When headlines announce six-figure or seven-figure False Claims Act (FCA) settlements, it’s easy to assume the underlying misconduct involved massive volumes of improper billing. But in the latest episode of Deeper Than the Headlines, CJ Wolf breaks down a Florida physical therapy case that proves...
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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: 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.