Medicaid Fraud News and Resources for Healthcare

Medical Group Settles False Claims Allegations Involving Telehealth

April 14, 2022 - Physician Partners of America (PPOA) and two of its leaders will pay $24.5 million to resolve allegations that they fraudulently billed federal and state healthcare programs for unnecessary medical services, including some conducted via telehealth, the Department of Justice (DOJ) announced. The United States and the state of Florida alleged that...

Telemedicine Fraud Conspirators Billed for Faulty Genomic Testing

December 22, 2021 by Victoria Bailey

The owner of a telemedicine company has pleaded guilty to conspiracy to pay and receive kickback payments, which led to Medicare and Medicaid programs losing millions of dollars through fraudulent...

Fraud Enforcement Followed Spike in Telemental Care

November 24, 2021 by Anuja Vaidya

Amid a rise in telehealth use for mental healthcare, fraud and consequent enforcement activities also increased, according to a new report. Released by law firm Epstein Becker Green, the report...

OIG Report Assesses Medicaid Telehealth Programs for Behavioral Health

September 22, 2021 by Eric Wicklund

A federal review has found that no state Medicaid programs are analyzing how telehealth affects the quality of behavioral health services even though many are offering virtual care coverage during the...

OIG Defends Recent Telehealth Audits, Recognizes Telefraud Challenges

March 02, 2021 by Eric Wicklund

Federal authorities are cracking down on telehealth fraud and misuse during the coronavirus pandemic, and that has the attention of advocates who worry that connected health may be getting a bad rap in...