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The Fraud Prevention System uses predictive analytics to identify questionable billing patterns in real time.

Medicare cost differences ranged from $13,806 to $20,809 over an episode of care among patients with multiple organ failure, those treated for circulatory, digestive and musculoskeletal and connective tissue conditions at a long-term care hospital.

While larger systems have more resources to make the change, the smaller provider or physician practice may still have work to do.

For-profit healthcare gets big bump from King v. Burwell ruling.

New law prohibits insurers -- when they cover other types of fertility treatments -- from applying those conditions to same-sex couples.

While a proposed final rule for accountable care organizations taking part in the Medicare Shared Savings Program showed officials may be listening to concerns, many participating healthcare providers many participating providers say it doesn't go far enough.

Farid Fata admitted to prescribing and administering unnecessary aggressive chemotherapy, cancer treatments and infusion therapies to patients to increase his billings to Medicare and private insurance companies.

Few days went by last year when New Hampshire nephrologist Ana Stankovic didn't receive a payment from a drug company.

Maryland same-sex couples who wanted to take advantage of a state law that requires insurers to cover pricey in vitro fertilization treatments used to face insurmountable obstacles. Not anymore.

A Michigan hematologist will likely spend the rest of his life in prison after defrauding Medicare and private insurers, and violating the first tenet of medicine, "Do no harm."