US Committee on Aging: Fraud Hotline Report

From our colleagues at the California Regional Coalitions:  United States Senate Special Committee on Aging Sen. Bill Nelson (D-FL), Chairman Sen. Susan M. Collins (R-ME), Ranking Member   Note—Today, the U.S. Senate Special Committee on Aging released a bi-partisan report detailing the most common types of fraud reported to the committee over the last year … Continue reading

CMS & Department of Health and Human Services: Report to Congress Fraud Prevention System Second Implementation Year

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Reuters: Lawyers start mining the Medicare data for clues to fraud

BY TERRY BAYNES A doctor checks the blood pressure of a patient at the J.W.C.H. safety-net clinic in the center of skid row in downtown Los Angeles July 30, 2007. CREDIT: REUTERS/LUCY NICHOLSON (Reuters) – Within hours of the U.S. government’s unprecedented release last week of a trove of Medicare billing data, a small fraternity … Continue reading

The Sacramento Bee: California insurance chief warns about fraudulent sellers of health care policies

By Claudia Buck   With sales of the first Affordable Care Act policies just a week away, state officials are warning consumers of rip-off artists using scare tactics and phony websites. “Unfortunately, as with any new program, there are those who will use the new system to take advantage of or rip off consumers,” said state … Continue reading

The Hill: Bipartisan bill offers new approach to Medicare fraud fight

By Elise Viebeck – 08/02/13 10:11 AM ET      Healthcare leaders on the House Ways and Means Committee reintroduced a bill (H.R. 2925) to strengthen anti-fraud efforts in Medicare by going after bad actors.  The legislation from Reps. Kevin Brady (R-Texas) and Jim McDermott (D-Wash.), who lead the panel’s Health subcommittee, would allow federal officials … Continue reading

U-T San Diego: Fraud fear raised in California’s health exchange

By JUDY LIN, Associated Press 9:01 A.M.JULY 13, 2013 SACRAMENTO, Calif. — As California prepares to launch its health care exchange, consumer groups are worried the uninsured could fall victim to fraud, identity theft or other crimes at the hands of some of the very people who are supposed to help them enroll. The exchange, known as … Continue reading

The Washington Post: Doctors and nurses among nearly 100 charged in $223 million Medicare fraud busts in 8 cities

By Associated Press, Published: May 14 WASHINGTON — Nearly 100 people, including 14 doctors and nurses, were charged for their roles in separate Medicare scams that collectively billed the taxpayer-funded program for roughly $223 million in bogus charges in a massive bust spanning eight cities, federal authorities said Tuesday. It was the latest in a string of similar … Continue reading

California Healthline: CMS Proposes Higher Rewards for Medicare Fraud Whistleblowers

John William Springs, a retiree who gets nearly $12,000 a year in Social Security and disability checks, is $1,300 above the poverty threshold: officially, not poor.

On Wednesday, CMS proposed increasing the maximum reward for reporting Medicare fraud to $9.9 million, in an attempt to encourage more whistleblowers to come forward, Modern Healthcare reports (Carlson [1], Modern Healthcare, 4/24). The proposed rule would increase the reward given to whistleblowers from 10% to 15% of the first $66 million of the final amount collected (Wilson, “RegWatch,” The Hill, … Continue reading

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