Penn. Cracking Down on Medicare Fraud by Ambulance Companies

A Pennsylvania man has been charged with making false statements in a health care matter. The Philadelphia Business Journal reports that, Based Kuran, 23, of Philadelphia, the former owner of the now defunct VIP Ambulance Inc., allegedly falsified reports (or people acting on his behalf did), to make it appear patients needed to be transported by ambulance when […]

Boston Medical Center to Pay $1.1M for Fraud

Boston Medical Center has agreed to pay $1.1 million to resolve allegations of Medicare and Medicaid fraud, The Boston Globe reports: The hospital and two of its physician groups were charged with billing Medicare for more units of the cancer drug Rituxan than it actually used, billing Medicare and Medicaid for services at a presurgical […]

The Tale of “Robin Hood” Health Care Fraudster

A former New Jersey physician has been convicted in a healthcare fraud scheme. Albert Ades, 61, was sentenced to three years in jail for systematically billing Medicare, Medicaid and private insurers for face-to-face medical care he did not give. He was dubbed “Robin Hood” for creating phony bills and seeking reimbursement from big insurance companies […]

Wisconsin Saving Millions Thanks to OIG Program

Wisconsin has saved millions thanks to fraud detection efforts in public assistance programs. The Office of the Inspector General makes sure government services are not abused and focuses on detecting fraud in programs such as Medicaid. Since 2011 (its inception), the program has identified $50 million and recovered $40 million in overpayments to Medicaid providers. It has collected nearly […]