Health Insurance Fraud Investigation

Listing Websites about Health Insurance Fraud Investigation

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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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How Insurers Exploited Medicare Advantage for …

(3 days ago) WEBBut 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 inflate their profits by

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

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We Asked Prosecutors if Health Insurance Companies …

(1 days ago) WEBHe said my calls to the prosecutors exposed alarming differences in the way fraud is enforced in the private and government health plans. The Medicaid fraud units are “staffed and actively

https://www.propublica.org/article/we-asked-prosecutors-if-health-insurance-companies-care-about-fraud-they-laughed-at-us

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Office of Public Affairs Federal Indictments & Law Enforcement

(6 days ago) WEBOne of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS …

https://www.justice.gov/opa/pr/federal-indictments-and-law-enforcement-actions-one-largest-health-care-fraud-schemes

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Annual Report of the Departments of Health and Human …

(Just Now) WEBThe Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Also, in FY 2022, DOJ opened more than 774 new civil health care fraud …

https://oig.hhs.gov/publications/docs/hcfac/FY2022-hcfac.pdf

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WEBThe cases that fall into more traditional categories of health care fraud include charges against over 60 defendants who allegedly participated in schemes to …

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

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Investigative Reporting on Health Insurance — ProPublica

(Just Now) WEBHealth Insurers Have Been Breaking State Laws for Years. States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from …

https://www.propublica.org/topics/health-insurance

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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 …

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

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Fourteen years of manifestations and factors of health insurance …

(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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U.S. Attorney announces charges against five individuals for over …

(1 days ago) WEBSeptember 13, 2023 — Damian Williams, the United States Attorney for the Southern District of New York, and Naomi Gruchacz, the Special Agent in Charge of the New York …

https://www.irs.gov/compliance/criminal-investigation/us-attorney-announces-charges-against-five-individuals-for-over-20-million-dollar-health-care-fraud-money-laundering-and-kickbacks-scheme

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Fraud Protection Tips in the Health Insurance Marketplace®

(6 days ago) WEBIf we don’t have this information, we may not be able to process your application. Calls come from 1-855-997-1890 or 844-477-7500. Caller ID may also show as Health …

https://www.healthcare.gov/protect-from-fraud-and-scams/

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Fraud Office of Inspector General Government Oversight U.S

(6 days ago) WEBHHS-OIG assessment of future risk posed by persons who have allegedly engaged in civil health care fraud. State False Claims Act Reviews HHS-OIG, in consultation with the …

https://oig.hhs.gov/fraud/

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

(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 …

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

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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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State of New Jersey

(4 days ago) WEBTRENTON – Attorney General Gurbir S. Grewal and the Office of the Insurance Fraud Prosecutor (“OIFP”) today announced charges against 19 individuals …

https://www.nj.gov/oag/newsreleases19/pr20190509c.html

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FTC Finalizes Changes to the Health Breach Notification Rule

(3 days ago) WEBThe HBNR requires vendors of personal health records (PHR) and related entities that are not covered by the Health Insurance Portability and Accountability Act …

https://www.ftc.gov/news-events/news/press-releases/2024/04/ftc-finalizes-changes-health-breach-notification-rule

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Healthcare Fraud Investigator jobs - Indeed

(4 days ago) WEBSr. Director, Pharmaceutical Crime/Healthcare Fraud Investigator, IP Legal. Gilead Sciences. Miami, FL. $201,025 - $260,150 a year. Full-time. Provide visionary …

https://www.indeed.com/q-Healthcare-Fraud-Investigator-jobs.html

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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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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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Apollo Denies Illegal Life-Insurance Practices Alleged in Suit

(3 days ago) WEBApollo Global Management Inc. fired back Wednesday at claims it uses illegal life insurance policies to bet on the longevity of senior citizens, calling the allegations …

https://news.bloomberglaw.com/esg/apollo-assails-human-life-wagering-claims-denies-wrongdoing

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Manhattan U.S. Attorney Announces Charges Against 36 …

(Just Now) WEBLargest No-Fault Automobile Insurance Fraud Case Charged to Date Includes 10 Doctors and Three Lawyers; Charges Also Include Racketeering and Money Laundering U.S. …

https://www.fbi.gov/newyork/press-releases/2012/manhattan-u.s.-attorney-announces-charges-against-36-individuals-for-participating-in-279-million-health-care-fraud-scheme

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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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