Healthcare Fraud In The News

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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WEBWednesday, April 5, 2023. PROVIDENCE, R.I. – A registered nurse and nurse practitioner, who defrauded commercial health insurers and Medicare of nearly $12 million by …

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 $2.5 billion in false billings marks one of the health care fraud schemes ever prosecuted by the Justice Department, according to Attorney General Merrick …

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 Department of Justice announced today criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in …

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

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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 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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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 …

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 138 with health-care fraud, including opioids, Covid …

(2 days ago) WEBThe 138 people charged in the cases include 23 physicians, the DOJ said. The cases are being prosecuted by 31 U.S. attorneys’ offices around the country. Polite …

https://www.cnbc.com/2021/09/17/doj-charges-138-with-health-care-fraud-including-opioids-covid-telemedicine.html

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How Insurers Exploited Medicare Advantage for …

(3 days ago) WEBHealth. Kaiser. Permanente. Humana. Scan Group. Cigna. Note: Table includes insurers among the top 10 Medicare Advantage providers that face or have settled lawsuits for risk adjustment fraud. …

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

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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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Feds charge 138 medical professionals with $1.4B in …

(Just Now) WEBThe Department of Justice on Friday announced criminal charges against 42 doctors and nurses and nearly 100 other medical professionals for alleged healthcare fraud schemes that cost $1.4 billion i

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

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US Announces Charges in $2.5 Billion Healthcare Fraud Takedown

(8 days ago) WEBJune 28, 2023, at 1:06 p.m. US Announces Charges in $2.5 Billion Healthcare Fraud Takedown. Reuters. FILE PHOTO: U.S. Attorney General Merrick Garland listens to a …

https://www.usnews.com/news/top-news/articles/2023-06-28/us-announces-charges-in-2-5-billion-healthcare-fraud-takedown

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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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Centene Health Care Fraud Case: How Private Lawyers Profited

(8 days ago) WEBA news release from the California attorney general’s office said Several experts in health care fraud litigation and whistle-blower cases said the best way to …

https://www.nytimes.com/2024/03/21/us/centene-health-care-fraud.html

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Government expects to recover more than $3B from healthcare …

(3 days ago) WEBDive Brief: The HHS’ Office of the Inspector General is expected to recover more than $3.44 billion in fiscal year 2023 as a result of investigations into fraud and …

https://www.healthcaredive.com/news/healthcare-fraud-3-billion-2023-hhs-oig/701426/

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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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Hacked Change Healthcare makes progress in recovery, but …

(Just Now) WEBThe health insurance billing system in the United States is stabilizing following an unprecedented cyberattack on a key company last month, but smaller …

https://www.cnn.com/2024/03/18/tech/health-insurance-billing-system-cyberattack/index.html

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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. Related FBI News and Multimedia. 03.25.2024.

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

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Medical Equipment Company Owner Sentenced Over Fraud, …

(6 days ago) WEBMark Sorensen, an owner of a durable medical equipment company, was sentenced to three-and-a-half years in prison and ordered to forfeit $1.8 million for his …

https://news.bloomberglaw.com/health-law-and-business/medical-equipment-company-owner-sentenced-over-fraud-kickbacks

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IRS Criminal Investigation releases updated COVID fraud statistics …

(7 days ago) WEBIR-2024-83, March 28, 2024 — Four years after the enactment of a key pandemic-era law, the Internal Revenue Service released updated numbers showing …

https://www.irs.gov/newsroom/irs-criminal-investigation-releases-updated-covid-fraud-statistics-on-4th-anniversary-of-cares-act-nearly-9-billion-investigated

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DOJ charges 14 people in alleged Covid-related health-care fraud

(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: Ex-Bergen jail guard admits participating in …

(5 days ago) WEB0:00. 0:43. A former Bergen County corrections officer admitted in federal court Wednesday to participating in a complex scheme to defraud the county health care …

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

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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) WEB0:51. An Oradell-based hospice company allegedly defrauded the federal and state governments by putting nursing home residents who weren’t dying into …

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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Poplar Bluff lab pays millions in healthcare fraud case settlement

