HBO documentary ‘The Inventor’ goes inside the rise and fall of Theranos
Despite a couple of flaws, Alex Gibney's new film - airing March 18 - expertly portrays how Elizabeth Holmes's dream of changing the world of lab testing became a fraud.
Former Cleveland Clinic spinoff CTO pleads guilty to fraud scheme
Wisam Rizk, the ex-CTO of the spinoff business, pleaded guilty to charges of wire fraud, conspiracy and making false statements and faces sentencing in March.
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Price Transparency is the New North in the PBM World
In this episode hear how improving benefit verification, prior authorizations, and patient affordability with smart integrations and real-time eligibility can streamline healthcare workflows.
Four men, seven companies indicted for $1B telemedicine fraud scheme
The indictment alleges that as part of the scheme, which ran from June 2015 to April 2018, the defendants submitted no less than $931 million in fraudulent claims for payment.
Report: Insurers aren’t always adequate at pinpointing and reporting Medicaid fraud
A report from U.S. Health and Human Services' inspector general's office said a third of the health plans it examined had referred fewer than 10 cases each of suspected fraud or abuse to state Medicaid officials in 2015 for further investigation.
Theranos founder, former COO face criminal charges in blood testing company’s latest chapter
Federal prosecutors from the U.S. attorney’s office in San Francisco have charged Holmes and COO Sunny Balwani with fraud over allegedly lying to investors and misleading doctors and patients about their technology and its accuracy, according to The Wall Street Journal.
Theranos founder gives up control of company in settlement of SEC’s massive fraud charges (Updated)
The SEC is also pursuing civil fraud charges against Ramesh “Sunny” Balwani, Theranos’s former president and chief operating officer.
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RCM Outsourcing: Balancing Human Expertise & Smart Technology
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
Former IT head at North County Health Services charged with stealing $800K from the organization
Hector Ramos, the ex-head of information technology at North County Health Services, has been charged with stealing nearly $800,000 from the San Marcos, California-based nonprofit clinic. He pleaded not guilty on December 1.
Blockchain, IoT, and the healthcare industry: What you need to know
Blockchain-based systems could automate many administrative tasks in healthcare and remove human error from payment processing and claim adjudication, which can improve accuracy and reduce costs.
Arizona AG prepares to sue Theranos for fraud
Theranos still has not been charged with any crimes, as this would be a civil lawsuit.
Alere under Medicare/Medicaid fraud investigation (updated)
The investigation into potential fraud could put the brakes on the planned multibillion-dollar acquisition of Alere by Abbott Laboratories.
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Discover the Most Effective Aquatic Therapy Programs in Chicago Suburbs
Incorporating aquatic therapy can enhance patient outcomes and shorten recovery times for health care professionals. In the Chicago suburbs, the demand for such programs is rising.
Record $1B Medicare fraud? It’s Florida’s unofficial state sport
It's the largest single criminal healthcare fraud case the Justice Department has ever brought against individuals.
Morning Read: DOJ claims ‘largest takedown ever’ of $900M in Medicare fraud
Also, a replacement brought in for striking nurses at Allina Health has gone home, opioid use soars and Kentucky's governor outlines his Medicaid rollback plan.
Feds say smokers are lying on Obamacare enrollment forms
Insurers — who can charge higher rates in most states to admitted smokers — are steamed. They say the cheating that smokers do to escape tobacco surcharges on their monthly premiums means higher rates for everyone else.
CMS: Return Medicare/Medicaid overpayments within 60 days
CMS released a pre-publication version of the rule Thursday. The rule will take effect 30 days after it officially appears in the Federal Register, which is scheduled for Friday.
Pathway Genomics pays more than $4M to settle kickback allegations from DOJ
"While genomic testing is a valuable and relatively recent medical tool, when specialized laboratories pay for referrals they aren't breaking any new ground but rather engaging in the same old kickback schemes," Special Agent Chris Schrankof said in a statement.