Health Care Billing Fraud Cases

Listing Websites about Health Care Billing Fraud Cases

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DOJ announces 78 people charged over $2.5 billion in false health …

(5 days ago) WebThe cases unsealed over a two-week period this month included "one of the largest health care fraud schemes ever prosecuted" by the department, in which two top executives and a former executive

https://abcnews.go.com/Politics/doj-announces-78-people-charged-nationwide-health-care/story?id=100447219

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Nurse Practitioner Sentenced in Twelve Million Dollar …

(3 days ago) WebPROVIDENCE, R.I. – A registered nurse and nurse practitioner, who defrauded commercial health insurers and Medicare of nearly $12 million by devising …

https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/press-releases/nurse-practitioner-sentenced-twelve-million-dollar-health-care-fraud-scheme

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Justice Department Charges Dozens for $1.2 Billion in …

(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 …

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

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Office of Public Affairs National Health Care Fraud …

(8 days ago) WebThe over $133 million in false and fraudulent claims that are additionally alleged in cases announced today reflect the continued effort by the National Rapid …

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

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Twenty-Three Individuals Charged in $61.5 Million …

(8 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 …

https://www.justice.gov/opa/pr/twenty-three-individuals-charged-615-million-medicare-fraud-schemes

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US announces charges in $2.5 billion healthcare fraud takedown

(9 days ago) WebThe U.S. Justice Department on Wednesday announced federal and local criminal charges targeting 78 defendants across 16 states as part of a law enforcement …

https://www.reuters.com/legal/us-announces-charges-25-billion-healthcare-fraud-takedown-2023-06-28/

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Justice Department charges 78 in multibillion-dollar …

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

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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DOJ charges 14 people in alleged Covid-related health …

(7 days ago) WebFederal prosecutors have charged 14 people — including a medical doctor and owners of laboratories, pharmacies and a home health agency — in multiple Covid …

https://www.cnbc.com/2021/05/26/doj-charges-14-people-in-alleged-health-care-fraud-related-to-covid-19.html

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Health Care Fraud — FBI

(8 days ago) WebHealth care fraud can be committed by medical providers, patients, and others who intentionally deceive the health care system to receive unlawful benefits or payments. The FBI is the primary

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

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Feds charge 138 medical professionals with $1.4B in …

(Just Now) WebThe COVID-19 cases announced today build upon the success of the COVID-19 Health Care Fraud Takedown on May 26, a coordinated law enforcement action against 14 defendants in seven …

https://www.fiercehealthcare.com/tech/feds-charge-138-medical-professionals-including-doctors-1-4b-telehealth-fraud-case

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Healthcare billing fraud: 13 recent cases - Becker's Hospital Review

(7 days ago) WebHealthcare billing fraud: 13 recent cases. From a Florida physician getting 20 years in prison for the "largest ever" case of its kind, to a New York gastroenterologist …

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-13-recent-cases.html

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Healthcare billing fraud: 11 recent cases - Becker's Hospital Review

(9 days ago) Web9. A New Jersey cardiologist and practice owner pleaded guilty to a $1.9 million healthcare fraud scheme. 10. The owner of Holy Health Care Services, a Washington, …

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-11-recent-cases-8.html

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Top Healthcare Fraud, Waste, and Abuse Takedowns of the Year

(Just Now) WebJury returns indictment in $100M COVID-19 healthcare fraud case. In November 2021, a federal grand jury returned an indictment charging the owner of …

https://revcycleintelligence.com/features/top-healthcare-fraud-waste-and-abuse-takedowns-of-the-year

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What Should Health Care Organizations Do to Reduce Billing …

(4 days ago) WebIn the 2018 fiscal year, the Department of Justice won or negotiated $2.3 billion in judgments or settlements relating to health care fraud and abuse, including 1139 criminal fraud …

https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03

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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 …

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

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The Challenge of Health Care Fraud – NHCAA

(6 days ago) WebEveryone Shares the Burden of Health Care Fraud. In 2018, $3.6 trillion was spent on health care in the United States, representing billions in health insurance claims. It is an …

https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/

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Unveiling $5.4M Healthcare Fraud: The Case of Adarsh Gupta and …

(4 days ago) WebAdarsh Gupta, 51, of Sewell, was found guilty of orchestrating a fraudulent scheme that involved submitting over $5.4 million in fraudulent claims to Medicare for orthotic braces. …

https://www.msn.com/en-us/money/insurance/unveiling-5-4m-healthcare-fraud-the-case-of-adarsh-gupta-and-the-medicare-scheme/ar-AA1nN93v

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Bergen County, New Jersey Doctor Charged with Fraudulently …