(3 days ago) WEBA Poplar Bluff lab agrees to a multi-million dollar settlement in a federal Medicare fraud case. Gamma Healthcare Inc. in Poplar Bluff and three of its owners …

https://newstalkkzrg.com/2024/03/28/poplar-bluff-lab-pays-millions-in-healthcare-fraud-case-settlement/

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Bergen NJ counseling center owner admits health care fraud

(7 days ago) WEB0:00. 1:55. The owner of a New Jersey counseling center admitted to her role in a health care fraud scheme involving hundreds of false claims, U.S. Attorney …

https://www.northjersey.com/story/news/bergen/garfield/2024/03/19/bergen-county-nj-counseling-center-owner-health-care-fraud/73033753007/

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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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Whistleblower Accuses Aledade, Largest US Independent Primary …

(8 days ago) WEBA Maryland firm that oversees the nation’s largest independent network of primary care medical practices is facing a whistleblower lawsuit alleging it cheated …

https://kffhealthnews.org/news/article/whistleblower-upcoding-medicare-aledade-lawsuit-aco-accountable-care/

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Former Georgia insurance commissioner John - Associated Press …

(9 days ago) WEBJohn W. Oxendine of Johns Creek entered the guilty plea Friday in federal court in Atlanta. The 61-year-old had been indicted in May 2022 on charges of …

https://apnews.com/article/john-oxendine-guilty-plea-fraud-georgia-insurance-8fbe73d8d2a0390ba40ee8392bc12a5e

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Healthcare has a fraud problem - beckersasc.com

(1 days ago) WEBHealthcare has a fraud problem. In 2023, the government and whistleblowers saw 543 False Claims Act settlements and judgments, the highest in a single year. …

https://www.beckersasc.com/asc-news/healthcare-has-a-fraud-problem.html

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Couple pleads guilty to health care scheme News, Sports, Jobs

(7 days ago) WEBJohn H. and Paula Z. Johnson, both 62, pleaded guilty to the charge, while John Johnson also pleaded guilty to one count of conspiracy to commit health care …

https://www.altoonamirror.com/news/local-news/2024/03/couple-pleads-guilty-to-health-care-scheme/

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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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UnitedHealth offers over $3.3 bln in loans to providers hit by …

(6 days ago) WEBUnitedHealth Group said on Wednesday it has advanced more than $3.3 billion in loans to care providers impacted by a cyberattack on the U.S. healthcare …

https://www.reuters.com/business/healthcare-pharmaceuticals/unitedhealth-group-has-paid-over-33-bln-care-providers-hit-by-cyberattacks-2024-03-28/

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Hollidaysburg couple pleads guilty in health care fraud case - MSN

(9 days ago) WEBIn September 2016, he was also charged in the U.S. District Court for the Southern District of Florida with conspiracy to commit mail and wire fraud in connection with a separate …

https://www.msn.com/en-us/news/crime/hollidaysburg-couple-pleads-guilty-in-health-care-fraud-case/ar-BB1kB0EN

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It’s official: Health care costs trump retirees’ other concerns

(4 days ago) WEBAccording to the joint study, which drew insights from more than 520 individuals, 63 percent ranked health care costs as their top concern in retirement, which …

https://www.investmentnews.com/retirement/news/its-official-health-care-costs-trump-retirees-other-concerns-251532

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How Medicare and Medicaid fraud became a $100B problem for …

(1 days ago) WEBKey Points. Medicare and Medicaid programs are being brazenly targeted by sophisticated criminals. Estimated annual fraud tops $100 billion, but investigators say …

https://www.cnbc.com/2023/03/09/how-medicare-and-medicaid-fraud-became-a-100b-problem-for-the-us.html

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Justice Department Sues Six Health Plans and Their Alliance for

(3 days ago) WEBThe United States’ intervention in this matter illustrates the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is …

https://www.justice.gov/opa/pr/justice-department-sues-six-health-plans-and-their-alliance-concealing-overpayments-military

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Home Office granted 275 care worker sponsorship visas after

(4 days ago) WEBThe Home Office granted 275 certificates of sponsorship for care workers after "forged" documents were used to make an application, a damning report into the …

https://news.sky.com/story/home-office-granted-275-care-worker-sponsorship-visas-after-forged-application-13102185

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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 …

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

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