Tag
medicare fraud
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Reuters reporter investigates how Medicare fraud settlements fail to shield patients from dangerous clinicians
Reuters reporter Michael Berens explains how he researched his news story, “How doctors buy their way out of trouble.”
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Lawsuit claims UnitedHealthcare concealed Medicare Advantage enrollment fraud complaints
A recently unsealed whistleblower lawsuit claims that UnitedHealthcare concealed from federal officials hundreds of complaints of enrollment fraud and other…
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Reuters shows how shell companies hide Medicare fraud in plain sight
Reporting for Reuters, Brian Grow and Matthew Bigg used an analysis of public data to investigate the practice of using…
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Feds indict doc whose abuses were detailed in 2010 WSJ series
In The Wall Street Journal, John Carreyrou reports that a physician the paper spotlighted in a data-driven series on Medicare…
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Texas psych clinics take Medicare’s millions without oversight
The Houston Chronicle‘s Terri Langford reports that for-profit outpatient psychiatric clinics in the state, most located around Houston, are collecting…
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Reporters uncover Calif. chain’s systematic upcoding
In a follow-up to their lengthy California Watch investigation into sketchy billing practices at the state’s Prime Healthcare chain, Christina…
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Medicare providers get reinstated when feds fail to attend hearings
Using data obtained through a public records request, Associated Press reporter Kelli Kennedy (@kkennedyap) reviewed federal Medicare fraud reports from…
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WSJ exposes flaws of Medicare’s pay now, investigate later culture
In the latest story to take advantage of their paper’s Medicare data trove, The Wall Street Journal‘s Mark Schoofs and…
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Anti-fraud guide may be useful to reporters
A just-issued 31-page guide for new physicians from HHS’ Office of the Inspector General teaches doctors how (and why) to…
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Fraud-busting contractors slow to refer cases
Despite recent high-profile busts, the private contractors hired by Medicare to sniff out fraud cases and refer them to law…