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

A multi-state probe uncovered two major schemes, both operating out of Charlotte and crossing state lines. In the first case, ...

From November 2018 to May 2019, medical orders that Ahmad signed caused approximately $267,402 in false and fraudulent claims to be submitted to Medicare, of which approximately $126,643 was paid, ...

According to Yost, eight home-health aides and one mental health specialist are being accused of billing Medicaid a combined ...

CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally ...

United States Attorney Timothy Courchaine announced criminal charges against seven defendants in connection with alleged ...

A Richmond doctor is facing 26 charges related to health care fraud after reports claim he subjected patients to unapproved ...

Historic $14.6 billion health care fraud crackdown announced by DOJ and FBI. 324 charged in nationwide schemes involving ...

Consistent with past administrations, DOJ’s latest takedown focuses heavily on criminal charges against individual health care professionals but also details civil charges and Centers for Medicare and ...

The federal government is using artificial intelligence to crack down on health care fraud schemes. The AI-powered crackdown ...

Of the more than 324 people involved in a nearly $15 billion health care fraud scam, 55 were charged in federal courts in ...