The Sydney Morning Herald - April 12, 2007

Consumer deals with wrong medical bill
Dave Cherry
12 news - April 11, 2007

Car Thief Dumps Medical Records in Salt Lake Alleyway
Sandra Yi Reporting
KSL.com - April 11, 2007

Medicare Appeals Process Less Than Appealing
By G. Christopher Kelly
EMS Responder - April 11, 2007

Review ongoing in fraud charges
Officials looking at evidence against Acute Care Team
By SARA KENNEDY
Bradenton Herald - April 11, 2007

Doctor could face prison in Medicare fraud case
Chicago Tribune - April 10, 2007

Healthcare fraud makes patients sicker
The age - April 10, 2007

Court Dismisses Several Claims against MedQuist in South Broward Lawsuit
MedQuist - April 9, 2007

Therapist Gets Year For Cheating Military
Playfulls.com - April 7, 2007

Audit: DOH Overpaid Medical Providers $25 Million
North Country Gazette - April 6, 2007

ELIOT TAPS TOP FED AS MED-FRAUD COP
By CARL CAMPANILE
New York Post - April 6, 2007

Medicaid overhaul backed by Missouri Senate
The senate gives its initial approval after rejecting a tough anti-fraud provision
By KIT WAGAR
The Kansas City Star - April 5, 2007

Florida Medical Clinic Owners Indicted for Defrauding Medicare Through HIV/AIDS Treatment, Medical Equipment Bills
Kaiser Network - April 5, 2007

Billing crisis continues
By STEVE CARTWRIGHT
Kennebec Journal - April 5, 2007

Brookfield woman under scrutiny
As she awaits trial on Medicaid billing fraud, investigators find boyfriend with her laptops
By DAVID DOEGE
Millwaukee Journal Sentinel - April 5, 2007

Despite call to investigator, secret files linger at library
By MARY ZAHN
Millwaukee Journal Sentinel - April 4, 2007

Audit details weaknesses in Department of Health oversight of Medicaid
Empire State News - April 5, 2007

Audit shows Medicaid overpayment
Business First of Buffalo - April 5, 2007

Audit finds $26M in Medicaid overpayments by health department
The Business Review (Albany) - April 4, 2007

Fix sought for patient fee system
Carol Chung
The Standard - April 3, 2007

Court Rules That Hospitals' Fraud Claims Against MedQuist Survive Motion to Dismiss
Greenberg Traurig Represents Hospitals in What Is Expected to Be One of the Largest Class Actions by Corporations Against Another Company
Greenberg Traurig - April 3, 2007

10 charged in $5 million Medicare fraud
BY JOHN DORSCHNER
Miami Herald - April 3, 2007

Tenet settles SEC fraud allegations
The hospital firm agrees to pay $10 million to resolve charges that it inflated profit by falsely billing Medicare
By Daniel Yi
Los Angeles Times - April 3, 2007

Establishing a Code of Conduct in the Life Sciences
By Laura H. Kahn
The Bulletin Online - April 2, 2007

Bad timing trips up Bryant
By JIM WALSH
CourierPost Online - April 1, 2007

Medicare vendors under shadow
By Bob LaMendola
South Florida Sun-Sentinel - March 31, 2007

OIG: Violations at 45% of medical equipment suppliers
by Brian Bandell
South Florida Business Journal - March 30, 2007

U.S. was overbilled
State to pay back health funds
Utah agrees with a federal audit that found a $625,000 error
By Thomas Burr
The Salt Lake Tribune - March 30, 2007

Doctor charged in drug deaths
By Ken Kobayashi
The Honolulu Advertiser - March 30, 2007

Bryant, ex-dean charged in fraud
By GREGORY J. VOLPE
CourierPost Online - March 30, 2007

Two Fort Bend women charged in Medicare wheelchair scam
Fort Bend Herald - March 30, 2007

Carbondale man pleads guilty to cheating Medicare
BY ERIN L. NISSLEY
The Times-Tribune - March 30, 2007

Undertaker's lawyer targets double billing accusations
By: Alex Wood
Journal Inquirer - March 30, 2007

Equipment firms fuel fraud
Federal investigators took a hard look at medical equipment companies, a primary source of healthcare fraud, and found that almost half don't meet government standards
BY JOHN DORSCHNER
Miami Herald - March 30, 2007

N.J. state senator indicted on fraud charges
One of New Jersey’s most influential lawmakers faces 20-count indictment
By TOM HESTER Jr.
MSNBC - March 29, 2007

