Busted Healthcare Fraud

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Justice Department charges 78 in multibillion-dollar health care …

(Just Now) WEBThe Justice Department announced charges against 78 people related to health care fraud schemes. Federal and state law enforcement offices brought criminal charges across 16 states against 78

https://www.npr.org/2023/06/28/1184795720/78-people-face-charges-for-2-5-billion-in-attempted-health-care-fraud-doj-says

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Office of Public Affairs National Enforcement Action Results in 78

(1 days ago) WEBThe Justice Department, together with federal and state law enforcement partners, announced today a strategically coordinated, two-week nationwide law enforcement action that resulted in criminal charges against 78 defendants for their alleged participation in health care fraud and opioid abuse schemes that included over $2.5 …

https://www.justice.gov/opa/pr/national-enforcement-action-results-78-individuals-charged-25b-health-care-fraud

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WEBThe Department of Justice announced today criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in 31 federal districts across the United States for their alleged participation in various health care fraud schemes that resulted in approximately $1.4 billion in alleged losses.

https://www.justice.gov/opa/pr/national-health-care-fraud-enforcement-action-results-charges-involving-over-14-billion

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Justice Department Charges Dozens for $1.2 Billion in Health Care …

(3 days ago) WEBPrior to the charges announced as part of today’s nationwide enforcement action and since its inception in March 2007, the Health Care Fraud Strike Force, which maintains 16 strike forces operating in 27 districts, has charged more than 5,000 defendants who collectively billed federal health care programs and private insurers approximately

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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Feds charge 36 in alleged health care fraud schemes totaling $1.2

(6 days ago) WEBHow to avoid falling victim to financial fraud 04:10. Washington — The Justice Department on Wednesday announced charges against three dozen people who are accused of orchestrating health care

https://www.cbsnews.com/news/health-care-fraud-justice-department-charges-1-2-billion/

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Dozens in 16 States Charged With Health Care Fraud Schemes, …

(6 days ago) WEBJune 28, 2023, at 3:59 p.m. Dozens in 16 States Charged With Health Care Fraud Schemes, Including $1.9B in Bogus Claims. More. Kevin Wolf. Attorney General Merrick Garland speaks at a press

https://www.usnews.com/news/business/articles/2023-06-28/dozens-in-16-states-charged-with-health-care-fraud-schemes-including-1-9b-in-bogus-claims

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Dozens in 16 states charged with health care fraud …

(1 days ago) WEBWASHINGTON (AP) — The Justice Department has charged dozens of people in several health care fraud and prescription drug schemes, including one totaling $1.9 billion and a doctor accused …

https://apnews.com/article/health-care-fraud-investigation-leg-braces-amputees-9883f45b2f22892331b7a6f7121811fb

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Healthcare fraud of nearly $2 billion traced back to one company

(7 days ago) WEBHealthcare fraud uncovered by the DoJ, by the digits. $2 billion: Fraudulent Medicare claims from telemedicine schemes, including DMERx, for which a total 11 defendants were charged. $370 million

https://qz.com/doj-largest-healthcare-fraud-scheme-2-billion-dmerx-1850590259

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Health Care Fraud Takedown — FBI

(9 days ago) WEBHealth Care Fraud Takedown 243 Arrested, Charged with $712 Million in False Medicare Billings. DOJ and HHS health care fraud and prevention efforts recovered nearly $3.3 billion. Over the past

https://www.fbi.gov/news/stories/health-care-fraud-takedown

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Health Care Fraud — FBI

(8 days ago) WEBThe FBI is the primary agency for investigating health care fraud, for both federal and private insurance programs. The FBI investigates these crimes in partnership with: Federal, state, and local

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

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Busted: The top healthcare fraud schemes of Q3 2023

(3 days ago) WEBBusted: The top healthcare fraud schemes of Q3 2023. As we review the third quarter of 2023, we’re confronted with a resurgence of fraud, waste, and abuse (FWA) cases that continue to target both public and private payers. These cases persistently employ a range of deceptive tactics, including kickbacks, falsified claims, and the exploitation

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-healthcare-fraud-schemes-of-q3-2023

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Elizabeth Holmes is found guilty of four counts of fraud.

(4 days ago) WEBJan. 3, 2022. SAN JOSE, Calif. — Elizabeth Holmes, the founder of the failed blood testing start-up Theranos, was found guilty of four of 11 charges of fraud on Monday, in a case that came to

https://www.nytimes.com/2022/01/03/technology/elizabeth-holmes-guilty.html

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Houston pharmacists, doctor indicted for $170 million healthcare …

(Just Now) WEBPexels.com. Two Houston pharmacists and a physician were indicted for their involvement in a $170 million healthcare fraud scheme, the Department of Justice said Tuesday. A 13-count indictment was

https://www.houstonpublicmedia.org/articles/news/criminal-justice/2023/09/28/465074/houston-pharmacists-doctor-indicted-for-170-million-healthcare-fraud-scheme/

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Busted: The top healthcare fraud schemes of Q4 2021 - Cotiviti

