Top Healthcare Fraud Schemes

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Busted: The top healthcare fraud schemes of Q3 2023

(3 days ago) WebBusted: The top healthcare fraud schemes of Q3 2023. As we review the third quarter of 2023, we’re confronted with a resurgence of fraud, waste, and abuse (FWA) cases that continue to target both public and private payers. These cases persistently employ a …

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-healthcare-fraud-schemes-of-q3-2023

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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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Busted: The top healthcare fraud schemes of Q4 2021 - Cotiviti

(6 days ago) WebBusted: The top healthcare fraud schemes of Q4 2021. Erin Rutzler. The second full year of the COVID-19 pandemic unfortunately closed out with a spike in allegations of …

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q4-2021

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Top Healthcare Fraud Takedowns of 2020

(6 days ago) WebFeds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory …

https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020

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Busted: The top healthcare fraud schemes of Q3 2021 - Cotiviti

(6 days ago) WebWith help from the National Health Care Anti-Fraud Association (NHCAA), we gathered the most outrageous cases of alleged fraud, waste, and abuse (FWA) from July through …

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q3-2021

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2021 National Health Care Fraud Enforcement Action

(8 days ago) Web9 defendants are alleged to have engaged in various health care fraud schemes that exploited the COVID-19 pandemic which resulted in the submission of …

https://www.justice.gov/criminal/criminal-fraud/2021-national-health-care-fraud-enforcement-action

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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 fraud, for

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

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Busted: The top healthcare fraud schemes of Q1 2021

(5 days ago) WebBusted: The top healthcare fraud schemes of Q1 2021. Erin Rutzler. While 2021 has brought renewed optimism over the COVID-19 pandemic, it has also delivered numerous new fraud, waste, and abuse (FWA) cases in …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q1-2021

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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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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 …

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

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The Health Care Fraud and Abuse Control Program Protects - CMS

(1 days ago) WebIn June 2016, the Medicare Fraud Strike Force conducted a nationwide health care fraud takedown, which resulted in criminal and civil charges against 301 …

https://www.cms.gov/newsroom/fact-sheets/health-care-fraud-and-abuse-control-program-protects-consumers-and-taxpayers-combating-health-care-0

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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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Common Types of Health Care Fraud Fact Sheet - Centers for …

(Just Now) WebThis fact sheet provides a brief overview of some common types of Medicaid fraud, waste, and abuse involving providers. Although the examples involve violation of Federal laws, …

https://www.cms.gov/files/document/overviewfwacommonfraudtypesfactsheet072616pdf

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

(5 days ago) WebHARRISBURG — Attorney General Michelle Henry announced that four people who conspired to defraud Medicaid of nearly $9 million have pleaded guilty and …

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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No easy fixes to Obamacare enrollment fraud : Shots - NPR

(3 days ago) WebLooking for 'targeted' solutions. The largest enrollment partner is San Francisco-based HealthSherpa, which assisted 52% of all active enrollments nationally …

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

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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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Busted: The top fraud schemes of Q3 2022 - Cotiviti

(5 days ago) WebBusted: The top fraud schemes of Q3 2022. Summer 2022 was a busy season for healthcare fraud, waste, and abuse (FWA). From genetic testing-related kickbacks, to …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q3-2022

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Connecticut ophthalmologist sentenced to prison for five-year …

(Just Now) WebIn July 2022, Salzberg pleaded guilty to one count of conspiracy to commit health care fraud and one count of conspiracy to receive kickbacks. Salzberg, a licensed …

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

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Guilty Plea in $50 Million Medicare Fraud Scheme JD Supra

(7 days ago) WebGuilty Plea in $50 Million Medicare Fraud Scheme. Manishkumar Patel of Pelham Manor, NY recently pleaded guilty in connection with a healthcare fraud and …

https://www.jdsupra.com/legalnews/guilty-plea-in-50-million-medicare-1823427/

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WebLuis Roa, 51, of Santiago, Chile, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District Judge Kevin McNulty to an information charging him with …

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

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U.S. Attorney's Office Announces the Formation of Multi-Agency …

(5 days ago) WebIn February 2023, the FBI, U.S. Attorney’s Office for the District of South Carolina, and other federal, state, and local agency partners began meeting as part of a …

https://www.postandcourier.com/kingstree/news/u-s-attorneys-office-announces-the-formation-of-multi-agency-health-care-fraud-task-force/article_ef694c66-07f6-11ef-84ad-471728f45496.html

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Update on Department of Justice Healthcare Fraud Investigations

(9 days ago) WebOn April 26, the US Department of Justice (DOJ) announced that Manishkumar Patel pleaded guilty to charges related to a $50 million health care fraud …

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

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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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Busted: The top fraud schemes of Q1 2022 - Cotiviti

(5 days ago) WebAcupuncture fraud: $1.7 million. A Minnesota acupuncturist is facing charges for Medicare fraud. According to the criminal complaint, she submitted more than $1.6 million in …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q1-2022

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Ex-NBA Player Glen ‘Big Baby’ Davis Gets 40 Months for Fraud

(9 days ago) WebListen. 1:37. Former National Basketball Association player Glen “Big Baby” Davis was ordered to spend more than three years behind bars for participating in a …

https://www.bloomberg.com/news/articles/2024-05-09/ex-nba-player-glen-big-baby-davis-gets-40-months-for-fraud

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Doctor Convicted of $6.3M Medicare Fraud Scheme

(3 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/doctor-convicted-63m-medicare-fraud-scheme

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

(Just Now) WebMay 10 (UPI) -- A 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 …

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

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Ex-NBA player Davis sentenced in fraud scheme - ESPN

(4 days ago) WebESPN. Glen "Big Baby" Davis was sentenced by a federal judge to 40 months in prison for his conviction in an alleged scheme to defraud the NBA's health care …

https://www.espn.com/nba/story/_/id/40113791/glen-big-baby-davis-sentenced-40-months-prison-fraud-scheme

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District of New Jersey Four Men Indicted for Their Roles in $35

(3 days ago) WebFor the conspiracy to commit health care fraud and health care fraud charges, the defendants face a statutory maximum of 10 years in prison and a fine of $250,000, or …

https://www.justice.gov/usao-nj/pr/four-men-indicted-their-roles-35-million-pharmacy-compounded-medication-scheme

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Southampton man convicted of fraud, money laundering

(Just Now) WebListen to this article. A Southampton investment advisor was convicted in federal court in Central Islip Thursday of fraud and money laundering charges in a $1 …

https://libn.com/2024/05/17/southampton-man-convicted-of-fraud-money-laundering/

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Former NBA player Glen 'Big Baby' Davis sentenced to 40 months …

(5 days ago) WebThe 38-year-old Davis was also sentenced to three years of supervised release. In November, Davis was found guilty of health care fraud, wire fraud, conspiracy to make …

https://www.msn.com/en-us/sports/nba/former-nba-player-glen-big-baby-davis-sentenced-to-40-months-in-insurance-fraud-scheme/ar-BB1m786a

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

(6 days ago) WebAllegedly Paid and Received Kickbacks in Connection with Medically Unnecessary Prescriptions for Pain Creams. NEWARK, N.J. – A doctor and three people …

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

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Florida Man Sentenced to 10 Years in Prison and Ordered to Pay …

(8 days ago) WebPITTSBURGH, Pa. - A resident of Fort Lauderdale, Florida, was sentenced in federal court to 120 months of imprisonment, to be followed by three years of supervised …

https://www.justice.gov/usao-wdpa/pr/florida-man-sentenced-10-years-prison-and-ordered-pay-more-97-million-restitution

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