N.J. state senator and a former medical school dean indicted
By ANGELA DELLI SANTI
am New York - March 29, 2007

Medical clinic for low income closing
By CAT SIEH
The Union Democrat - March 29, 2007

Chairman in the hot seat
Head of chiropractor board is apologetic as lawmakers grill him
By Kevin Yamamura - Bee Capitol Bureau
Sacramento Bee Capitol - March 29, 2007

Cabrini Medical Center to Pay $3.4 Million to Settle False Claims Act Charges
Corporate Crime Reporter - March 28, 2007

Florida Medicaid Provider Arrested for Medicaid Fraud and Grand Theft
All American Patriots - March 28, 2007

Nonprofit pays nearly $557,000 to settle improper billing
By Associated Press
Boston Herald - March 28, 2007

Persistence pays off for whistle-blower at Hospital District
Employee to share $2.8 million prize for reporting bad billing practices
By BILL MURPHY
Houston Chronicle - March 28, 2007

Whistleblower rocks county hospitals
By Christine Dobbyn
abc 13 eyewitness news - March 27, 2007

Nurse Draws 57 Months Prison For Health Care Fraud Costing $3,000,000 - Internal Revenue Service
LawFuel - March 27, 2007

Health Care IT Legislation Low on 2007 Congressional Agenda, Aides Say at Forum
kaisernetwork.org - March 27, 2007

Whistleblower, Kreindler & Associates Help Government Recover $15.5 Million from Harris County Hospital District for False Medicare/Medicaid Claims
Settlement Agreement is Among Largest in Southern District of Texas
Krendler & Associates - March 27, 2007

Healthy Savings On Hospital Bills
Advocates Who Find Overcharges And Hidden Charges Can Pare Thousands Off Sky-High Bills
CBS News - March 27, 2007

ATLANTA PHYSICIAN SENTENCED FOR MEDICAID FRAUD
United States Attorney - March 26, 2007

Former Midtown Medical Center owner heads to jail
Atlanta Business Chronicle - March 26, 2007

Atlanta Physician Pleads Guilty To Medicaid Fraud
State of Georgia Attorney General - January 5, 2007

PRMC's review into stent surgeries complete
By Joseph Gidjunis
The Daily Times - March 26, 2007

Aged, Frail And Denied Care By Their Insurers
By CHARLES DUHIGG
The New York Times - March 26, 2007

Audit questions Doyle’s plan to transfer from malpractice fund
winonadailynews.com - March 23, 2007

Psychiatrist charged with fraud
By EVAN S. BENN
Bradenton Herald - March 22, 2007

Ex-Shreveport doctor must serve almost 17 years in prison
By Adam Kealoha Causey
Shreveport Times - March 22, 2007

Medquist Provides Update
MedQuist - March 20, 2007

Hearing delayed in suit over heart procedures
Advocate Acadiana bureau
2theadvocate.com - March 20, 2007

Dr. Saleh Shenaq, pioneering surgeon
By TODD ACKERMAN
Houston Chronicle - March 19, 2007

1st arrest made in Medicare fraud case
By Paul Egan
The Detroit News - March 19, 2007

Lawmakers debate merits of no-fault protection
By JIM SAUNDERS
news-journalonline - March 18, 2007

County seeks to dismiss fraud suit
Complaint describes medical center as an 'unmitigated disaster,' the 'equivalent of Enron' Whistleblower lawsuit claims fraud at hospital Alameda County disputes charges levied by mother of ousted trustee
By Rebecca Vesely
insidebayarea - March 17, 2007

Medical clinic target of probe
Tricities - March 17, 2007

Report On Health Insurer Promised
By DIANE LEVICK
Courant.com - March 16, 2007

Medical center to pay $7.5M
STAFF REPORT
Home News Tribune - March 16, 2007

Connecticut Attorney General Says Court Ruling Confirms Suspicions Of Abusive, Pervasive Insurance Coverage Denials
All American Patriots - March 15, 2007

Update on the alleged loss of a CD containing member data
Empire - March 14, 2007

Doctors warned of billing methods
By Tim Christie
The Register-Guard - March 13, 2007

American Association For Homecare Continues Partnership With Medicare To Prevent Fraud And Protect Beneficiaries
American Association for Homecare - March 12, 2007

Gesundheit! Here’s a Kleenex and a Medi-Cal form to fill out
By Keith Reid
Recordnet.com - March 12, 2007

