Jul 9th, 2018
A former fraud investigator for Anthem, Inc. is one of five people indicted on federal healthcare fraud charges. Those indicted participated in a multi-year scheme to commit fraud against at least eight health insurance companies. The fraud investigator from Anthem provided the other defendants with confidential Anthem information that assisted them file fraudulent claims to ...
In Audit
May 2nd, 2018
Have you always wanted to see what an Office of Inspector General (OIG) investigational take down of a healthcare fraud scheme is like? Now is your chance. The U.S. Department of Health and Human Services’ (HHS) has a “This is Real” series of podcasts, which takes you undercover with OIG special agents as they work ...
In Audit
Apr 18th, 2018
Last June, U.S. Department of Health and Human Services (HHS) announced an ongoing effort to enhance transparency. One of its efforts has become updating the Office of Inspector General’s (OIG) Work Plan monthly, rather than annually. Another step HHS took to increase compliance transparency is by providing new tools and resources for the public to ...
In CMS
Mar 14th, 2018
We’ve seen a surge of Department of Justice (DOJ) takedowns of doctors who committed prescription fraud and abuse of opioid drugs. As prescription opioid addiction grows, so does the crackdown on abuse of federal dollars funding physicians who are feeding patient addiction. On March 9, 63-year-old Jerrold N. Rosenberg, MD, of Rhode Island was sentenced ...
In Audit
Mar 7th, 2018
A federal jury found a 78-year-old Biloxi, Mississippi physician guilty for his role in a $3 million pharmacy fraud scheme, which included military healthcare funds. According to the Department of Justice (DOJ) press release on March 5, the 78-year-old physician, Albert Diaz, was convicted of: One count of conspiracy to commit healthcare fraud; Four counts of distributing ...