(6 days ago) WEBA Florida man was arrested and charged with healthcare fraud after he allegedly submitted over $38 million of fraudulent claims to major private payers. This man owned and operated a medical clinic where he allegedly submitted false and fraudulent medical claims for an infusion that was not provided or was unnecessary. The infusion was an

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q4-2021

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Busted: The top healthcare fraud schemes of Q3 2021 - Cotiviti

(6 days ago) WEBWith help from the National Health Care Anti-Fraud Association (NHCAA), we gathered the most outrageous cases of alleged fraud, waste, and abuse (FWA) from July through September 2021. After-school drug test scheme: $1.4 billion. A Georgia man and co-conspirators face charges for conspiracy to commit Medicaid fraud and money …

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q3-2021

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Manhattan U.S. Attorney Announces Charges Against 48 …

(7 days ago) WEBThirty-four of the defendants were arrested this morning in connection with today’s charges. The New York FBI Health Care Fraud Task Force was formed in 2007 in an effort to combat health

https://www.fbi.gov/newyork/press-releases/2012/manhattan-u.s.-attorney-announces-charges-against-48-individuals-in-massive-medicaid-fraud-scheme-involving-the-diversion-and-trafficking-of-prescription-drugs

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Busted: The top fraud schemes of Q2 2023

(2 days ago) WEBWith help from the National Health Care Anti-Fraud Association (NHCAA), we have compiled a list of significant FWA cases that emerged between April and June 2023. Busted: The top healthcare fraud schemes of Q3 2023 Read about some of the most prominent alleged cases of healthcare fraud, waste, and abuse occurring during the …

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-fraud-schemes-of-q2-2023

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Busted: The top fraud schemes of Q1 2024 - blog.cotiviti.com

(5 days ago) WEBMedicare fraud: $10 million. A resident of California who owned multiple marketing firms has been charged with conspiracy related to violations of the Anti-Kickback Statute, as well as conspiracy to commit healthcare fraud and wire fraud. According to prosecutors, he allegedly collaborated with others to enlist Medicare beneficiaries for

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q1-2024

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Medicare and Medicaid fraudsters continue to steal taxpayer money

(1 days ago) WEBHealthcare fraud was the leading source of False Claims Act settlements and judgments in fiscal year 2023. In addition to recovering taxpayer funds and deterring future fraud, False Claims Act enforcement “also protects patients from medically unnecessary or potentially harmful actions,” the DOJ said in a statement. DOJ …

https://www.thomsonreuters.com/en-us/posts/investigation-fraud-and-risk/medicare-medicaid-fraud-2024/

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBThe charge of conspiracy to commit health care fraud is punishable by a maximum potential penalty of 10 years in prison and a fine of $250,000, or twice the gross profit or loss caused by the offense, whichever is greater. The charge of conspiracy to violate the federal Anti-Kickback Statute is punishable by a maximum potential penalty …

https://www.justice.gov/usao-nj/pr/district-new-jersey-announces-charges-health-care-fraud-cases-part-nationwide-federal-law

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New York-area urologist accused of sexually abusing patients, …

(1 days ago) WEBA New York-area doctor was charged in an indictment unsealed Tuesday with sexual abuse of multiple male patients over several years, accused of using the prestige of two prominent medical

https://www.nbcnews.com/news/us-news/new-york-area-urologist-accused-sexually-abusing-patients-minors-rcna79282

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Arizona's $2 billion Medicaid fraud was first announced one year ago

(8 days ago) WEBThe state's Medicaid program is called the Arizona Health Care Cost Containment System (AHCCCS). Alexis Daneen Curry of New River were arrested Nov. 2 on wire fraud and money laundering

https://www.azcentral.com/story/news/local/arizona-health/2024/05/16/arizonas-2-billion-medicaid-fraud-was-first-announced-one-year-ago/73706945007/

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Massachusetts business owner arrested for over $18 million PPP …

(1 days ago) WEBDurgaprasad Rao was charged with two counts of wire fraud. Rao was arrested yesterday and will make an initial appearance in federal court in Boston at 2 p.m. this afternoon. He remains in custody pending a …

https://www.irs.gov/compliance/criminal-investigation/massachusetts-business-owner-arrested-for-over-18-million-ppp-fraud

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Ex-NBA player Glen 'Big Baby' Davis sentenced to 40 months in …

(1 days ago) WEBIn November, Davis was found guilty of health care fraud, wire fraud, conspiracy to make false statements and conspiracy to commit health care and wire fraud and faced 20 years in prison.

https://www.usatoday.com/story/sports/nba/2024/05/09/glen-big-baby-davis-prison-sentence-defraud-nba-healthcare-scheme/73629712007/

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Former Facebook DEI head gets 5 years in prison for fraud - Los …

(9 days ago) WEBBarbara Furlow-Smiles pleaded guilty in December to stealing more than $5 million from her jobs at Facebook and Nike from 2017 to 2023. Her lawyer had asked the court to impose no time behind bars.

https://www.latimes.com/california/story/2024-05-17/former-facebook-dei-head-gets-5-years-in-prison-for-fraud

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The Justice Department, together with federal and state law