Three accused of overbilling Medicare for wheelchairs
By DALE LEZON
chron.com - March 10, 2007

FBI zeros in on Medicare fraud Metro Detroit
Agent: Schemes problem in area
BY RUBY L. BAILEY
FREE PRESS - March 9, 2007

FBI: Detroit-area Medicare Fraud 'out of control'
myfoxdetroit - March 9, 2007

Attorney Pleads Guilty to Medicare Fraud Conspiracy - US Attorney
LawFuel - March 8, 2007

Florida Leads The Nation In Medicaid Fraud Referrals
George McGinn - Staff Reporter
All Headline News - March 8, 2007

Punish false claims
By Sidney Rocke
Baltimore Sun - March 7, 2007

GAO recommends profiling physicians to identify inefficiencies and improve productivity
GAO - March 6, 2007

Clinic owner admits Medicare fraud
CourierPost Online - March 6, 2007

Chiropractor convicted of fraud
pennlive - March 3, 2007

Chiropractor claims innocence in misconduct case
By Cris Carl
Amherst Bulletin - March 2, 2007

'Incident to' rules violation results in false claims allegation against physician
The case is believed to be the first of its kind to focus exclusively on this type of violation
By Alan E. Reider, JD
OSN SuperSite - March 1, 2007

Timing of wrongdoings will be key to verdict
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - March 1, 2007

Carmel Chiropractors' Licenses Suspended After Fraud Charges
Authorities: Two Fraudulently Billed Insurers For Acupuncture
the Indy Channel - March 1, 2007

Medicare scammers use billing to snare unsuspecting victims
By Jodie Snyder
The Arizona Republic - March 1, 2007

Detelich jury awaits closing arguments
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 28, 2007

Chiropractor Detelich billed things 'a little different'
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 27, 2007

Testimony: Detelich clinic billed for days patients weren't treated
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 26, 2007

IRS Prosecution - Former General Manager of Medicor LLC Sentenced to Prison
LawFiel - February 26, 2007

Massage Business Owners Pleads Guilty in Insurance Scheme
Insurance Journal - February 26, 2007

Florida Assisted Living Facility Owner to Pay $640,000 for Medicaid Fraud
American Patriots - February 23, 2007

Six Florida Health Care Employees Arrested for Medicaid Fraud
American Patriots - February 23, 2007

Handling Customer Complaints
insurance newsnet- February 21, 2007

Doc felt 'obligated' to file false claims
colleague cites help
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 21, 2007

Springs doctor indicted in scheme
Patients enticed into unnecessary treatments, Justice Department says
By CARY LEIDER VOGRIN
THE GAZETTE - February 21, 2007

Memories faulty for pair who witnessed wrongdoing
At trial, question's not if but when
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 20, 2007

Employee: Detelich billed for services not rendered
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 16, 2007

Federal jury will try to figure out whom is the real Brent J. Detelich
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 15, 2007

Nine doctors indicted for billing fraud
Total of 18 are accused of scheme to bilk Medicare
By BLYTHE BERNHARD
The Orange County Register - February 15, 2007

Nine Doctors and Others Indicted in Health Care Scam that Bilked Medicare of $12 million - US Attorney
LawFuel - February 14, 2007

Short court day cut shorter; no jurors seated in Detelich trial
The weather cut short what already was supposed to be an abbreviated first day of the trial of Brent J. Detelich, the chiropractor charged by the federal government with health care and mail fraud.
By Joe Pinchot
Herald Staff Writer, Sharon, PA
Herald - February 13, 2007

Deliberations start in trial of doctor charged with fraud
Dr. Harriet Comite's lawyer tells a federal jury his client did what was best for patients.
The prosecutor contends she cheated insurers.
By Holly Herman
Reading Eagle - February 13, 2007

Settlement in billing lawsuit against AVH
By Rick Carroll
The Aspen Times - February 13, 2007

Double-check your medical bills for errors
By Vicki Lee Parker
Raleigh (N.C.) News & Observer - February 11, 2007

Medicare billing fraud lands three in federal prison
Judge says conduct betrays public trust
By Ron Wood
nwaonline.net - February 9, 2007

Port Chester, New York Medical Transportation Company To Reimburse Medicaid $503,000
Recovery based on unsubstantiated billings
allamericanpatriots - February 9, 2007

Bakersfield clinic operator charged with insurance fraud
By Brynn Galindo
KGET.com - February 8, 2007

