Medicare Advantage Firm Pays $342 Million to Government During Billing Investigation
Elevance Health’s Major Settlement with Medicare A significant Medicare Advantage provider has agreed to pay over $342 million to the government to settle claims of years of overbilling within the federal health care program. Elevance Health, which serves approximately 2 million Medicare beneficiaries, transferred the amount to the Centers for Medicare and Medicaid Services (CMS) […]
Republican Senators Ask Trump Administration to Investigate Unlawful Healthcare Billing Methods
Senators Urge Investigation into Medical Billing Practices Republican Senators Ashley Moody and Dan Sullivan are pressing the U.S. Department of Health and Human Services to look into what they describe as “improper” medical billing practices that contribute to mounting medical debts. On Tuesday, they announced that they sent a letter on May 28 to Secretary […]
Doctor’s Medicare billing canceled due to fraud concerns in LA hospice
As allegations of significant hospice fraud escalate in Los Angeles County, a doctor is under close examination due to connections with Medicare claims for thousands of patients across numerous hospices. Dr. Rajiv Bouba reportedly managed Medicare claims for around 2,800 patients at 126 hospices throughout California in 2024, as reported by CBS News, referencing data […]
California physician who charged $35M in hospice services loses billing license
A doctor in California, who billed Medicare over $35 million for hospice services last year, has had his billing privileges revoked. This follows an investigation by The Post, which highlighted a network of medical professionals allegedly linked to millions in questionable claims within California’s hospice sector. Dr. Fariba Javaherian, a board-certified dermatologist, is reportedly connected […]
Technical issue in new Medicare billing system may result in the closure of Onamia’s only hospital
Financial Struggles for Onamia Hospital Amid Payment Issues Andy Knutson, the CEO of Mille Lacs Health System, revealed that the Centers for Medicare and Medicaid Services (CMS) has withheld around $3 million in reimbursement that the hospital desperately needs. ONAMIA, Minn. — Rural hospitals in Minnesota are already under significant financial stress, but the situation […]
Fake alerts in emails are deceiving YouTube TV subscribers about billing issues.
YouTube TV Billing Scams on the Rise Recently, an individual from New York, Jackie, reported receiving an email about a “BILLING FAILED” notice for YouTube TV Premium. Unsurprisingly, Jackie wasn’t a subscriber, which raised immediate suspicions. “I knew right away this was a scam,” he remarked, highlighting the confusion surrounding such unsolicited messages. This leads […]
Douglas County woman charged with billing Medicaid for a deceased patient, federal authorities claim
Federal Charges Filed Against Colorado Men for Medicaid Fraud Federal authorities announced several charges on Tuesday against two men from Colorado implicated in the theft of a program designed to offer free transportation to Medicaid patients. This marks the first criminal charges stemming from a significant fraud investigation that state officials discovered over two years […]
Insurer requests investigation into hospital billing practices by Idaho Department of Insurance
Insurance Company Requests Investigation into Hospital Billing Practices In Post Falls, Idaho, a significant health insurance provider has reached out to the Idaho Department of Insurance this week, urging an investigation into the billing practices of a newly established hospital. Blue Cross of Idaho claims that Post Falls ER & Hospital has turned down their […]
Blue Cross Blue Shield VT delays debated update to therapy billing.
Savannah Lord, who directs a nonprofit mental health clinic in Burlington, was taken aback this month upon receiving an email from Blue Cross Blue Shield of Vermont, similar to many of her colleagues across the state. What unfolded afterward sheds light on the intricate realm of health insurance in the U.S., often bewildering even the […]
UnitedHealth confirms investigation by the DOJ regarding Medicare billing.
UnitedHealth Group announced on Thursday that it is currently under criminal and civil inquiries from the Department of Justice (DOJ) concerning its Medicare claims practices. In its securities filing, the healthcare company mentioned they have started to address the formal criminal and civil demands. Following this news, UnitedHealth’s shares dropped by nearly 4% on Thursday. […]