Healthcare Fraud Investigations

Listing Websites about Healthcare Fraud Investigations

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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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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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Office of Investigations Office of Inspector General Government

(2 days ago) WEBThe Office of Investigations (OI) conducts criminal, civil and administrative investigations of fraud and misconduct related to HHS programs, operations and beneficiaries. State-of-the-art tools and technology assist OIG investigators around the country and help OI meet its goal of becoming the world's premier health care law enforcement agency.

https://oig.hhs.gov/about-oig/office-investigations/

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2020 National Health Care Fraud Takedown - Office of …

(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 fraud takedown in September …

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

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Fraud Office of Inspector General Government Oversight U.S

(6 days ago) WEBHHS-OIG assessment of future risk posed by persons who have allegedly engaged in civil health care fraud. State False Claims Act Reviews HHS-OIG, in consultation with the Attorney General, determines whether states have false claims acts that qualify for an incentive under section 1909 of the Social Security Act.

https://oig.hhs.gov/fraud/

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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WEBAlexander A. Istomin, 57, pleaded guilty in October 2022 to an eleven-count Information charging him with health care fraud, mail fraud, aggravated identity theft, and causing the introduction of

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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Health Care Fraud Investigations: Anatomy of an OIG …

(5 days ago) WEBAccording to the OIG’s recently published semi-annual report to Congress, the OIG reported its investigations in federal health care fraud in the 2018 Fiscal Year yielded nearly: $3 billion in …

https://www.hchlawyers.com/blog/2019/february/health-care-fraud-investigations-anatomy-of-an-o/

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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 action involving $2.5 billion in alleged

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

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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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Health Care Fraud Cigna Healthcare

(8 days ago) WEBHow to Report Health Care Fraud. Call the Special Investigations hotline at 1 (800) 667-7145. Email us: [email protected]. Write to us: Cigna Healthcare Special Investigations. 900 Cottage Grove Road W3SIU. Hartford, CT 06152. Health care fraud is a crime. Learn more about how to avoid and prevent health care fraud and how

https://www.cigna.com/legal/members/report-fraud

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Healthcare Fraud Investigations

(1 days ago) WEBBy taking an evidence based approach to clinical auditing and retrospectively reviewing healthcare providers and their records, Healthcare Fraud Investigations clears the medical system for responsible physician and provider care. We believe every provider deserves to be reviewed objectively and in accordance with governing medical guidelines.

https://hfigroup.org/

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Office of Public Affairs Federal Indictments & Law Enforcement

(6 days ago) WEBOne of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice resulted in charges against 24 defendants, including the CEOs, COOs and others associated with five telemedicine companies, the …

https://www.justice.gov/opa/pr/federal-indictments-and-law-enforcement-actions-one-largest-health-care-fraud-schemes

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Annual Report of the Departments of Healthand Human …

(4 days ago) WEBrevenues under the Health Care Fraud and Abuse Control Program for fiscal year 2020 is provided as required by Section 1817(k)(5) of the Social Security Act. The Social Security Act Section 1128C(a), as established by HIPAA (P.L. 104-191, or the Act), created the Health Care Fraud and Abuse Control Program, a far-reaching program to combat

https://www.oig.hhs.gov/publications/docs/hcfac/FY2020-hcfac.pdf

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Healthcare Fraud Blue Cross Blue Shield

(7 days ago) WEBNever sign a blank insurance form. If you suspect, experience or witness healthcare fraud, you should report the information to your local Blue Cross Blue Shield company by calling the number on the back of your member identification card. If you are not a BCBS member you can email us or call the report fraud hotline 1-877-327-BLUE (2583).

https://www.bcbs.com/healthcare-fraud

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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 enforcement highlights

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

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Healthcare Fraud, Waste, & Abuse Investigations - HCCA Official Site

(Just Now) WEBback to Healthcare Fraud, Waste, & Abuse Investigations Healthcare Fraud, Waste, & Abuse Investigations May 2, 2023 Webinar 12:00 PM CT. Learn More. Earn CCB CEUs from the comfort of your desk The importance of developing investigation standards; How to avoid regency bias when conducting investigations

https://www.hcca-info.org/conferences/webinars/healthcare-fraud-waste-abuse-investigations

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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …

(5 days ago) WEBIn February, Satine pleaded guilty to felony Medicaid fraud and theft by deception and was sentenced to 1½ to 5 years in state prison. He is required to pay $2.8 million dollars in restitution and previously repaid about $1.47 million to the Pennsylvania Department of Human Services in connection to this case.

https://www.attorneygeneral.gov/taking-action/four-people-plead-guilty-sentenced-for-multi-million-dollar-medicaid-fraud-scheme-that-involved-inflated-transportation-costs-other-phantom-services/

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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 said.

https://www.bizjournals.com/stlouis/news/2024/05/15/3-admit-500k-health-care-fraud.html

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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. Office of Inspector General, under the direction of Special Agent in Charge Christopher F. Algieri with the ongoing

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

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Connecticut ophthalmologist sentenced to prison for five-year …

(Just Now) WEBAssistant U.S. Attorney Howard Locker of the Health Care Fraud Unit prosecuted the case. CI is the criminal investigative arm of the IRS, responsible for conducting financial crime investigations, including tax fraud, narcotics trafficking, money-laundering, public corruption, healthcare fraud, identity theft and more.

https://www.irs.gov/compliance/criminal-investigation/connecticut-ophthalmologist-sentenced-to-prison-for-five-year-health-care-fraud-scheme

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NBA's Glen 'Big Daddy' Davis sentenced to 40 months for …

(Just Now) WEBA federal court on Friday sentenced former NBA champion Glen "Big Daddy" Davis to 40 months in prison for his part in a scheme to defraud the league's health care plan.

https://www.upi.com/Top_News/US/2024/05/10/glen-davis-nba-health-care-fraud/4281715375689/

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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 arrested 12 of the 15 suspects.

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

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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 program, comprised of 15 strike forces operating in 24 federal districts, has charged more than 4,200 defendants who collectively have billed the Medicare program for more than …

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

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Medicare Fraud Strike Force - Office of Inspector General

(9 days ago) WEBMedicare Fraud Strike Force. Medicare Fraud Strike Force Teams harness data analytics and the combined resources of Federal, State, and local law enforcement entities to prevent and combat health care fraud, waste, and abuse.

https://oig.hhs.gov/fraud/strike-force/

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Bob Menendez trial: Expect some NJ flavor in indictments - Bergen …

(1 days ago) WEBThe case will bring focus to the growing push by foreign countries to peddle influence in Washington by enlisting members of Congress. The federal indictment last week of Rep. Henry Cuellar, D

https://www.northjersey.com/story/opinion/columnists/charles-stile/2024/05/16/bob-menendez-trial-nj-flavor-indictments-gold-bars/73705876007/

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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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Doctor And Three Others In Bergen County Charged In $10 Million …

(6 days ago) WEBThe count of conspiracy to commit health care fraud is punishable by a maximum of 10 years in prison; the count of violating the federal anti-kickback statute is punishable by a maximum penalty of five years in prison. Both counts are also punishable by a fine of $250,000, or twice the gross gain or loss derived from the offense, …

https://www.justice.gov/usao-nj/pr/doctor-and-three-others-bergen-county-charged-10-million-health-care-fraud-scheme

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Healthcare Fraud: What You Need To Know Office of Inspector …

(2 days ago) WEBIn OIG's first live broadcast, OIG investigators answer your questions on what you need to know about healthcare fraud.

https://oig.hhs.gov/newsroom/videos/healthcare-fraud-what-you-need-know/

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