MEDICAL BILLER SENTENCED TO 10 YEARS IMPRISONMENT FOR MEDICARE FRAUD SCHEME
Media-Newswire.com - February 6, 2007

When the medical debt starts piling up
By Debra Pressey
The News Gazette - February 4, 2007

Former St. Lucie County Group Home Owner Arrested for Medicaid Fraud
All American Patriots - February 1, 2007

Prison, indictments in S. Florida healthcare frauds
BY JOHN DORSCHNER
Bradenton Herald - February 1, 2007

Witness wouldn't meet doctor's defense team
Under cross-examination, a physician stands by his testimony that a Berks County dermatologist billed for more expensive procedures than she performed
By Holly Herman
Reading Eagle - January 31, 2007

N.Y.'S SHOCKING MEDICAL WA$TE
STATE PAYS HOSPS $80M FOR 'PHANTOM' DOCS
By CARL CAMPANILE
New York Post - January 31, 2007

Feds say lab owner stole $17M
Joseph T. Degregorio is accused of changing bills and patient records
By TODD RUGER
Herald Tribune - January 29, 2006

Power to the Payers
Consolidation Puts Insurers in Charge
by Pamela Moore, PhD
Physicians Practice - January 2006

Health Fraud - Medical Doctor Convicted in Miami in AIDS Clinic Fraud Scheme - US Medical & Healthcare News
LawFuel - January 26, 2007

Ambulance dealings concern officials
SEYMOUR - Some town officials questions the Seymour Ambulance Association's hiring of a billing company that employs the wife of the association's director
by SUSAN HUNTER, Editor
The Valley Gazette - January 26, 2007

Local psychologist indicted on fraud charges
By Heather Ann White
Corpus Christi Caller Times - January 26, 2007

Medicare Fraud - Naples Man Convicted in Cleveland Clinic Identity Theft and Medicare Fraud Case
USDOJ - January 24, 2007

10 St. Mary Parish residents nabbed for Medicaid fraud
Gannett Capital Bureau - January 24, 2007

Mercy named in CHW suit settlement
By Paul Boerger
Mt Shasta News - January 24, 2007

Parker Hughes files for bankruptcy
Unable to stem financial losses, Parker Hughes Cancer Center has filed for Chapter 11 bankruptcy
By Glenn Howatt
Star Tribune - January 24, 2007

Autopsy performed on former physician
By PAUL STONE
The Palestine Herald - January 23, 2007

BALTIMORE COUNTY COUPLE CHARGED WITH FELONY MEDICAID FRAUD, CONSPIRACY TO COMMIT MEDICAID FRAUD AND FELONY THEFT
Maryland Office of Attorney General - January 22, 2007

Health care billing — Proposal aims to remove pain from process
Bluefield Daily Telegraph - January 22, 2007

Chiropractic Provider Audits
How Payers Are Getting Away with Practice Murder
NewswireToday - January 22, 2007

United States Settles Medicare False Claims Charges Against Physician and Medical Billing Company, Reports U.S. Attorney
U.S. Attorney - January 12, 2007

Federal grand jury indicts physician, chiropractor
Savannah Morning News - January 12, 2007

Chiropractor, Clinic Owner and Doctor Sentenced for Health Care Fraud Reports U.S. Attorney
US Attorney - January 11, 2007

Fraud case indictments announced in California
Xinua - January 11, 2007

Medicare Law - Five Plead Guilty in Medicare Fraud Scheme - US Atorney - Fraud
Defendants Billed Medicare Over $1 Million For Tests Based On Falsified Physician’s Orders
LawFuel - January 10, 2007

California Chiropractic Association Condemns Alleged Fraud Ring Activity
Association Criticizes Illegal and Unethical Conduct
CCA - January 10, 2007

Audit calls for controls on fraud
By The Associated Press
Charleston Daily Mail - January 09, 2007

State recovers $3.5M in health care fraud
By Associated Press
knoxnews - January 8, 2007

Hospital settles lawsuit on billing
EMILY DAGOSTINO, Staff Writer
GOupstate - January 6, 2007

Sting targets billing fraud
At least 86 accused in insurance scam
By Ruby Gonzales, Staff Writer
sgvtribune - January 6, 2007

Alleged pharmacy scam includes Lakeshore
By Russ Zabel
Kirkland Courier - January 3, 2007

Pa. doctors given class-action status
By Maryclaire Dale
Associated Press
The Philadelphia Inquirer - January 1, 2007

