In this month’s Deeper Than the Headlines, CJ Wolf breaks down a federal fraud case involving a physician who pled guilty to submitting false claims related to genetic testing. The doctor, a co-owner and advisor to a diagnostic lab in Georgia, conspired with others to generate medically unnecessary...
Healthicity Blog
Subscribe for Healthcare News, Simplified.
Posts about deeper than the headlines:
Deeper Than the Headlines: When Improper Billing Turns Into a Seven-Figure Settlement
A Washington State urgent care companyoperating multiple clinics across several cities recently agreed to pay $2.8 million to settle allegations tied to improper billing for diagnostic testing. In a new Deeper Than the Headlines segment, Healthicity’s CJ Wolf, MD, explains what went wrong—and why...
Deeper Than the Headlines: When Compliance Fails: Kickbacks, Gift Cards, and a Costly Conviction
In this episode of Deeper Than the Headlines, CJ Wolf, MD, takes a closer look at a cautionary case that hits uncomfortably close to home for compliance professionals.
Deeper Than the Headlines: Cardiologist Sentenced in $40M Fraud Case Highlights Stark Compliance Risks
In August 2025, the U.S. Attorney for the Southern District of New York announced the sentencing of Dr. Niranjan Mittal, a Brooklyn cardiologist, to 37 months in prison. Dr. Mittal pled guilty to one count of violating the Anti-Kickback Statute in connection with a scheme that included improper...
Deeper Than the Headlines: What an OB/GYN’s Sentencing Reveals About Patient Protection
News of a Chicago physician's 10-year federal prison sentence for healthcare fraud made headlines earlier this month. The charges centered on claims submitted for procedures that were not medically necessary, with some performed without full patient consent. These actions led to consequences for...
Recent Settlement Highlights Challenges in Modifier 25 Usage
In the latest Deeper Than the Headlines feature, we unpack a recent $427,000 settlement involving a Connecticut-based physiatrist and her practice that underscores a persistent risk area for providers: improper use of Modifier 25.
Deeper Than the Headlines: When Telehealth Billing Crosses the Line
In this episode of Deeper Than the Headlines , we take a closer look at the recent case involving a physician group and its owner who agreed to pay over $152,000 to resolve civil allegations of False Claims Act violations. At the heart of the issue? Improper billing for telehealth services during...