Physical Rehabilitation Company Owner Pleads Guilty to $20M Medical Billing Fraud
United States Attorney for the Southern District of New York, Jay Clayton, Special Agent in Charge of the New York Regional Office of the US…
CMS Releases 2026 Annual Update to HCPCS Codes for SNF Consolidated Billing
The Centers for Medicare & Medicaid Services (CMS) has released the 2026 annual update to the Healthcare Common Procedure Coding System (HCPCS) used to enforce…
Iowa Duo Accused of Stealing over $170,000 from Elderly Victim Plead Not Guilty
Separate trials are scheduled for a pair accused of stealing tens of thousands of dollars from a northeast Iowa nursing home resident in their care.
Former NY Assisted Living Employee Arrested, Accused of Raping an Elderly Resident
A former assisted living facility employee has been arrested on felony charges, accused of raping an elderly resident, according to Colonie Police.
Former New York Doctor Sentenced for Receiving Kickbacks
A New York doctor has been sentenced in federal court in Boston for receiving kickbacks in exchange for ordering medically unnecessary brain scans. Dr. Kenneth…
Minnesota AG Files Charges Against Man Who Financially Exploited His Mother
Attorney General Keith Ellison announced that his Medicaid Fraud Control Unit (MFCU) has charged Steven Berg with three counts of felony financial exploitation of a…
Telehealth Provider Settles False Claims Act Allegations Related to Excluded Individual
US Attorney Erin Creegan announced on December 10 that the US Attorney’s Office for the District of New Hampshire has entered into a settlement agreement…
Maryland Mother and Daughter Sentenced in $3.6 Million Medicaid Fraud Scheme
Attorney General Anthony G. Brown announced the sentencing of Tasha S. Saunders, 46, and her daughter Tamyra Jordan, 26, both of Parkville, Maryland, for their…
Missouri Man Sentenced to 10 Years in Prison for $174M Healthcare Fraud Conspiracy
On Oct. 23, a Missouri man was sentenced to 10 years in prison for orchestrating a scheme to defraud Medicare by unlawfully billing hundreds of…
Pharmacist Sentenced to over Six Years in Prison for $6M Healthcare Fraud Scheme
On October 21, a Michigan pharmacist was sentenced to 80 months in prison for defrauding healthcare benefit programs by billing for prescription medications that he…