Authorities said fraudsters exploited loopholes and flooded the system with fraudulent claims for rehabilitation services ...

Authorities said the 64-year-old's home health agency billed Medicare over $400,000 in claims for health services and falsified records to support them.

Every one of us working in any healthcare venue knows the challenges we deal with when the “payer” is Medicare Advantage. I’m using that word loosely ...

DHS Secretary Kirsten Johnson said the crackdown on Medicaid fraud began in 2023. She cited a Journal Sentinel investigation ...

Two Illinois men charged in a $227 million Medicare fraud scheme involving bogus claims for COVID-19 test kits.

UnitedHealth said in a statement late Wednesday that the Department of Justice hadn’t notified the company about the reported ...

The Wall Street Journal on Wednesday cited people familiar with the matter as saying that the probe has been ongoing since ...

House Democrats are backing the Justice Department case that alleges UnitedHealth Group committed widespread Medicare Advantage fraud ...

Raju Sharma will plead guilty to fraudulently billing Medicare for $30 million in a DME scheme, facing up to 10 years in prison and $15.8 million in restitution.

Jorge Zamora-Quezada has been sentenced to a decade in prison for an 18-year healthcare fraud scheme that abused and ...

Data analyzed in the New England Journal of Medicine found that states that expanded Medicaid after the Affordable Care Act’s ...