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…some hospitals are providing pharmaceutical services to hospital patients being discharged, and that some retail pharmacies are providing pharmaceutical services to long-term care facilities and/or skilled nursing facilities in violation of Nevada Revised Statutes and Nevada Administrative Code.

….to determine why the Nevada Board of Medical Examiners allowed a doctor accused of a sex crime to continue practicing, the Las Vegas Review-Journal filed court papers Friday, asking a judge to unseal records from a 2006 criminal case.

...each pleaded guilty to conspiracy to commit health care fraud...the defendants fraudulently billed Medicare approximately $2.5 million....admitted to billing Medicare over $1.2 million for pentostatin, an expensive anticancer chemotherapeutic medication....despite never administering any pentostatin.

Health plans get paid more for covering sicker patients. Are they exaggerating how ill people really are?...Anita Silingo accused health insurance companies of brazenly ripping off the government…filed a sealed whistleblower lawsuit…MedXM exaggerated or outright fabricated illnesses to get its clients higher fees from Medicare….described costs the government billions a year.

Oregon Board of Pharmacy has ordered the emergency closure of a pharmacy and the suspension of a pharmacist accused of manufacturing marijuana products and dispensing controlled substances without prescriptions…also accused of filling patient prescriptions at other pharmacies with their knowledge and numerous other violations.

Police knew in 2006 that a Las Vegas doctor had been accused of sex crimes against a teenager. But that case was sealed; its outcome unknown. The Nevada Board of Medical Examiners…knew about the 2006 charges….now accused of having sex with a sedated girl while in his office and videotaping it….

Two new reports released by the Office of Inspector General indicate that rising Medicare Part D costs linked to commonly abused opioids, coupled with questionable billing practices and geographic fraud hotspots, point to missed opportunities for fraud prevention by CMS.

Drug Enforcement Administration is using billboards to post the faces of people suspected of looting dozens of pharmacies during Baltimore’s Freddie Gray riots in April…27 pharmacies and two methadone clinics were looted and an estimated 300,000 doses of drugs were stolen,…

Noncompliant hospitals will face fines up to $70K. The Occupational Health and Safety Administration has announced a new initiative to drastically increase scrutiny of injuries among hospital nursing staff….. step up regulation of occupational risks in healthcare settings in the wake of an April report…

Insurers use consultants and software to root out additional diagnoses, making patients seem sicker than they are. Medicare Advantage plans could have a problem with risk scores that are manipulated by insurers to get a higher reimbursement,…says inflated risk scores cost Medicare $2 billion in 2014. Although this may not classify as outright fraud..