Insurance Fraud In Healthcare Recent

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Nurse Practitioner Sentenced in Twelve Million Dollar …

(3 days ago) WebFOR IMMEDIATE RELEASE Wednesday, April 5, 2023. PROVIDENCE, R.I. – A registered nurse and nurse practitioner, who defrauded commercial health insurers and Medicare of nearly $12 million by

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 Justice Department on Wednesday announced a nationwide health care fraud crackdown that resulted in charges against 78 defendants in separate schemes …

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

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Florida health clinic owner sentenced in $36 million fraud …

(1 days ago) Web0:02. 1:34. A Florida woman has been sentenced to more than eight years in prison for her role in a health care fraud conspiracy that brought in $8.6 million. …

https://www.usatoday.com/story/news/nation/2023/10/30/florida-woman-health-care-fraud-blue-cross-blue-shield/71379942007/

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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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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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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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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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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 31 …

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

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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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A New Medicare Advantage Fraud Case Is Taking Aim At …

(Just Now) WebThe Justice Department has accused an upstate New York health insurance plan for seniors, The civil complaint of fraud, filed this week, is the first by …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

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Biden Plan to Cut Billions in Medicare Fraud - The …

(1 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/2023/03/22/health/medicare-insurance-fraud.html

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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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Man Sentenced for $336M Health Care Fraud, Wire Fraud, and …

(4 days ago) WebA New York man was sentenced today to 12 years in prison and ordered to pay over $336 million in restitution for a years-long fraud scheme in which he and his co …

https://www.justice.gov/opa/pr/man-sentenced-336m-health-care-fraud-wire-fraud-and-identity-theft-scheme

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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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Feds charge 138 medical professionals with $1.4B in healthcare …

(Just Now) WebThe Department of Justice on Friday announced criminal charges against 42 doctors and nurses and nearly 100 other medical professionals for alleged healthcare …

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

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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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ACA health insurance plans are being switched without enrollees' …

(8 days ago) WebJonathan Kanfer, a West Palm Beach, Florida, agent, suspects names and lists of potential clients are being circulated to agents willing to bend the rules. He says …

https://www.npr.org/sections/health-shots/2024/04/01/1241747442/aca-health-insurance-brokers-obamacare-fraud

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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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Cyberattack Paralyzes the Largest US Health Care - The New …

(4 days ago) WebThe hospital industry has labeled the infiltration of Change “the most significant cyberattack on the U.S. health care system in American history,” and urged …

https://www.nytimes.com/2024/03/05/health/cyberattack-healthcare-cash.html

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Insurance Fraud Statistics 2024 – Forbes Advisor

(8 days ago) WebIn recent years, property and casualty fraud has increased in cost, from $38 billion in 2016 to $45 billion in 2020. [1] It’s estimated that 10% or more of …

https://www.forbes.com/advisor/insurance/fraud-statistics/

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FTC Finalizes Changes to the Health Breach Notification Rule

(3 days ago) WebMedia Contact. Juliana Gruenwald Henderson. Office of Public Affairs. 202-326-2924. The Federal Trade Commission today announced it has finalized changes to …

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

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Ransomware attack on U.S. health care payment processor ‘most …

(9 days ago) WebFallout from a ransomware attack on the country’s largest health care payment processor is “the most serious incident of its kind leveled against a U.S. health …

https://www.nbcnews.com/tech/security/ransomware-attack-us-health-care-payment-processor-serious-incident-ki-rcna141322

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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 Insurance …

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

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Insurance Fraud — FBI

(3 days ago) WebThe total cost of insurance fraud (non-health insurance) is estimated to be more than $40 billion per year. That means Insurance Fraud costs the average U.S. family between …

https://www.fbi.gov/stats-services/publications/insurance-fraud

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Health care giant comes clean about recent hack and paid ransom

(4 days ago) WebHEALTH CARE PROVIDER, HEAL THYSELF — Health care giant comes clean about recent hack and paid ransom Ransomware attack on the $371 billion …

https://arstechnica.com/security/2024/04/change-healthcare-hacked-through-stolen-password-for-account-with-no-mfa/

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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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Change Healthcare hackers broke in using stolen credentials — …

(5 days ago) WebUnitedHealthcare CEO says ‘maybe a third’ of US citizens were affected by recent hack. Lorenzo Franceschi-Bicchierai. 12:38 PM PDT • May 1, 2024. Two months …

https://techcrunch.com/2024/04/30/uhg-change-healthcare-ransomware-compromised-credentials-mfa/

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Change Healthcare Finally Admits It Paid Ransomware Hackers

(Just Now) WebCryptocurrency tracing firm Chainalysis found that in 2023, ransomware victims paid the hackers targeting them fully $1.1 billion, a new record. Change …

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

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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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1 in 5 in study admit to considering insurance fraud

(2 days ago) WebA recent study found 1 in 5 respondents have at least considered committing fraud. Insurance fraud is a pervasive issue in the U.S., Health plan costs to rise …

https://insurancenewsnet.com/innarticle/1-in-5-in-study-admit-to-considering-insurance-fraud

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How to Reduce Benefits Fraud Insurance Thought Leadership

(5 days ago) WebWhile today's digital environment allows new fraudulent behaviors, it's making identifying and stopping fraudulent activity easier than ever before.Fraud is a significant …

https://www.insurancethoughtleadership.com/commercial-lines/how-reduce-benefits-fraud

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Biden administration says 100,000 new migrants are expected to …

(5 days ago) WebRoughly 100,000 immigrants who were brought to the U.S. are expected to enroll in the Affordable Care Act’s health insurance next year under a new directive the …

https://www.washingtonpost.com/politics/2024/05/03/health-care-insurance-migrants-obamacare-biden/377478ba-092c-11ef-b186-090cb777107e_story.html

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Man charged with insurance fraud against city of Montgomery

(9 days ago) WebPublished: Apr. 29, 2024 at 3:48 PM PDT. MONTGOMERY, Ala. (WSFA) - A grand jury has indicted a man accused of stealing hundreds of thousands of dollars from …

https://www.wsfa.com/2024/04/29/man-charged-with-insurance-fraud-against-city-montgomery/

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Commissioner Calls on Anthem and CommonSpirit to Continue …

(6 days ago) WebThe Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), regulates the insurance industry and assists consumers …

https://doi.colorado.gov/news-releases-consumer-advisories/commissioner-calls-on-anthem-and-commonspirit-to-continue

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Trade group files first lawsuit against the DOL fiduciary rule

(2 days ago) WebFACC is represented by Figari & Davenport, which also represents FACC in its existing lawsuit against the DOL challenging the department’s 2020 guidance on who …

https://insurancenewsnet.com/innarticle/trade-group-files-first-lawsuit-against-the-dol-fiduciary-rule

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Klobuchar Asks Regulators to Investigate MultiPlan Over Health …

(2 days ago) WebMay 1, 2024. Recent revelations about a data analytics firm’s role in determining medical payments have heightened concerns about possible price fixing in health care …

https://www.nytimes.com/2024/05/01/us/multiplan-health-insurance-price-fixing.html

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