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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WebFOR IMMEDIATE RELEASE Wednesday, 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 Justice Department on Wednesday announced a nationwide health care fraud crackdown that resulted in charges against 78 defendants in separate schemes …

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

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

(1 days ago) Web0:02. 1:34. A Florida woman has been sentenced to more than eight years in prison for her role in a health care fraud conspiracy that brought in $8.6 million. …

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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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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Man Sentenced for Over $600M Health Care Fraud, Wire Fraud, …

(4 days ago) WebA New York man was sentenced today to 12 years in prison and ordered to pay over $336 million in restitution for a years-long fraud scheme in which he and his co …

https://www.justice.gov/opa/pr/man-sentenced-336m-health-care-fraud-wire-fraud-and-identity-theft-scheme

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How Insurers Exploited Medicare Advantage for …

(3 days ago) WebReed Abelson covers the business of health care, focusing on health insurance and how financial incentives affect the delivery of medical care. She has been a reporter for The Times since 1995.

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

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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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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 …

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

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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, The civil complaint of fraud, filed this week, is the first by …

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

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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 …

https://www.cbsnews.com/news/health-care-fraud-justice-department-charges-1-2-billion/

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Dozens in 16 States Charged With Health Care Fraud Schemes, …

(6 days ago) WebWASHINGTON (AP) — The Justice Department has charged dozens of people in several health care fraud and prescription drug schemes, including one …

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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Biden Plan to Cut Billions in Medicare Fraud - The New York Times

(1 days ago) WebReed Abelson covers the business of health care, focusing on health insurance and how financial incentives affect the delivery of medical care. She has been …

https://www.nytimes.com/2023/03/22/health/medicare-insurance-fraud.html

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Health Care Fraud — FBI

(8 days ago) WebHealth care fraud is not a victimless crime. It affects everyone and causes tens of billions of dollars in losses each year. The FBI is the primary agency for investigating health care …

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

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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 fraudulent prescriptions, kickback schemes, and whistleblower retaliation.

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

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Feds charge 138 medical professionals with $1.4B in healthcare …

(Just Now) Web“CMS has taken actions against 28 providers on behalf of people with Medicare coverage and to protect the Medicare Trust Fund. Actions like this to combat …

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

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False Claims Act judgments for healthcare totaled $1.8 billion in …

(3 days ago) WebSettlements and judgments under the False Claims Act exceeded $2.68 billion in the fiscal year ending Sept. 30, 2023, and, of that total, more than $1.8 billion …

https://www.healthcarefinancenews.com/news/false-claims-act-judgments-healthcare-totaled-18-billion-2023-doj-says

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Some insurance brokers enroll people in ACA plans without …

(9 days ago) WebNew rule to stop insurance brokers from fraudulently enrolling people in plans : Shots - Health News Some consumers "have gone months" without realizing …

https://www.npr.org/sections/health-shots/2022/01/17/1073282236/some-insurance-brokers-enroll-people-in-aca-plans-without-consent

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Fourteen years of manifestations and factors of health insurance …

(3 days ago) WebResults. Sixty-seven studies were included, from which we identified 6 definitions, 22 manifestations (13 by the medical provider, 7 by the beneficiary and, 2 by …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482647/

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Insurance Fraud Statistics 2024 – Forbes Advisor

(8 days ago) WebIn recent years, property and casualty fraud has increased in cost, from $38 billion in 2016 to $45 billion in 2020. [1] It’s estimated that 10% or more of …

https://www.forbes.com/advisor/insurance/fraud-statistics/

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Change Healthcare hackers broke in using stolen credentials — …

(5 days ago) WebChange Healthcare processes health insurance and billing claims for around half of all U.S. residents. According to Witty’s testimony, the criminal hackers …

https://techcrunch.com/2024/04/30/uhg-change-healthcare-ransomware-compromised-credentials-mfa/

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Ransomware attack on U.S. health care payment processor ‘most …

(9 days ago) WebFallout from a ransomware attack on the country’s largest health care payment processor is “the most serious incident of its kind leveled against a U.S. health …

https://www.nbcnews.com/tech/security/ransomware-attack-us-health-care-payment-processor-serious-incident-ki-rcna141322

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Change Healthcare Finally Admits It Paid Ransomware Hackers

