Health Insurance Frauds Cases

Listing Websites about Health Insurance Frauds Cases

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Florida health clinic owner sentenced in $36 million fraud scheme …

(1 days ago) WebInside the health care fraud scheme that billed over $36 million. From October 2018 to November 2022, Fernandez Delmas and other leaders in the scheme recruited employees of JetBlue Airways, AT&T

https://www.usatoday.com/story/news/nation/2023/10/30/florida-woman-health-care-fraud-blue-cross-blue-shield/71379942007/

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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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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 …

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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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 …

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

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WebThe cases that fall into more traditional categories of health care fraud include charges against over 60 defendants who allegedly participated in schemes to …

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 78 in multibillion-dollar health care …

(Just Now) WebA case out of the Southern District of Florida was among one of the largest health care fraud schemes ever prosecuted, agency officials said. The indictment …

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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How Insurers Exploited Medicare Advantage for …

(3 days ago) WebMost large insurers in the program have been accused in court of fraud. Children’s Health Insurance Program (CHIP) $16.9 “We’re aware of other cases that are under seal,” said Mary

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

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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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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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2021 National COVID-19 Health Care Fraud Takedown

(8 days ago) Web14 defendants in 7 federal districts across the United States were charged for their alleged participation in various health care fraud schemes that exploited the COVID-19 pandemic and resulted in over …

https://oig.hhs.gov/newsroom/media-materials/2021takedown/

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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 …

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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Twenty-Three Individuals Charged in $61.5 Million Medicare Fraud …

(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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2020 National Health Care Fraud Takedown Office of Inspector …

(8 days ago) WebThe Department of Health and Human Services Office of Inspector General, along with our state and federal law enforcement partners, participated in a health care …

https://oig.hhs.gov/newsroom/media-materials/2020takedown/

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A New Medicare Advantage Fraud Case Is Taking Aim At Data …

(Just Now) WebThe Justice Department has accused an upstate New York health insurance plan for seniors, In August, California-based Sutter Health agreed to pay …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

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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 …

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

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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 …

https://www.npr.org/sections/health-shots/2024/05/07/1249417648/aca-health-insurance-brokers-obamacare-stop-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 Insurance …

https://www.healthcare.gov/protect-from-fraud-and-scams/

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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 court …

https://www.northjersey.com/story/news/bergen/2021/04/21/bergen-county-corrections-officer-admits-defrauding-county-healthcare-system/7325076002/

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Medicare and Medicaid fraudsters continue to steal taxpayer money

(1 days ago) WebFiscal year 2023 proved to be a high value one for healthcare frauds and settlements, with the DOJ totaling $2 billion dollars in illicit activity. The U.S. Department …

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

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Criminal Division Case Summaries - United States Department of …

(3 days ago) WebCase Summaries. DOJ Announces Nationwide Coordinated Law Enforcement Action to Combat Health Care Fraud and Opioid Abuse. June 28, 2023. …

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit/2023-national-hcf-case-summaries

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Reporting Fraud CMS - Centers for Medicare & Medicaid Services

(1 days ago) Web1-877-7SAFERX. (1-877-772-3379) OR. refer to your plan’s general contact and/or fraud-reporting information. If You'd Like Assistance Reporting Suspected Fraud, …

https://www.cms.gov/medicare/medicaid-coordination/center-program-integrity/reporting-fraud

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

(8 days ago) WebArizona Republic. 0:04. 1:34. Arizona's Medicaid agency is a "completely new" organization one year after a humanitarian crisis caused by massive fraud was …

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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Glen ‘Big Baby’ Davis Gets 40 Months In Prison For NBA …

(6 days ago) WebProsecutors said Davis submitted $132,000 worth of bogus insurance claims over at least four years, including a $27,200 claim for dental work at a Beverly Hills …

https://www.forbes.com/sites/tylerroush/2024/05/09/former-nba-champion-glen-big-baby-davis-sentenced-to-40-months-in-prison-for-nba-healthcare-fraud-scheme/

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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 …

https://www.sportingnews.com/us/nba/news/nba-health-care-fraud-scheme-full-list-players-sentences/uyfxlmtty4qv0spktk4gjziz

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Arizona facing third wrongful death lawsuit related to Medicaid …

(9 days ago) WebArizona Republic. 0:00. 1:34. A third Indigenous family is suing Arizona over allegations that state officials failed to stop massive Medicaid fraud schemes that …

https://www.desmoinesregister.com/story/news/local/arizona-health/2024/05/04/arizona-facing-third-wrongful-death-lawsuit-related-to-medicaid-fraud/73548077007/

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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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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 …

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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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 enforcement …

https://www.cbsnews.com/losangeles/news/chp-employee-and-14-others-charged-in-complex-insurance-fraud-ring/

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'Cash Flow King' says plea deal is imminent to resolve Ponzi fraud …

(9 days ago) WebLife of luxury. Motil, 42, and his wife Amy, 35, allegedly spent over $107,000 on a seven-month rental of a lakeside mansion; over $73,000 for courtside seats to the …

https://insurancenewsnet.com/innarticle/cash-flow-king-says-plea-deal-is-imminent-to-resolve-ponzi-fraud-case

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WebAndrew McCubbins, 39, of Draper, Utah, the owner of a telemedicine company, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District …

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

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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 …

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

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