Health Care Fraud And Abuse Today

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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 …

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

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Justice Department charges 78 in multibillion-dollar health care …

(Just Now) WEBFederal and state law enforcement offices brought criminal charges across 16 states against 78 people for their roles in $2.5 billion in attempted health care fraud …

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 Charges

(7 days ago) WEBThe charges target approximately $1.1 billion in fraud committed using telemedicine (the use of telecommunications technology to provide health care services …

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

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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 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 …

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

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2021 National Health Care Fraud Enforcement Action

(2 days ago) WEBThe Department of Health and Human Services Office of Inspector General, along with our law enforcement partners, participated in a strategically coordinated, six …

https://oig.hhs.gov/newsroom/media-materials/2021-national-ea/

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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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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(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 …

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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The Challenge of Health Care Fraud – NHCAA

(6 days ago) WEBThe National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. A …

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

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The Health Care Fraud and Abuse Control Program Protects - CMS

(1 days ago) WEBSince inception in 1997, the Health Care Fraud and Abuse Control (HCFAC) Program has been at the forefront of the fight against health care fraud, …

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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Fraud, Waste, and Abuse - Centers for Medicare & Medicaid …

(5 days ago) WEBIn addition, this paper speaks to fraud, waste, and abuse schemes that occurred between early 2020 and January 2021. HFPP Partners rapidly began to observe and worked to …

https://www.cms.gov/files/document/hfpp-white-paper-healthcare-fraud-waste-and-abuse-context-covid-19.pdf

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Combating Health Care Fraud and Abuse: Conceptualization and

(3 days ago) WEBConclusions. The proposed framework and the initial prototype have the potential to improve the health care claims process by using blockchain technology for …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/

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What Should Health Care Organizations Do to Reduce Billing …

(4 days ago) WEBIn 2016, the Centers for Medicare and Medicaid Services (CMS) spent $1.1 trillion on health coverage for 145 million Americans, $95 billion of which constituted improper …

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

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Recommendations to protect patients and health care practices …

(Just Now) WEBFraud is defined as knowingly submitting, or causing to be submitted, false claims or making misrepresentations of a fact to obtain a federal health care payment …

https://www.japha.org/article/S1544-3191(20)30247-8/fulltext

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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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Top Officials Call for More Health-Care Antitrust Cases

(6 days ago) WEBListen. 2:13. The US hasn’t enforced its antitrust laws enough in the health care industry, top Justice Department officials said, voicing particular concern about …

https://www.bloomberg.com/news/articles/2024-05-08/top-doj-antitrust-officials-call-for-more-health-care-enforcement

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No easy fixes to Obamacare enrollment fraud : Shots - Health …

(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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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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DOJ Announces Coordinated Law Enforcement Action to Combat …

(1 days ago) WEBThe Department of Justice today announced criminal charges against 14 defendants, including 11 newly-charged defendants and three who were charged in …

https://www.justice.gov/opa/pr/doj-announces-coordinated-law-enforcement-action-combat-health-care-fraud-related-covid-19

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2024 U.S. Health Care Fraud, Waste & Abuse Trends (Part III

(8 days ago) WEBIn this third and final installment of Ropes & Gray’s three-part podcast series exploring recent regulatory, compliance, and enforcement developments in the fraud, …

https://www.ropesgray.com/en/insights/podcasts/2024/04/2024-us-health-care-fraud-waste-abuse-trends-part-iii-enforcement-actions

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Trio admits $550K Medicaid fraud conspiracy in federal court - MSN

(3 days ago) WEBA healthcare fraud plot unraveled today in an unusual way. guilty to conspiracy to commit health fraud. They also settled a separate civil case by agreeing to pay …

https://www.msn.com/en-us/money/companies/trio-admits-550k-medicaid-fraud-conspiracy-in-federal-court/ar-BB1mkr0B

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Medicare Fraud & Abuse: Prevent, Detect, Report - Centers …

(1 days ago) WEBThe diference between “fraud” and “abuse” depends on specific facts, circumstances, intent, and knowledge. Examples of Medicare abuse include: Billing for unnecessary …

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

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Fake rehab centers fleeced Arizona taxpayers, victimized - USA …

(3 days ago) WEBMayes, Arizona Gov. Katie Hobbs and representatives of 13 Arizona tribes announced the fraud at a news conference Tuesday morning. The investigation, which …

https://www.usatoday.com/story/news/nation/2023/05/16/fake-rehab-centers-fleeced-arizona-taxpayers-victimized-indigenous/70225653007/

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Florida man sentenced to 10 years in prison and ordered to pay …

(1 days ago) WEBMay 7, 2024 — A resident of Fort Lauderdale, Florida, was sentenced in federal court to 120 months of imprisonment, to be followed by three years of supervised release, and …

https://www.irs.gov/compliance/criminal-investigation/florida-man-sentenced-to-10-years-in-prison-and-ordered-to-pay-more-than-97-million-in-restitution-for-participation-in-multiple-health-care-fraud-and-kickback-schemes

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Cyberattack disrupts operations at major US health care network

(6 days ago) WEBCNN —. A cyberattack has disrupted “clinical operations” at major health care nonprofit Ascension, forcing it to take steps to minimize any impact to patient care, …

https://www.cnn.com/2024/05/08/tech/cyberattack-disrupts-healthcare-network/index.html

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Arizona AG reveals 4 new indictments in AHCCCS fraud scandal

(4 days ago) WEBGovernment records revealed, according to the news release, that the health care facility billed AHCCCS and the American Indian Health Program for more …

https://www.azcentral.com/story/news/local/arizona/2023/10/18/kris-mayes-announces-new-ahcccs-fraud-indictments/71228725007/

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Scott says Medicare fraud case was ‘political persecution’ Miami …

(4 days ago) WEBBy 2003, the company agreed to pay $1.7 billion in what was then the largest health care fraud settlement in U.S. history. Scott’s resignation from the company was …

https://www.miamiherald.com/news/politics-government/article288431251.html

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2021 National Health Care Fraud Enforcement Action

(8 days ago) WEBAssistant Attorney General Kenneth A. Polite Jr. Delivers Remarks on Health Care Enforcement Actions The largest amount of alleged fraud loss charged in …

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

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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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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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NBA champion Glen Davis sentenced to 40 months in prison for …

(5 days ago) WEBIn November, Davis was found guilty of wire fraud, health care fraud, conspiracy to commit health care fraud and conspiracy to make false statements related to health …

https://www.msn.com/en-us/sports/nba/nba-champion-glen-davis-sentenced-to-40-months-in-prison-for-part-in-plan-to-defraud-league-s-health-care-plan-out-of-millions/ar-BB1mb80n

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Ex-NBA player Glen 'Big Baby' Davis sentenced to 40 months

(1 days ago) WEBUSA TODAY. 0:04. 1:31. Former NBA player Glen "Big Baby" Davis was sentenced to 40 months in prison on Thursday for defrauding the league's healthcare …

https://www.usatoday.com/story/sports/nba/2024/05/09/glen-big-baby-davis-prison-sentence-defraud-nba-healthcare-scheme/73629712007/

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Glen 'Big Baby' Davis sentenced to 40 months in prison over fraud

(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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Ex-NBA Player Glen 'Big Baby' Davis Sentenced to 40 Months in …

(8 days ago) WEBFormer NBA player Glen "Big Baby" Davis was sentenced to 40 months in prison Thursday for fraud related to the league's health care plan. According to Scooby …

https://bleacherreport.com/articles/10120432-ex-nba-player-glen-big-baby-davis-sentenced-to-40-months-in-prison-for-fraud-scheme

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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 …

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

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