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...
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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: Medicare Billing Violations Lead to $790K Settlement
An eye care organization in Pennsylvania recently agreed to pay $790,000 to resolve allegations of submitting improper Evaluation & Management (E&M) claims alongside bilateral eye injections. The violations, which occurred between 2018 and 2025, involved billing for same-day services in a way that...
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.
Exploring Medical Coding Allegations in a High-Profile Case
In this episode of Deeper Than the Headlines, CJ Wolf walks us through the details behind a headline that’s making waves: A Minnesota couple indicted in connection with allegations around a $15 million medical billing fraud case. At first glance, it might seem like another fraud story—but a deeper...
Deeper Than the Headlines: Psychiatrist, Clinic Pay $900K in Fraud Allegation Settlement
Hi, everyone. I'm CJ Wolf with Healthicity. Welcome to another deeper than the headlines video.