Health Care Billing Fraud Cases

Listing Websites about Health Care Billing Fraud Cases

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Nurse Practitioner Sentenced in Twelve Million Dollar …

(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 and executing fraudulent billing schemes in

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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Justice Department Charges Dozens for $1.2 Billion in …

(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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Criminal Division Case Summaries - United States …

(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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Twenty-Three Individuals Charged in $61.5 Million …

(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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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 78 in multibillion-dollar …

(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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National Health Care Fraud Enforcement Action Results in …

(7 days ago) WebThe over $133 million in false and fraudulent claims that are additionally alleged in cases announced today reflect the continued effort by the National Rapid …

https://www.dea.gov/press-releases/2021/09/21/national-health-care-fraud-enforcement-action-results-charges-involving

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DOJ charges 14 people in alleged Covid-related health …

(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 — FBI

(8 days ago) WebHealth care fraud can be committed by medical providers, patients, and others who intentionally deceive the health care system to receive unlawful benefits or payments. The FBI is the primary

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

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Feds charge 138 medical professionals with $1.4B in …

(Just Now) WebThe COVID-19 cases announced today build upon the success of the COVID-19 Health Care Fraud Takedown on May 26, a coordinated law enforcement action against 14 defendants in seven …

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

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Healthcare billing fraud: 11 recent cases - Becker's Hospital Review

(9 days ago) Web9. A New Jersey cardiologist and practice owner pleaded guilty to a $1.9 million healthcare fraud scheme. 10. The owner of Holy Health Care Services, a Washington, …

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-11-recent-cases-8.html

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The Health Care Fraud and Abuse Control Program Protects - CMS

(1 days ago) WebAnother powerful tool in the effort to combat health care fraud is the federal False Claims Act. In 2016, DOJ obtained over $2.5 billion in settlements and judgments …

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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Top Healthcare Fraud, Waste, and Abuse Takedowns of the Year

(Just Now) WebJury returns indictment in $100M COVID-19 healthcare fraud case. In November 2021, a federal grand jury returned an indictment charging the owner of …

https://revcycleintelligence.com/features/top-healthcare-fraud-waste-and-abuse-takedowns-of-the-year

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What Should Health Care Organizations Do to Reduce Billing …

(4 days ago) WebIn the 2018 fiscal year, the Department of Justice won or negotiated $2.3 billion in judgments or settlements relating to health care fraud and abuse, including 1139 criminal fraud …

https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WebThe over $133 million in false and fraudulent claims that are additionally alleged in cases announced today reflect the continued effort by the National Rapid …

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

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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 an …

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

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Unveiling $5.4M Healthcare Fraud: The Case of Adarsh Gupta and …

(4 days ago) WebHealthcare fraud remains a pervasive issue, threatening the integrity of medical services and draining valuable resources from public programs. In a recent development, a …

https://www.msn.com/en-us/money/insurance/unveiling-5-4m-healthcare-fraud-the-case-of-adarsh-gupta-and-the-medicare-scheme/ar-AA1nN93v

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Bergen County, New Jersey Doctor Charged with Fraudulently …

(Just Now) WebAlbert Ades, 60, of Englewood, New Jersey, was indicted by a federal grand jury in Newark on Feb. 20, 2015, on one count of health care fraud and 35 counts of …

https://www.fbi.gov/contact-us/field-offices/newark/news/press-releases/bergen-county-new-jersey-doctor-charged-with-fraudulently-billing-for-office-visits-that-were-never-rendered

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Laws Against Health Care Fraud Fact Sheet - Centers for …

(5 days ago) WebHealth Care Fraud Statute. The Health Care Fraud Statute makes it a criminal offense to knowingly and. willfully execute a scheme to defraud a health care benefit program. …

https://www.cms.gov/files/document/overviewfwalawsagainstfactsheet072616pdf

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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 related to a $50 million health care fraud and kickback scheme. of billing …

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

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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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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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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) WebAbout 500 qui tam cases are filed in federal courts annually, mostly involving health care and defense contracting. When the government or the plaintiff prevails, the …

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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Elara Caring and Fight Against $4.2M Healthcare Fraud - MSN

(3 days ago) WebI n a significant development in the realm of healthcare fraud, Elara Caring, along with its subsidiaries, has reached a settlement totaling $4.2 million to resolve allegations of False …

https://www.msn.com/en-us/money/companies/elara-caring-settles-42-million-case-over-false-claims-act-violations/ar-AA1o1SPQ

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What we know about the hacking attack that targeted the U.S.

(9 days ago) WebMajor hacking attack threw parts of the U.S. health care system into chaos a couple of months ago. The hackers breached the Change Healthcare company and took …

https://www.npr.org/2024/04/27/1247649283/what-we-know-about-the-hacking-attack-that-targeted-the-u-s-healthcare-system

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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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The Change Healthcare cyberattack is a 'catastrophe' for American

(Just Now) WebSeventy-four percent of hospitals reported in March direct impacts to patient care as a result of the cyberattack, and 94% said they felt financial impacts. And the …

https://fortune.com/2024/04/23/change-healthcare-cyberattack-unitedhealth-hack-ransomware/

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Healthcare insurance fraud detection using data mining

(2 days ago) WebHealthcare programs and insurance initiatives play a crucial role in ensuring that people have access to medical care. There are many benefits of healthcare …

https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-024-02512-4

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Leader Of $50 Million Health Care Fraud Pleads Guilty

(6 days ago) WebDamian Williams, the United States Attorney for the Southern District of New York, announced that MANISHKUMAR PATEL pled guilty today in connection with a $50 …

https://www.justice.gov/usao-sdny/pr/leader-50-million-health-care-fraud-pleads-guilty

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