(8 days ago) WEBFDA OCI, enforcement, action, federal, state, law enforcement, partners, criminal charge, 78 defendants, health care fraud, opioid, abuse, schemes, $2.5 billion

https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/press-releases/national-enforcement-action-results-78-individuals-charged-25b-health-care-fraud

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DiNapoli: Two Arrested for Stealing More Than $200,000 From 86 …

(6 days ago) WEBState Comptroller Thomas P. DiNapoli, Rensselaer County District Attorney Mary Pat Donnelly and the New York State Police today announced the arrests of Amber Diacetis, a 30-year-old Albany resident, and Devin Zielinski, 33, for allegedly stealing over $200,000 from an elderly victim.

https://www.osc.ny.gov/press/releases/2024/05/dinapoli-two-arrested-stealing-more-200000-86-year-old-state-pensioner

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Manhattan U.S. Attorney Announces Charges Against 36 …

(Just Now) WEBManhattan U.S. Attorney Announces Charges Against 36 Individuals for Participating in $279 Million Health Care Fraud Scheme Largest No-Fault Automobile Insurance Fraud Case Charged to Date

https://www.fbi.gov/newyork/press-releases/2012/manhattan-u.s.-attorney-announces-charges-against-36-individuals-for-participating-in-279-million-health-care-fraud-scheme

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The Benefits of AI in Healthcare IBM

(7 days ago) WEBFraud prevention: Fraud in the healthcare industry is enormous, at $380 billion/year, and raises the cost of consumers’ medical premiums and out-of-pocket expenses. Implementing AI can help recognize unusual or suspicious patterns in insurance claims, such as billing for costly services or procedures that are not performed, …

https://www.ibm.com/think/insights/ai-healthcare-benefits

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Criminal Division Health Care Fraud Unit - United States …

(Just Now) WEBPoints of Contact to Report Health Care Fraud: Health and Human Services Office of Inspector General (“HHS-OIG”): HHS-OIG fights waste, fraud, and abuse, and works to improve the efficiency of Medicare, Medicaid, and more than 100 other HHS programs. HHS-OIG oversees Medicare and Medicaid. The OIG Hotline accepts tips …

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit

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Exclusive: In Tesla Autopilot probe, US prosecutors focus on …

(Just Now) WEBU.S. prosecutors are examining whether Tesla committed securities or wire fraud by misleading investors and consumers about its electric vehicles’ self-driving capabilities, three people

https://www.reuters.com/business/autos-transportation/tesla-autopilot-probe-us-prosecutors-focus-securities-wire-fraud-2024-05-08/

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Three brothers arrested for internet fraud in Benue

(4 days ago) WEBThree brothers have been arrested by operatives of the Makurdi Zonal Command of the Economic and Financial Crimes Commission, EFCC, for suspected internet fraud. The trio were arrested along New

https://dailypost.ng/2024/05/20/three-brothers-arrested-for-internet-fraud-in-benue/

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Ontario's 'Crypto King' and his associate arrested, charged with …

(6 days ago) WEBOntario's self-proclaimed Crypto King and one of his associates have been arrested and charged with fraud. Aiden Pleterski, 25, is facing charges of fraud over $5,000 and laundering the proceeds

https://www.cbc.ca/news/canada/toronto/ontario-s-crypto-king-and-his-associate-arrested-charged-with-fraud-1.7204958

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Doctor Convicted of $6.3M Medicare Fraud Scheme

(3 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of nine strike forces operating in 27 federal districts, has charged more than 5,400 defendants who collectively have billed federal health care …

https://www.justice.gov/opa/pr/doctor-convicted-63m-medicare-fraud-scheme

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Brothers Anton and James Peraire-Bueno charged with $25m …

(4 days ago) WEBThe pair were arrested Tuesday. Each brother is charged with conspiracy to commit wire fraud, wire fraud, and conspiracy to commit money laundering. If convicted, they face a maximum sentence of

https://www.washingtonpost.com/nation/2024/05/16/ethereum-fraud-brothers-mit-crypto/

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North Bergen Man Arrested for Hiring Killer to Murder Woman

(4 days ago) WEBNORTH BERGEN, NJ — Hudson County Prosecutor Esther Suarez announced the arrest of Miguel Cortes, a 37-year-old resident of North Bergen, in connection with a murder-for-hire scheme. Cortes was taken into custody on Tuesday, May 14, 2024, outside his home on Paterson Plank Road. Charged with Conspiracy to …

https://www.shorenewsnetwork.com/2024/05/18/north-bergen-man-arrested-for-hiring-killer-to-murder-woman/

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Massachusetts Business Owner Arrested for Over $18 Million PPP …

(8 days ago) WEBDurgaprasad Rao, 65, was charged with two counts of wire fraud. Rao was arrested yesterday and will make an initial appearance in federal court in Boston at 2 p.m. this afternoon. He remains in custody pending a detention hearing scheduled for May 17, 2024. According to the charging documents, Rao is the owner and operator of …

https://www.justice.gov/usao-ma/pr/massachusetts-business-owner-arrested-over-18-million-ppp-fraud

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