Health Insurance Fraud Articles
Listing Websites about Health Insurance Fraud Articles
How Insurers Exploited Medicare Advantage for …
(3 days ago) WEBThe New York Times. But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to
https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html
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Fourteen years of manifestations and factors of health insurance …
(3 days ago) WEB“Health insurance fraud is an act based on deceit or intentional misrepresentation to obtain illegal benefits concerning the coverage provided by health …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482647/
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The Challenge of Health Care Fraud – NHCAA
(6 days ago) WEBThe National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. A …
https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/
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DOJ announces 78 people charged over $2.5 billion in false health …
(5 days ago) WEBThe Justice Department on Wednesday announced a nationwide health care fraud crackdown that resulted in charges against 78 defendants in separate schemes …
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UPCODING MEDICARE: IS HEALTHCARE FRAUD AND ABUSE …
(3 days ago) WEBIntroduction. Medicare fraud has been defined by the Centers for Medicare and Medicaid Services (CMS) as submitted or caused to have been submitted, false …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/
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No easy fixes to Obamacare enrollment fraud : Shots - Health …
(3 days ago) WEBThe agency is also working closely, he wrote, with insurance companies, state insurance departments, and law enforcement "so that agents violating CMS rules …
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Fourteen years of manifestations and factors of health insurance …
(5 days ago) WEBHealthcare fraud entails great financial and human losses; however, there is no consensus regarding its definition, nor is there an inventory of its manifestations and …
https://healthandjusticejournal.biomedcentral.com/articles/10.1186/s40352-021-00149-3
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We Asked Prosecutors if Health Insurance Companies …
(1 days ago) WEBCalifornia is known for sunshine, surf and health care scams. It’s so rife with suspicious bills and kickbacks that the feds based a Medicare Fraud Strike Force in its ground zero for schemes
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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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What influences the public’s willingness to report health insurance
(7 days ago) WEBHealth insurance fraud, which is the intentional deception or misrepresentation by a person or entity to obtain unauthorized benefits [], is a significant …
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-17581-9
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Federal and State Agencies Crack Down on Health Care Fraud
(7 days ago) WEBThe enforcement action, which involved agencies including the Federal Bureau of Investigation and the Department of Health and Human Services’ Office of Inspector …
https://jamanetwork.com/journals/jama/fullarticle/2807424
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U.S. investigates alleged Medicare fraud scheme estimated at $2 …
(3 days ago) WEBFebruary 9, 2024 at 4:31 p.m. EST. The office building that houses Royce Medical Supply in Fort Lauderdale, Fla. The company is among seven firms identified in an alleged …
https://www.washingtonpost.com/national-security/2024/02/09/medicare-alleged-fraud-catheters/
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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 …
https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud
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Combating Health Care Fraud and Abuse: Conceptualization and
(3 days ago) WEBConclusions. The proposed framework and the initial prototype have the potential to improve the health care claims process by using blockchain technology for …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/
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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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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …
(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 …
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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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Fraud Protection Tips in the Health Insurance Marketplace®
(6 days ago) WEBIf we don’t have this information, we may not be able to process your application. Calls come from 1-855-997-1890 or 844-477-7500. Caller ID may also show as Health …
https://www.healthcare.gov/protect-from-fraud-and-scams/
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Health insurance fraud detection based on multi-channel …
(7 days ago) WEBRecent heterogeneous graph-based approaches to health insurance fraud detection have been limited by a number of challenges. These methods focus on …
https://www.sciencedirect.com/science/article/pii/S2405844024060766
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Health insurance fraud detection by using an attributed …
(2 days ago) WEBHealth insurance fraud detection problem with an AHIN. The health insurance fraud detection problem can be defined by modelling different objects and …
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-023-02152-0
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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 …
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2024 Insurance Dishonesty Report - NerdWallet
(7 days ago) WEBAccording to the survey, 29% of Americans with insurance (aside from health) comparison shopped to see if they could find a more affordable insurance …
https://www.nerdwallet.com/article/insurance/2024-insurance-dishonesty-report
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Recommendations to protect patients and health care practices …
(3 days ago) WEBTypes of fraud. There is no standard in how fraud is classified. 17 CMS describes 10 different types of Medicaid fraud, whereas Thornton et al 17 describe 18 …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323645/
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UnitedHealth faces securities fraud lawsuit over undisclosed …
(3 days ago) WEBUnitedHealth Group Inc. is facing a proposed securities fraud class-action lawsuit alleging the company failed to disclose a Justice Department antitrust …
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Health care fraud: Ex-Bergen jail guard admits participating in …
(5 days ago) WEBFormer Bergen jail guard admits to helping defraud county health care system of $3 million. A former Bergen County corrections officer admitted in federal …
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NBA health care fraud scheme: Full list of players and sentences
(2 days ago) WEBAllen pled guilty to one count of conspiracy to commit health care fraud and wire fraud, according to court documents. He could face up to two years in prison, per …
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3 admit $500K-plus health care fraud - The Business Journals
(7 days ago) WEBThe owner and two employees of a St. Louis County home health care firm pleaded guilty in a Missouri Medicaid fraud scheme of more than $552,000, the feds …
https://www.bizjournals.com/stlouis/news/2024/05/15/3-admit-500k-health-care-fraud.html
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District of New Jersey Bergen County Man Admits Stealing
(6 days ago) WEBHe also thanked the Department of Labor—Office of the Inspector General and the National Insurance Crime Bureau for its assistance with the case. The …
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Cyberattack disrupts operations at major US health care network
(6 days ago) WEBA cyberattack has disrupted “clinical operations” at major health care nonprofit Ascension, forcing it to take steps to minimize any impact to patient care, an …
https://www.cnn.com/2024/05/08/tech/cyberattack-disrupts-healthcare-network/index.html
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Ex-NBA Player Glen ‘Big Baby’ Davis Gets 40 Months for Fraud
(9 days ago) WEBFormer National Basketball Association player Glen “Big Baby” Davis was ordered to spend more than three years behind bars for participating in a scheme to …
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'Patient Broker' From Balto Goes To Federal Prison For Preying On …
(8 days ago) WEBThose facilities, in turn, paid $5,000 to $10,000 per patient in referral fees -- funded by health insurance -- to a marketing company owned by Devlin and two …
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CHP employee and 14 others charged in complex insurance fraud …
(7 days ago) WEBThe San Bernardino County District Attorney's Office charged all 15 suspects with insurance fraud, grand theft by trick and false imprisonment. Law …
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