Health Insurance Fraud Articles
Listing Websites about Health Insurance Fraud Articles
How Insurers Exploited Medicare Advantage for …
(3 days ago) WebThe New York Times. But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to
https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html
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Fourteen years of manifestations and factors of health …
(3 days ago) Web“Health insurance fraud is an act based on deceit or intentional misrepresentation to obtain illegal benefits concerning the coverage provided by health …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482647/
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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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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 …
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No easy fixes to Obamacare enrollment fraud : Shots
(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 …
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A New Medicare Advantage Fraud Case Is Taking Aim At …
(Just Now) WebA New Medicare Advantage Fraud Case Is Taking Aim At Data Mining : Shots - Health News In a civil suit filed this week, the Justice Department accuses a …
https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining
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Fourteen years of manifestations and factors of health …
(5 days ago) WebHealthcare fraud entails great financial and human losses; however, there is no consensus regarding its definition, nor is there an inventory of its manifestations and …
https://healthandjusticejournal.biomedcentral.com/articles/10.1186/s40352-021-00149-3
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UPCODING MEDICARE: IS HEALTHCARE FRAUD AND …
(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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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: Federal, state, and local
https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud
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We Asked Prosecutors if Health Insurance Companies …
(1 days ago) WebCalifornia is known for sunshine, surf and health care scams. It’s so rife with suspicious bills and kickbacks that the feds based a Medicare Fraud Strike Force in its ground zero for schemes
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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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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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U.S. investigates alleged Medicare fraud scheme estimated at $2 …
(3 days ago) WebFebruary 9, 2024 at 4:31 p.m. EST. The office building that houses Royce Medical Supply in Fort Lauderdale, Fla. The company is among seven firms identified in an alleged scheme …
https://www.washingtonpost.com/national-security/2024/02/09/medicare-alleged-fraud-catheters/
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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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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 …
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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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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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Health insurance fraud detection by using an attributed …
(2 days ago) WebHealth insurance fraud detection problem with an AHIN. The health insurance fraud detection problem can be defined by modelling different objects and …
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-023-02152-0
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Health insurance fraud detection based on multi-channel …
(7 days ago) WebRecent heterogeneous graph-based approaches to health insurance fraud detection have been limited by a number of challenges. These methods focus on …
https://www.sciencedirect.com/science/article/pii/S2405844024060766
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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 …
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Recommendations to protect patients and health care practices …
(3 days ago) WebTypes of fraud. There is no standard in how fraud is classified. 17 CMS describes 10 different types of Medicaid fraud, whereas Thornton et al 17 describe 18 …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323645/
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Health care fraud: Ex-Bergen jail guard admits participating in …
(5 days ago) WebFormer Bergen jail guard admits to helping defraud county health care system of $3 million. A former Bergen County corrections officer admitted in federal court …
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Former NBA player sentenced to 40 months in prison for role in …
(3 days ago) WebProfessional basketball player Glen “Big Baby” Davis, 38, has been sentenced for his role in defrauding the NBA’s healthcare plan of $5 million over a four-year period. …
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NBA health care fraud scheme: Full list of players and sentences
(2 days ago) WebAllen pled guilty to one count of conspiracy to commit health care fraud and wire fraud, according to court documents. He could face up to two years in prison, per …
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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, an …
https://www.cnn.com/2024/05/08/tech/cyberattack-disrupts-healthcare-network/index.html
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District of New Jersey Bergen County Man Admits Stealing
(6 days ago) WebHe also thanked the Department of Labor—Office of the Inspector General and the National Insurance Crime Bureau for its assistance with the case. The …
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Stokes County couple and a Winston-Salem man charged with …
(5 days ago) WebHeather Doss was released from custody on a written promise to appear at her court hearings. Heather Doss is listed as the managing member of the company. Jason …
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Ex-NBA Player Glen ‘Big Baby’ Davis Gets 40 Months for Fraud
(9 days ago) WebMay 9, 2024 at 1:10 PM PDT. Listen. 1:37. Former National Basketball Association player Glen “Big Baby” Davis was ordered to spend more than three years …
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CHP employee and 14 others charged in complex insurance fraud …
(7 days ago) WebThe San Bernardino County District Attorney's Office charged all 15 suspects with insurance fraud, grand theft by trick and false imprisonment. Law enforcement …
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