(Just Now) WebCryptocurrency tracing firm Chainalysis found that in 2023, ransomware victims paid the hackers targeting them fully $1.1 billion, a new record. Change …

https://www.wired.com/story/change-healthcare-admits-it-paid-ransomware-hackers/

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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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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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Insurance Fraud — FBI

(3 days ago) WebThe total cost of insurance fraud (non-health insurance) is estimated to be more than $40 billion per year. That means Insurance Fraud costs the average U.S. family between …

https://www.fbi.gov/stats-services/publications/insurance-fraud

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After wait, Hertel & Brown fraud case advances in Erie federal …

(5 days ago) WebAfter months of inactivity, the docket is coming to life again in the $22 million federal fraud case against the Erie-based Hertel & Brown physical therapy practice. A judge has …

https://www.msn.com/en-us/news/crime/after-wait-physical-therapy-fraud-case-advances-in-erie-federal-court-heres-whats-next/ar-BB1lTeSA

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1 in 5 in study admit to considering insurance fraud

(2 days ago) WebInsurance fraud is a pervasive issue in the U.S., with estimates suggesting it could cost the industry more $300 billion annually.But beyond the financial strain on …

https://insurancenewsnet.com/innarticle/1-in-5-in-study-admit-to-considering-insurance-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 or …

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

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Wilmington man charged with insurance fraud NC DOI

(1 days ago) WebNorth Carolina Insurance Commissioner Mike Causey today announced the arrest of Shaquan Samir Walker, 31, of 1317 Buckingham Ave., Wilmington. Walker was …

https://www.ncdoi.gov/news/press-releases/2024/05/08/wilmington-man-charged-insurance-fraud

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Walmart Health Is Closing

(1 days ago) WebBENTONVILLE, Ark., April 30, 2024 — Back in 2019, we launched Walmart Health centers. During our five-year journey, we made meaningful impacts with patients while continuing …

https://corporate.walmart.com/news/2024/04/30/walmart-health-is-closing

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State Health Department Issues Penalty to Rochester-Area Nurse …

(6 days ago) WebFind more information on New York's Immunization Laws and Regulations, here. New Yorkers can report vaccine fraud by calling 833-VAX-SCAM (833-829-7226) …

https://www.health.ny.gov/press/releases/2024/2024-05-07_vaccine_records.htm

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Ranking Members Cassidy, Crapo Demand Transparency on DOL’s …

(2 days ago) WebWASHINGTON – Today, U.S. Senators Bill Cassidy, M.D. (R-LA), ranking member of the Senate Health, Education, Labor, and Pensions (HELP) Committee, and …

https://www.help.senate.gov/ranking/newsroom/press/ranking-members-cassidy-crapo-demand-transparency-on-dols-new-policy-forgiving-julie-su-for-losing-32-billion-to-unemployment-insurance-fraud

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DACA recipients will now be eligible for federal health care …

(6 days ago) WebThe U.S. Department of Health and Human Services estimates that over 100,000 young immigrants who lack health insurance will now have a shot at accessing …

https://www.nbcnews.com/news/latino/biden-daca-healthcare-coverage-new-rule-rcna150473

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Biden expands health insurance access for DACA immigrants

(8 days ago) WebPresident Joe Biden's administration will allow certain immigrants illegally brought to the U.S. as children access to federally run health insurance, the White …

https://www.reuters.com/world/us/biden-expands-health-insurance-access-daca-immigrants-2024-05-03/

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Confused by new mammogram guidelines? Here’s what to know.

(2 days ago) WebA national health panel has recommended lowering the age for routine screening mammograms by 10 years, now advising women ages 40 to 74 at average …

https://www.washingtonpost.com/wellness/2024/05/08/screening-mammograms-insurance/

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Biden expands health insurance access for DACA recipients

(4 days ago) WebPresident Biden delivers remarks on health care in Raleigh, N.C., on March 26. The new policy will become effective Nov. 1, according to the Department of Health …

https://www.washingtonpost.com/politics/2024/05/03/biden-daca-health-care/

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Governor Hochul Launches New York State Healthcare Workers for …

(2 days ago) WebGovernor Kathy Hochul today announced the New York State Healthcare Workers for Our Future Scholarship.This new scholarship program provides a two-year …

https://www.governor.ny.gov/news/governor-hochul-launches-new-york-state-healthcare-workers-our-future-scholarship-program

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