Medicare fraud in Florida has doubled in the past year
by Liz Freeman
Naples News - December 30, 2006

OIG: NHIC Physicians named wrong place of service on claims
OIG - December 27, 2006

2 physicians face fraud charges
Charges allege they billed insurance companies for acupuncture services
By Robert Annis
The Noblesville Ledger - December 27, 2006

RTI researchers seek comments on recommendations designed to improve efficiency, prevent health care fraud
RTI - December 21, 2006

Jury Convicts Doctor in Medicaid Fraud Scheme US Attorney Reports On Florida Medicaid Prosecution
Law Fuel - December 21, 2006

The Business of Health Care Provider Audits How Payers Are Getting Away With Practice Murder
By Brian Capra, DC, Yuval Lirov, PhD, and Jeffrey Randolph, Esq.
Billing Precision, LLC and Labady & Randolph, LLC
Chiro Audit - December 21, 2006

UnitedHealthcare to pay $45,000 to settle state claim
By David Schepp
The Journal News - December 20, 2006

Doctor jailed for falsifying patient bills
by Michelle Durand
Daily Journal Staff
The Daily Journal - December 20, 2006

Chiropractor sentenced to 8 months
Woman gets 8 months jail time
Bay Area chiropractor sentenced for false claims
by Kelly Pakula, STAFF WRITER
Inside Bay Area - December 20, 2006

Man Convicted for Automobile Insurance Fraud, Reports U.S. Attorney
US Attorney - December 15, 2006

Imaging center pays $510,000 to government
By Bill Bishop
The Register-Guard
Register-Guard - December 13, 2006

Federal, State Law Enforcers Complete Bogus Business Opportunity Sweep Crackdown Includes More Than 100 Law Enforcement Actions
USDOJ - December 12, 2006

State board revokes Norman chiropractor's license for three years
The Norman Transcript - December 8, 2006

New Billing Code and Medicare Payment Recommendation Issued for Lp-PLA2 Testing
diaDexus - December 7, 2006

Justice Department Recovers Record $3.1 Billion in Fraud and False Claims in Fiscal Year 2006
Largest Amount Ever Recovered in a Single Year
DOJ - December 4, 2006

Qui Tam/Whistleblower Case Histories In The Healthcare Industry
Pharmaceutical Online - December 4, 2006

17 Nigerians arrested in US for medical fraud
Sunday Tribune - December 3, 2006

Horizon Blue Cross Blue Shield of New Jersey Agrees to Reimburse for Separately Identifiable E&M Services
Horizon BCBS NJ - December 2, 2006

Doctor facing more than 100 suits testifies
By LAWRENCE MESSINA, Associated Press
Kentucky.com - December 1, 2006

Florida Hospital Pays $15.4 Million to Resolve Health Care Fraud Involving Unnecessary Medical Treatments
US Attorney Southern District of Florida - December 1, 2006

Knox County Grand Jury indicts McFarlands, 48 others
By Holly Anderson
Camden Bureau Chief
Village Soup - December 1, 2006

BOAZ PHYSICIAN INDICTED FOR HEALTH CARE FRAUD
USDOJ - December 1, 2006

Doctor sentenced in insurance billing scam
Camarillo Acorn - November 23, 2006

'Hospital-based' clinics can charge more
By Julie Appleby
USA TODAY - November 16, 2006

Healthcare Business Services Groups, Inc. Settles Legal Battles
HBSGI - November 15, 2006

North Shore Doctor Agrees to Repay Liberty Mutual $150,000 to Settle Suit for Fraudulent Claims
Liberty Mutual - November 14, 2006

Grand jury indicts local medical equipment company
Business First of Lousville - November 10, 2006

Cancer Clinic To Pay Nearly One Million To Settle Overcharging Claim
US Attorney Reports Palm Springs Cancer Center Operation to Pay $900,000 To Resolve Allegations Of Overcharging
US Attorney - November 8, 2006

Allstate Insurance Company Seeks $2.6 Million From Michigan Medical Practitioners
Allstate - November 6, 2006

Disputes may endanger patients
by SCOTT BLAKE
FLORIDA TODAY - November 5, 2006

OIG Work Plan - Fiscal Year 2007
OIG - November 4, 2007

MEDICARE ANNOUNCES FINAL RULE SETTING PHYSICIAN PAYMENT RATES AND POLICIES FOR 2007
NEW PAYMENT RATES WILL ENCOURAGE INCREASED PHYSICIAN/PATIENT COMMUNICATION
CMS - November 1, 2006

