Health Care Fraud Articles

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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 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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The Challenge of Health Care Fraud – NHCAA

(6 days ago) WEBHealth Care Fraud and Organized Criminal Groups. Health care fraud is not just committed by dishonest health care providers. So enticing an invitation is our nation’s …

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

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What Should Health Care Organizations Do to Reduce …

(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 …

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

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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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Combating Health Care Fraud and Abuse: …

(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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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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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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Fraud, Abuse, and Financial Conflicts of Interest NEJM

(Just Now) WEBDisclosure Forms (nejmp2201628_disclosures.pdf) Download. 78.18 KB. Increased attention and ever-growing complexity in the area of health care fraud-and-abuse regulation require the …

https://www.nejm.org/doi/full/10.1056/NEJMp2201628

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Office of Public Affairs National Health Care Fraud …

(8 days ago) WEBThe Department of Justice announced today criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in …

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

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Federal and State Agencies Crack Down on Health Care Fraud

(7 days ago) WEBThe enforcement action, which involved agencies including the Federal Bureau of Investigation and the Department of Health and Human Services’ Office of Inspector …

https://jamanetwork.com/journals/jama/fullarticle/2807424

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Recommendations to protect patients and health care practices …

(3 days ago) WEBThe objectives of this commentary are to describe the types and trends of Medicare and Medicaid fraud that are committed, and provide recommendations to …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323645/

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Health Care Fraud — FBI

(8 days ago) WEBThe FBI is the primary agency for investigating health care fraud, for both federal and private insurance programs. The FBI investigates these crimes in partnership with: …

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

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Dozens in 16 states charged with health care fraud schemes, …

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

https://apnews.com/article/health-care-fraud-investigation-leg-braces-amputees-9883f45b2f22892331b7a6f7121811fb

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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 …

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

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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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UPCODING MEDICARE: IS HEALTHCARE FRAUD AND ABUSE …

(3 days ago) WEBIntroduction. Medicare fraud has been defined by the Centers for Medicare and Medicaid Services (CMS) as submitted or caused to have been submitted, false …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/

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Combating Health Care Fraud and Abuse: Conceptualization and

(5 days ago) WEBBackground: An estimated US $2.6 billion loss is attributed to health care fraud and abuse. With traditional health care claims verification and reimbursement, the …

https://www.jmir.org/2020/9/e18623/

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Almost all US hospitals took financial hit from Change hack, AHA …

(4 days ago) WEBAlmost all U.S. hospitals were hurt financially by the cyberattack on United Health Group’s Change Healthcare unit earlier this year, according to a survey from the …

https://www.reuters.com/technology/cybersecurity/almost-all-us-hospitals-took-financial-hit-change-hack-aha-says-2024-04-30/

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Change Healthcare Finally Admits It Paid Ransomware Hackers

(Just Now) WEBChange Healthcare's payment may represent only a small drop in that bucket, but it both rewards AlphV for its highly damaging attacks and may suggest to …

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

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Federal Agencies Launch Portal for Public Reporting of …

(2 days ago) WEBToday, the Federal Trade Commission, Justice Department, and the U.S. Department of Health and Human Services (HHS) launched an easily accessible online …

https://www.ftc.gov/news-events/news/press-releases/2024/04/federal-agencies-launch-portal-public-reporting-anticompetitive-practices-health-care-sector

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New Orleans author, nurse indicted for health care fraud Courts

(8 days ago) WEBA New Orleans nurse who authored a series of children's books was indicted by federal authorities Thursday on six counts of health care fraud. According to …

https://www.nola.com/news/courts/new-orleans-author-nurse-indicted-for-health-care-fraud/article_8a79149e-041d-11ef-935f-b78d9017dc42.html

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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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Healthcare Fraud and Abuse - PMC - National Center for …

(3 days ago) WEBTo help combat fraud and abuse, the federal government's False Claims Act (FCA) of 1986 specifically targeted healthcare fraud and abuse. Under the FCA, …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804462/

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Health care fraud: Ex-Bergen jail guard admits participating in …

(5 days ago) WEB0:00. 0:43. A former Bergen County corrections officer admitted in federal court Wednesday to participating in a complex scheme to defraud the county health …

https://www.northjersey.com/story/news/bergen/2021/04/21/bergen-county-corrections-officer-admits-defrauding-county-healthcare-system/7325076002/

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Change Healthcare cyberattack was due to a lack of multifactor

(9 days ago) WEB3 of 5 . Protesters hold up signs saying “Stop Denying Us Care” as Andrew Witty, Chief Executive Officer of UnitedHealth Group, front, gathers his papers after …

https://apnews.com/article/change-healthcare-cyberattack-unitedhealth-senate-9e2fff70ce4f93566043210bdd347a1f

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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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U.S. Attorney’s Office announces formation of Multi-Agency …

(1 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 Health Care Fraud …

https://www.msn.com/en-us/news/us/us-attorney-s-office-announces-formation-of-multi-agency-health-care-fraud-task-force/ar-AA1o2qU5

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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 …

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

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U.S. Attorney's Office announces the formation of multi-agency …

(5 days ago) WEBHealth care fraud is an enormous burden on South Carolina taxpayers. In 2023, taxpayer funded healthcare programs spent approximately $23 billion in South …

https://www.postandcourier.com/kingstree/community-news/u-s-attorneys-office-announces-the-formation-of-multi-agency-health-care-fraud-task-force/article_a7fd4702-094e-11ef-9821-035b4e0a6107.html

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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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