(Just Now) WebAlbert Ades, 60, of Englewood, New Jersey, was indicted by a federal grand jury in Newark on Feb. 20, 2015, on one count of health care fraud and 35 counts of …

https://www.fbi.gov/contact-us/field-offices/newark/news/press-releases/bergen-county-new-jersey-doctor-charged-with-fraudulently-billing-for-office-visits-that-were-never-rendered

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Update on Department of Justice Healthcare Fraud Investigations

(9 days ago) WebStay informed on recent Department of Justice DOJ healthcare fraud cases involving related to a $50 million health care fraud and kickback scheme. of billing …

https://www.natlawreview.com/article/doj-secures-plea-50-million-medicare-fraud-and-kickback-scheme

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Common Types of Health Care Fraud Fact Sheet - Centers for …

(Just Now) WebThis fact sheet provides a brief overview of some common types of Medicaid fraud, waste, and abuse involving providers. Although the examples involve violation of Federal laws, …

https://www.cms.gov/files/document/overviewfwacommonfraudtypesfactsheet072616pdf

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Medicare Fraud & Abuse: Prevent, Detect, Report - Centers …

(1 days ago) WebThe diference between “fraud” and “abuse” depends on specific facts, circumstances, intent, and knowledge. Examples of Medicare abuse include: Billing for unnecessary medical …

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) WebAbout 500 qui tam cases are filed in federal courts annually, mostly involving health care and defense contracting. When the government or the plaintiff prevails, the …

https://www.northjersey.com/story/news/health/2023/01/03/nurse-alleges-life-source-services-oradell-sent-patients-to-hospice-for-profit/69767967007/

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Ten Defendants Charged in $1.4 Billion Rural Hospital Pass …

(7 days ago) WebTen individuals, including hospital managers, laboratory owners, billers and recruiters, were charged in an indictment unsealed today for their participation in an …

https://www.justice.gov/opa/pr/ten-defendants-charged-14-billion-rural-hospital-pass-through-billing-scheme

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Understanding Medicare Fraud Reporting for Whistleblowers

(Just Now) WebFor Medicare fraud, reports are often made to the Centers for Medicare and Medicaid Services, or CMS. The goal is typically to persuade agents there to intervene in …

https://www.natlawreview.com/article/guide-all-medicare-whistleblowers

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Elara Caring and Fight Against $4.2M Healthcare Fraud - MSN

(7 days ago) Web3 min read. In a significant development in the realm of healthcare fraud, Elara Caring, along with its subsidiaries, has reached a settlement totaling $4.2 million to resolve …

https://www.msn.com/en-us/money/companies/elara-caring-and-fight-against-42m-healthcare-fraud-collaborative-efforts-in-combatting-fraud/ar-AA1o1SPQ

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What we know about the hacking attack that targeted the U.S.

(9 days ago) WebMajor hacking attack threw parts of the U.S. health care system into chaos a couple of months ago. The hackers breached the Change Healthcare company and took …

https://www.npr.org/2024/04/27/1247649283/what-we-know-about-the-hacking-attack-that-targeted-the-u-s-healthcare-system

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The Change Healthcare cyberattack is a 'catastrophe' for American

(Just Now) WebSeventy-four percent of hospitals reported in March direct impacts to patient care as a result of the cyberattack, and 94% said they felt financial impacts. And the …

https://fortune.com/2024/04/23/change-healthcare-cyberattack-unitedhealth-hack-ransomware/

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Office of Public Affairs Charges Brought Against 34 Individuals for

(4 days ago) WebAssistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division announced today a health care fraud enforcement …

https://www.justice.gov/opa/pr/charges-brought-against-34-individuals-alleged-west-coast-medicare-and-medicaid-fraud-schemes

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Healthcare insurance fraud detection using data mining

(2 days ago) WebHealthcare programs and insurance initiatives play a crucial role in ensuring that people have access to medical care. There are many benefits of healthcare …

https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-024-02512-4

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 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 …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Fact Sheet on FTC’s Proposed Final Noncompete Rule

(6 days ago) WebSpecifically, the final rule defines the term “senior executive” to refer to workers earning more than $151,164 annually who are in a “policy-making position.”. The …

https://www.ftc.gov/news-events/news/press-releases/2024/04/fact-sheet-ftcs-proposed-final-noncompete-rule

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Leader Of $50 Million Health Care Fraud Pleads Guilty

(6 days ago) WebDamian Williams, the United States Attorney for the Southern District of New York, announced that MANISHKUMAR PATEL pled guilty today in connection with a $50 …

https://www.justice.gov/usao-sdny/pr/leader-50-million-health-care-fraud-pleads-guilty

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