Man Sues Hospital System Over Misplaced Computer Discs
Lawsuit Claims Violation Of Privacy Laws
TheIndyChannel.com - October 31, 2006

Hospital Pays $4 Million to Resolve Overpayment Dispute
US Attorney reports Nebraska Hospital Failed to Return to Government Overcharge Payments
United States Attorney - October 30, 2006

Pennington Gap dentist charged with racketeering, fraud
by Walter Littrell
TimesNews.net - October 28, 2006

New York State Investigation Reveals Widespread Medicaid Fraud
Doctor and pharmacists among those indicted for multi-million dollar fraud
New York Attorney General - October 25, 2006

Home Health Care Industry Reels from Medicare Scandal
by Momar Visaya
Asianjournal.com - October 24, 2006

MEDICARE FINDS BILLIONS IN SAVINGS TO TAXPAYERS
NEW CONTRACTORS TO HELP IDENTIFY FRAUD, WASTE AND ABUSE
Centers for Medicare and Medicaid Services (CMS) - October 12, 2006

Midland doctor indicted for fraud
By Kelly Nankervis
ourmidland.com - October 12, 2006

Judgments against New Jersey Chiropractic Clinics, Owners and Doctors Brings Liberty Mutual's 2001 Auto Insurance Fraud Lawsuit to a Close
Liberty Mutual Recoups $160,000 and Allowed to Refuse Payment of Additional $90,000 for Medical and Rehab Services Not Rendered
Liberty Mutual - October 11, 2006

American Medical Response Pays $9 Million to Settle Civil Fraud Case
PressZoom - October 7, 2006

The Changing Landscape of Medicaid Fraud Compliance
By Linda A. Malek and Sam Servello
New York Law Journal - October 6, 2006

DOJ: American Medical Response Pays $9 Million to Settle Civil Fraud Case
USNewswire - October 5, 2006

State Fines Clinic For Fraud, Patient Abuse
by Colin Gustafson, Assistant Editor
Queens Chronicle - October 5, 2006

2005 Profitable Year for Whistleblowers
By Evelyn Pringle
OpEdNews.com - October 4, 2006

Federal Government won or negotiated approximately $1.47 billion in judgments and settlements during FY 2005
OIG - October 4, 2006

Southern California Doctor Sentenced to 15 Years for Defrauding Medicare Program out of $3.1 Million
FBI-US Postal Inspection Service - September 26, 2006

US Law - Van Nuys Business Man Pleads Guilty to Two Counts Information Realting to a Telemarketing Scheme
IRS - US Postal Inspection Service - FTC - September 26, 2006

GEICO's Jon Coachman Named IASIU Investigator of the Year
GEICO - September 25, 2006

Sting nets Newark chiropractors
Four Bay Area men arrested in auto insurance/collision scam
By Josh Richman, STAFF WRITER
insidebayarea - September 22, 2006

Pediatrix Agrees to Pay Over $25 Million to Settle Claim of False Billings
Health Care Provider Billed for Neonatal Critical Care Services When Patients Were Not Critically Ill
USDOJ - September 21, 2006

Doctors Oppose AMA Efforts to Halt Medicare Pay Cuts
'It's NOT about the Money'
Association of American Physicians & Surgeons - September 13, 2006

Three Floridians Sentenced for $50 Million Fraud on Several State Medicaid Programs
Florida Attorney General - September 13, 2006

Medical Mill Fraud Defendants Plead Guilty
North County Gazette - September 7, 2006

Medicaid Will Pay for Alcohol and Drug Screening Services
New Policy Will Help Diagnose People With Substance Use Disorders
CMS - September 7, 2006

Weston Distance Learning, a Leader in Distance Education Launches McKinley College
Weston Distance learning - September 7, 2006

DEFENDANT IN FAKE FLU VACCINE CASE CONVICTED
communitydispatch - September 6, 2006

Bail set on doctor, wife accused of fraud
By Doug Staley
IndeOnline - September 1, 2006

FOUR GUILTY IN $24 MILLION MEDICARE BILLING SCAM
USDOJ - August 29, 2006

One of the ringleaders of a durable medical equipment (“DME”) scheme that defrauded Medicare out of millions of dollars was sentenced to ten years in prison
US Attorney - August 28, 2006

