A San Fernando Valley man pleaded guilty Monday to his role in defrauding Medicare of nearly $16 million through sham hospice companies and laundering the illicit proceeds. Juan Carlos Esparza, 33, of ...

The civil complaint accuses Dr. Shayasta Mufti of violating the False Claims Act. The orders she generated cost Medicare more than $500,000.

The actual budget busters include vendor fraud in health care, tax evasion and corporate financial abuse, writes Charles ...

Dr. Mohammed Ahmad, 38, of Avon pleaded guilty Thursday in a Medicare fraud case involving fake medical equipment orders and ...

Cybercriminals accessed Medicare data of more than 100,000 Americans by creating fraudulent accounts, prompting CMS to ...

The healthcare fraud detection field is constantly evolving and faces significant challenges, particularly when addressing imbalanced data issues. Previous studies mainly focused on traditional ...

Two Canadian owners face charges for allegedly bribing marketers for bogus brace prescriptions across three states from 2019-2024.

UnitedHealth Group is again responding to a Wall Street Journal story about billing practices for its Medicare Advantage plan ...

According to federal prosecutors, Muzyka’s alleged scheme was relatively straightforward — and brazenly illegal: patients would show up, hand over $200 in cash and walk out with prescriptions for ...

A California man who owned two durable medical equipment companies pleaded guilty to his role in a $5.9 million Medicare fraud scheme. What happened? What’s next?

Justice Department prosecutors recently interviewed former employees about company practices that boost federal payments.

The U.S. government is cracking down on bad actors in the healthcare sector, with special attention to United Health. The ...