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1.
Nine Hospitals Agree to Pay More Than $9.4M to Resolve Kyphoplasty-Related False Claims Allegations
(Matching tags: kyphoplasty,fraud) Nine hospitals in seven states have agreed to pay the United States more than $9.4 million to settle allegations that they submitted false claims to Medicare related to kyphoplasty procedures performed ... -
2.
North Carolina Plans to Find More Medicaid Fraud With Electronic Reviews
(Matching tags: Medicaid,fraud,North Carolina) North Carolina expects to recover tens of millions dollars a year in fraudulent Medicaid claims by hiring a contractor to sift through electronic submissions rather than relying on reviews of paper claims, ... -
3.
OIG: RAC Program Lacks Sufficient Fraud Training
(Matching tags: CMS,OIG,fraud,training,RAC) A report from the Department of Health and Human Services Office of the Inspector General found that recovery audit contractors are not sufficiently trained to accurately report potential fraud to the ... -
4.
Florida Orthopedic Surgeon Pleads Guilty to Fraud for Accepting Consulting Fees for Services Never Performed
(Matching tags: Shekhar Desai,fraud,Florida,orthopedic surgeon) Shekhar Desai, MD, an orthopedic surgeon in Brevard County, Fla., has pleaded guilty to conspiracy to commit wire fraud for accepting $70,000-$120,000 in consulting fees from DePuy Orthopaedics, a subsidiary ... -
5.
Louisiana Orthopedic Surgeon Pleads Guilty to Fraud
(Matching tags: Louisiana,fraud,Windsor Dennis,New Orleans) Windsor Dennis, MD, a New Orleans-based orthopedic surgeon, has pleaded guilty to charges of fraudulently billing the federal government and has agreed to pay $750,000 in restitution, according to a report ... -
6.
Ohio Used Medical Equipment Business Owner Pleads Guilty to Scheme to Defraud Hospitals
(Matching tags: guilty plea,hospitals,Ohio,fraud,medical equipment) Robert E. Alick, the operator of a used medical equipment sales business and resident of Chagrin Falls, Ohio, pleaded guilty today to five counts of mail fraud, one count of wire fraud and one count of ... -
7.
New York Physician Indicted on 28 Counts of Healthcare Fraud
(Matching tags: New York,indictment,Medicare,fraud,Univera Healthcare) William Holley, MD, a podiatrist based in Buffalo, N.Y., was indicted on 28 charges of healthcare fraud, alleging the physician submitted numerous fraudulent charges to federal and state health insurers, ... -
8.
Spine Surgeon Pleads Guilty to Fraud in Malpractice Avoidance Investigation
(Matching tags: spine surgery,Nevada,Mark Kabins,fraud,malpractice,Melodie Simon) Mark B. Kabins, MD, a Las Vegas spine surgeon, has pleaded guilty to "concealing fraud" in an investigation of attorneys who allegedly took kickbacks from physicians for settling malpractice lawsuits, ...
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