Chiropractors Learn to Reduce Audit Risks and Improve Coding
Billing Precision's Webinar 'How to Hang Onto Your Money?' Scheduled for September 20, 2006
BillingPrecision - August 28, 2006

Allstate Insurance Company Wins $3 Million Judgment Against Broe Rehabilitation Services, Inc.
Allstate - August 21, 2006

Ex-worker in Henry's former practice sentenced to prison
Gregory - August 16, 2006

GEICO Fights Insurance Fraud with Florida Task Force to Close Plantation Chiropractic Clinic
GEICO - August 14, 2006

Unisys Statement Regarding Department of Veterans Affairs Data
UNISYS - August 7, 2006

A Plantation chiropractor has been sentenced to 34 months in prison for falsely billing insurance companies.
$100,000 criminal fine and $1.77 million in restitution on charges of conspiracy
to commit health care fraud in connection with a scheme to defraud private insurance companies
South Florida Business Journal - August 4, 2006

Governor Schwarzenegger Issues Directive to Protect Patients from Disputed Out-of-Pocket Emergency Medical Costs
California Office of the Governor - August 4, 2006

Bluegate Applauds Stark Law Rule Change Allowing Provision of Health IT for Nation's Physicians
Bluegate Medical Grade Network is 1st Private Sector Solution Operational Under New Rules
Bluegate - August 4, 2006

Sutter Health Settles Lawsuit Over Prices Charged to Uninsured
Reaffirms its Charity Care and Discount Policies
Sutter - August 4, 2006

Chiropractor charged with Medicaid fraud
By Andrew Scott
Pocono Record Writer
August 04, 2006

PALM BEACH COUNTY PHARMACIST AND DOCTORS PLEAD GUILTY IN MULTI-MILLION DOLLAR PRESCRIPTION BILLING SCHEME
USDOJ - July 24, 2006

COMPLIANCE GUIDE FOR THE MEDICAL PRACTICE:
HOW TO ATTAIN AND MAINTAIN A COMPLIANT MEDICAL PRACTICE
Trites - July 21, 2006

Dr. Stevens' wife, her dad plead guilty to healthcare fraud conspiracy
USAttorneyKY - July 21, 2006

Marion Co. Medical Center reaches settlement over accusations of false claims
Marion - July 19, 2006

Medtronic Resolves Qui Tam Suits;
Company Agrees to Civil Settlement;
Government to Seek Dismissals
Medtronic - July 18, 2006

Medtronic to Pay United States $40 Million to Settle Kickback Allegations
USDOJ - July 18, 2006

Congressional Subcommittee Hears From Indiana Executive
Evans - July 18, 2006

Gov. Blagojevich Announces Sweeping Reforms To Improve Patient Safety;
Reduce Costly Medical Errors, USA
GovernorBlagojevich - July 17, 2006

Odyssey Healthcare to Pay U.S. $12.9 Million to Resolve Hospice Fraud Case
US Department of Justice - July 13, 2006

Albany Hospital to Cease Improper Patient Billing
New York Attorney General - July 13, 2006

HALEYVILLE DEFENDANTS AGREE TO PAY $3.14 MILLION TO RESOLVE MEDICARE FRAUD CASE
US Department of Justice, Alabama - July 11, 2006

Tenet, U.S. Department of Justice Reach Broad Settlement
Tenet - June 29, 2006

Tyrone Hospital being sued by two former employees
By SAM J. ZEMA
Staff Writer
tyronepa.com - June 28, 2006

Darwin to Offer AAPC Members Professional Liability Coverage
Darwin - June 23, 2006

Allstate Files $1.8 Million Medical Fraud Suit
Suspected Fraudsters Accused of False Billing and Unlicensed Treatments
Allstate - June 20, 2006

Adaptis Strategic Partner to Discuss Compliance at MHPA Conference
MHPA State Affairs Conference Offers Forum to Address Medicaid Issues
Adaptis - June 19, 2006

Hospital Chain to Pay $265M to Settle Whistleblower Suits
Shannon P. Duffy
The Legal Intelligencer
June 16, 2006

Petaluma Chiropractor Faces More Complaints
Bizarre Treatments
Double Billing
By Dan Noyes
ABC-KGO - June 14, 2006

Chiropractors Improve Billing Compliance and Profitability
Billing Precision to Present Comprehensive Solution on June 23-24 in Denver, CO
BillingPrecision - June 12, 2006

A-Life Medical Unveils CoAudit at the 2006 RBMA Summit
ALife - June 9, 2006

A Nursing Home Industry - Breeding Ground For Whistleblowers
by Evelyn Pringle
Scoop Independent News - June 6, 2006

