The US Department of Justice prevented healthcare fraud schemes worth $15 billion. Officials claim Russian and European crime ...

A Hendersonville medical doctor and her office manager are accused of defrauding Medicare and Blue Cross Blue Shield after ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

Those charged include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals for their ...

Orange, Calif.-based Sonrava Health and several of its dental subsidiaries have agreed to pay $540,000 to resolve allegations that it fraudulently submitted claims for reimbursement under Medicare and ...