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121. Kansas system updates hiring protocol after former CFO allegedly lied about criminal past
... Rogers' fraudulent activities initially flew under their radar. The findings were then brought to the LMH Health Board of Trustees during a Nov. 29 meeting. While the report won't be made public due to ...14 December 2023 -
122. 7 cancer leaders on their goals for 2024
... themselves with a focus on delivering outcome-driven care. We have designed Envita Health to work toward eliminating waste, fraud and abusive expenditure in every aspect of healthcare. To accomplish this ...13 December 2023 -
123. 3 charged in $11M Minnesota Medicaid fraud scheme
Three people have been charged for their alleged roles in a scheme to defraud Minnesota's Medicaid program out of nearly $11 million. Among those charged is Abdirashid Said, who is accused of defrauding ...12 December 2023 -
124. Home health operator gets 14 years in prison for Medicare, Medicaid fraud
... fraud, falsifying patient files and fraudulently billing Medicare and Medicaid. Mr. Ozigi was also ordered to pay more than $11 million in restitution to government healthcare programs, according to ...12 December 2023 -
125. Biotech CEO pleads guilty to fraud scheme
Keith Berman, former CEO and director of Decision Diagnostics Corp., pleaded guilty to securities fraud, wire fraud and obstruction of an official proceeding. Mr. Berman of Westlake Village, Calif., ...11 December 2023 -
126. Nurse degree scheme trial begins
... scheme to sell them fake diplomas and transcripts, according to the Miami Herald. Johanah Napoleon, former president and owner of the school, previously pleaded guilty to wire fraud conspiracy and ...11 December 2023 -
127. Healthcare billing fraud: 10 recent cases
... tests, here are 10 healthcare billing fraud cases Becker's has reported since Nov. 27: 1. The owner of a pair of medical equipment companies was sentenced to 15 years in prison after being found guilty ...08 December 2023 -
128. California hospitals may not know if a patient is dead or alive due to data gap: Study
... research team said the gap is largely due to a state law limiting access to full death data only for the purposes of law enforcement or fraud prevention services. "The amazing thing is that this is an ...07 December 2023 -
129. Medical equipment company owner gets 15 years for fraud scheme
... 6 Justice Department news release. Ms. Motley in June was found guilty on 20 counts of healthcare fraud, two counts of aggravated identity theft and one count of conspiracy to commit money laundering. ...07 December 2023 -
130. Ohio hospital has '50-50' chance of surviving, CEO says
... ones — Medicare and Medicaid. They're underpaying severely on claims." Past issues, including a debt remodeling project in 2003 and a substantial penalty from a commercial lab fraud case with the hospital' ...07 December 2023 -
131. Florida pharmacy technician and clinic owner sentenced for clinical trial fraud
... though the purported clinical trial subjects were fully participating in the clinical trial," according to the Nov. 30 news release. The two then submitted fraudulent invoices for a total of $277,920. ...06 December 2023 -
132. Optum in the headlines: 10 updates
... fraud scheme. 8. Seven MedExpress Urgent Care clinics — owned by Optum —closed their doors in Florida and Minnesota. 9. Optum will move out of an Eden Prairie, Minn.-based campus with 473,000 square ...06 December 2023 -
133. Washington physician charged in $14M medical supply scheme
A Washington physician has been charged in a $14 million fraudulent medical supply scheme that targeted Medicare and Tricare members in five states, the Justice Department said Dec. 4. An unnamed ...05 December 2023 -
134. 20% of seriously ill patients incorrectly listed as alive in EHRs
Approximately 20% of individuals listed as alive with a severe illness in their medical records were, in reality, deceased, according to findings published Dec. 4 in JAMA Internal Medicine. Researchers ...05 December 2023 -
135. OIG recovered $3.4B in fraudulent payments in 2023
HHS' Office of Inspector General recovered over $3 billion in fraudulent payments in 2023, according to the agency's semiannual report to Congress. According to a Dec. 1 news release from the government ...01 December 2023 -
136. Lab owner charged in $148M fraud scheme
The co-owner and CEO of a Louisiana diagnostic laboratory was indicted for his alleged role in a scheme to defraud Medicare and Medicaid of more than $148 million in unnecessary testing. Brad Schaeffer, ...01 December 2023 -
137. Hacker behind $100M in hospital losses pleads guilty
A Russian national pleaded guilty to his involvement in a ransomware plot that attacked U.S. hospitals, causing millions of dollars in losses. Vladimir Dunaev, 40, deployed the malicious software Trickbot, ...01 December 2023 -
138. Kansas hospital not rushing replacement for CFO fired for hiding fraud conviction
... federal court to one count of mail fraud for accepting a $3,775 check for college football tickets that did not exist, according to a March 2005 article from The Oklahoman. He was originally indicted on ...01 December 2023 -
139. 15 hospital, health system CFOs exits in the last 6 months
... (Kan.) Memorial Hospital terminated CFO Mike Rogers for allegedly lying about his identity and a past fraud conviction. 5. Brian Koppy departed his role as CFO of Miami-based primary care provider Cano ...01 December 2023 -
140. 3 face trial for role in nurse degree scheme
Three defendants will face a jury trial in Fort Lauderdale, Fla., starting Nov. 29 for their role in a coordinated scheme to sell thousands of fraudulent diplomas and transcripts to aspiring nurses, which ...29 November 2023