Acclarent Announces New Medicare Coding for the Relieva Sinus Balloon Catheter System
Endoscopic, catheter-based devices for opening blocked sinuses
Acclarent - June 5, 2006

CHIROPRACTOR BROTHERS SENTENCED IN $2 MILLION HEALTH CARE FRAUD SCHEME
FBI - June 2, 2006

Former WellPoint National Dental Director Files Multi-Million Dollar Lawsuit Against WellPoint Charging Gender Discrimination and Retaliation for Whistle Blowing
Handal - June 1, 2006

Jury Convicts Doctor in AIDS Clinic Fraud Scheme, US Attorney Reports
USDOJ - May 31, 2006

Chiropractic owner claims plea was forced
Toledoblade.com - May 27, 2006

State revokes license of Congers chiropractor
by Jane Lerner
The Journal News - May 27, 2006

Chiropractor guilty on all counts
Granger resident Choiniere could face five years in federal prison
by Patrick M. O'Connell
South Bend Tribune - May 24, 2006

Clinic staffer submitted false bills of $7 million to Highmark Blue Cross Blue Shield
By Paula Reed Ward, Pittsburgh Post-Gazette
Pittsburgh Post-Gazette - May 20, 2006

US Attorney reports owner of home health agency sentenced to two years for Medicaid fraud
LawFuel - May 18, 2006

LOCAL PSYCHIATRIST SENTENCED IN U.S. DISTRICT COURT
Doctor Ordered to Surrender License to Practice Medicine
FBI - May 17, 2006

Pasco County woman busted for Medicaid fraud amounting to $24,000
Tampa Bay Business Journal - May 16, 2006

More Indictments In Medical Mill Fraud Case
North County Gazette - May 15, 2006

Out of Prison, Doctor Hopes To Regenerate His Lost Fame
By ANEMONA HARTOCOLLIS
The New York Times - May 14, 2006

Spitzer's office announces health plan to stop improper patient billing notices
Empire to Reform Business Practices and Offer Refunds to Consumers
LawFuel - May 5, 2006

California Chiropractor and Legal Assistant Plead No Contest to Fraud
Insurance Journal - May 4, 2006

Insurance fraud case starts with 8,000 bills
Investigator is questioned in chiropractor's hearing
By INGA MILLER
Modbee - May 3, 2006

Hevesi probes clinic
A health center and a clinic may have overbilled the state for Medicaid payments for chiropractic and other therapies, that it allowed non-physicians to write drug prescriptions and that it refuses to submit to an audit
BY ZACHARY R. DOWDY
Newsday - April 27, 2006

Patients Tell Of Chiropractor's Bizarre Treatments
A North Bay chiropractor is accused of ripping off his patients -- many of them on Medicare -- by double billing
By Dan Noyes
ABC-KGO - April 27, 2006

Four plead guilty to $24 million Medicare billing scam
LawFuel - April 8, 2006

Ex-chiropractor to plead guilty in health care fraud case
Sold chiropractors services promising to increase collections dramatically by back-billing
Back-billing (using extra billing codes to charge for past treatments) is legal only to correct previous billing errors
By Torsten Ove
Pittsburgh Post-Gazette - April 7, 2006

Billing Precision Partners with Labady & Randolph for Billing Compliance
Chiropractors leverage Artificial Intelligence and Legal Expertise for Practice Risk Management
BillingPrecision - March 29, 2006

Two Individuals Who Engaged in a Medical Billing Scam Banned from Work-At-Home Business Opportunities As Part of FTC Settlement
Individuals were part of Project Busted Opportunity Sweep
FTC - March 23, 2006

JUSTICE DEPARTMENT RECOVERS $1.4 BILLION IN FRAUD & FALSE CLAIMS IN FISCAL YEAR 2005
MORE THAN $15 BILLION SINCE 1986
USDOJ - November 7, 2005

JUSTICE DEPT. CIVIL FRAUD RECOVERIES TOTAL $2.1 BILLION FOR FY 2003
FALSE CLAIMS ACT RECOVERIES EXCEED $12 BILLION SINCE 1986
USDOJ - November 10, 2003

JUSTICE RECOVERS RECORD $1.6 BILLION IN FRAUD PAYMENTS - HIGHEST EVER FOR ONE YEAR PERIOD
AllAboutQuiTam - November 14, 2001