Preventing Medicare fraud and abuse requires risk-based planning, auditing, documentation, reporting, investigation, and corrective action tracking. Organizations must maintain consistent oversight, monitor trends, and document compliance activities to demonstrate accountability and reduce...
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Posts about Medicare fraud:
Deeper Than the Headlines: How Pre-Populated Forms Fueled a $24M Genetic Testing Fraud Scheme
December 1, 2025 | Posted by :
Healthicity
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...
Updates to OIG Work Plan Affecting Medicare Fraud Units, Skilled Nursing Facilities, and AIDS Relief Funds
November 1, 2022 | Posted by :
CJ Wolf
The Final Rule: How to Prevent $389,000 in Medicare Overpayments
February 8, 2022 | Posted by :
CJ Wolf
Compliance Risks of Integrative Health
February 3, 2022 | Posted by :
CJ Wolf
Are Your Payment Protection Funds Compliant with the OIG?
August 13, 2020 | Posted by :
Healthicity
Compliance News Roundup: Another $26 Million Found in Healthcare Fraud Busts
November 13, 2019 | Posted by :
Healthicity
Compliance News Roundup: 30 Defendants Charged in Patient-for-Cash Kickback Scheme in S.F.
November 6, 2019 | Posted by :
Healthicity