COLUMBIA, S.C. (WIS/Gray News) - A man whom federal prosecutors called the architect of one of the largest health care fraud schemes in U.S. history was sentenced Monday. Herbert Kimble was sentenced to 20 years’ imprisonment with three years of court-ordered supervision. He…
Investigators allege Community Home Health Care, its owner and five employees defrauded MaineCare by billing for personal care services that were never provided. MaineCare is the state’s official federal and state-funded Medicaid…
As Medicare beneficiaries review their health coverage during annual open enrollment, federal officials are urging them to watch for scammers seeking to steal personal information or bill Medicare for services they never received. Medicare's open enrollment period runs from Oct.
Steven A. Price, 69, of the District of Columbia, and Keidi C. Moore, 39, of Temple Hills, Maryland, were found guilty in U.S. District Court of conspiring to defraud D.C. Medicaid of $4 million. The jury deliberated for more than a week before finding Price and Moore…
Health care providers and payers will soon manage disputes involving surprise out-of-network medical bills through a centralized platform from the Centers for Medicare and Medicaid Services, replacing legacy single-use web forms. Through the IDR Gateway platform, users will be able…
(Daily Caller News Foundation) – A father and son who operated drug and sober care facilities in Los Angeles, are accused of drugging vulnerable patients to keep them in need of treatment and on insurance company billings so they could glean…
If convicted, the suspects could face up to 10 years in prison… (Chris Wade, The Center Square) Federal authorities have charged six individuals in Maine with allegedly defrauding the federal government by submitting false claims for home care services they didn’t…
By Libby Bandelin, Daily Caller News Foundation A father and son who operated drug and sober care facilities in Los Angeles, are accused of drugging vulnerable patients to keep them in need of treatment and on insurance company billings so…
(WXOW) -- Scammers are using a Wisconsin funeral home's name to try to steal Medicare information from unsuspecting residents, according to an area funeral home operator. Torkelson Funeral Home says callers are spoofing the business' name on caller ID and asking…
"For years, Maine House Republicans have warned about fraud in the MaineCare system and pushed for those in charge to investigate and prosecute," caucus says. (The Center Square) — Federal authorities have charged six individuals in Maine with allegedly defrauding the…
When Medicare Advantage goes wrong.
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