List Of Healthcare Fraud Cases

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Criminal Division Case Summaries - United States …

(3 days ago) WEBCase Summaries. DOJ Announces Nationwide Coordinated Law Enforcement Action to Combat Health Care Fraud and Opioid Abuse. June 28, 2023. Summary of Criminal Charges. Central District of California. Neda Mehrabani, 47, of …

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit/2023-national-hcf-case-summaries

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Annual Report of the Departments of Health and …

(Just Now) WEBFederal prosecutors filed criminal charges in 462 cases involving 741 defendants. A total of 312 defendants were convicted of health care fraud related crimes during the year. …

https://oig.hhs.gov/publications/docs/hcfac/FY2021-hcfac.pdf

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Justice Department charges 78 in multibillion-dollar …

(Just Now) WEBA case out of the Southern District of Florida was among one of the largest health care fraud schemes ever prosecuted, agency officials said. The indictment …

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 Healthcare Fraud Enforcement Action Results in …

(6 days ago) WEBThe largest amount of alleged fraud loss charged in connection with the cases announced today – more than $1.1 billion in allegedly false and fraudulent claims …

https://www.dea.gov/press-releases/2021/09/20/national-healthcare-fraud-enforcement-action-results-charges-involving

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2020 National Health Care Fraud Takedown Office of …

(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 fraud takedown in September …

https://oig.hhs.gov/newsroom/media-materials/2020takedown/

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Health Care Fraud — FBI

(8 days ago) WEBHealth care fraud is not a victimless crime. It affects everyone and causes tens of billions of dollars in losses each year. The FBI is the primary agency for investigating health care fraud, for

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

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Nurse Practitioner Sentenced in Twelve Million Dollar …

(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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Dozens in 16 States Charged With Health Care Fraud Schemes, …

(6 days ago) WEBJune 28, 2023, at 3:59 p.m. Dozens in 16 States Charged With Health Care Fraud Schemes, Including $1.9B in Bogus Claims. More. Kevin Wolf. Attorney General Merrick …

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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Top Healthcare Fraud, Waste, and Abuse Takedowns of the Year

(Just Now) WEBJury returns indictment in $100M COVID-19 healthcare fraud case. In November 2021, a federal grand jury returned an indictment charging the owner of …

https://revcycleintelligence.com/features/top-healthcare-fraud-waste-and-abuse-takedowns-of-the-year

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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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Enforcement Actions - U.S. Department of Health and Human …

(Just Now) WEBThree Admit Half-Million Dollar Health Care Fraud Conspiracy. May 13, 2024. Criminal and Civil Actions; Ten Individuals Charged With Theft Of Federal Program Funds From …

https://oig.hhs.gov/fraud/enforcement/?type=criminal-and-civil-actions

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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …

(5 days ago) WEBThe cases were prosecuted by Senior Deputy Attorney General Benjamin McKenna. ### The Pennsylvania Medicaid Fraud Control Unit receives 75 percent of its …

https://www.attorneygeneral.gov/taking-action/four-people-plead-guilty-sentenced-for-multi-million-dollar-medicaid-fraud-scheme-that-involved-inflated-transportation-costs-other-phantom-services/

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Twenty-Three Individuals Charged in $61.5 Million Medicare Fraud …

(8 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/twenty-three-individuals-charged-615-million-medicare-fraud-schemes

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NBA health care fraud scheme: Full list of players and sentences

(2 days ago) WEBThis penalty stemmed from his pivotal role in orchestrating a healthcare fraud operation, which court records state defrauded the league of over $5 million. The …

https://www.sportingnews.com/us/nba/news/nba-health-care-fraud-scheme-full-list-players-sentences/uyfxlmtty4qv0spktk4gjziz

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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 an …

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

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Healthcare Fraud: A World Beyond the Anti-Kickback Statute

(8 days ago) WEBTraditionally, the Anti-Kickback Statute (42 U.S.C. § 1320a-7b)—alone or in conjunction with the Federal False Claims Act (31 U.S.C. § 3729 et seq. )—has been the …

https://www.jdsupra.com/legalnews/healthcare-fraud-a-world-beyond-the-5156658/

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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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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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Canon Healthcare Owner Receives Prison Sentence, $42 Million …

(3 days ago) WEBAfter three years of investigation, a federal court in Louisiana has sentenced the former owner of Canon Healthcare, Shiva Akula, to serve 240 months in prison for …

https://hospicenews.com/2024/05/17/canon-healthcare-owner-receives-prison-sentence-42-million-fine-in-fraud-case/

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False Claims Act trends and expected enforcement priorities for 2024

(3 days ago) WEBREUTERS/Andrew Kelly Purchase Licensing Rights. May 13, 2024 - The Department of Justice's (DOJ or Justice Department) Civil Fraud Section recently …

https://www.reuters.com/legal/litigation/false-claims-act-trends-expected-enforcement-priorities-2024-2024-05-13/

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2023 Nationwide Health Care Fraud Enforcement Action

(8 days ago) WEBThe Department of Health and Human Services, Office of Inspector General participated alongside key law enforcement partners in the 2023 Nationwide Health …

https://oig.hhs.gov/newsroom/media-materials/2023-nationwide-health-care-fraud-enforcement-action/

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3 admit $500K-plus health care fraud - The Business Journals

(7 days ago) WEBThe owner and two employees of a St. Louis County home health care firm pleaded guilty in a Missouri Medicaid fraud scheme of more than $552,000, the feds …

https://www.bizjournals.com/stlouis/news/2024/05/15/3-admit-500k-health-care-fraud.html

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Arizona's $2 billion Medicaid fraud was first announced one year ago

(8 days ago) WEBArizona Republic. 0:04. 1:34. Arizona's Medicaid agency is a "completely new" organization one year after a humanitarian crisis caused by massive fraud was …

https://www.azcentral.com/story/news/local/arizona-health/2024/05/16/arizonas-2-billion-medicaid-fraud-was-first-announced-one-year-ago/73706945007/

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

(1 days ago) WEBFormer NBA player Glen "Big Baby" Davis was sentenced to 40 months in prison on Thursday for defrauding the league's healthcare plan. The 38-year-old Davis …

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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Many questions surround AHCCCS fraud in Arizona 12news.com

(Just Now) WEBMayes said billing under the specific Native American AHCCCS code went sky high in recent years, and they don’t think it’s all real. In 2019, it was $53 million. In …

https://www.12news.com/article/news/investigations/arizona-providers-suspended-alleged-ahcccs-fraud-kris-mayes/75-a0d542c0-e754-4a55-976f-a6e2d7fadfe5

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Damaging hacks expose the weak underbelly of America’s health …

(9 days ago) WEBA pair of recent ransomware attacks crippled computer systems at two major American health care firms, disrupting patient care and exposing fundamental …

https://www.cnn.com/2024/05/16/tech/damaging-hacks-expose-the-weak-underbelly-of-americas-health-care-system/index.html

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Ex-NBA player Glen Davis sentenced to 40 months in prison over

(9 days ago) WEBThe case was made public in October 2021, when 18 former NBA players, including Davis and Bynum, were accused of stealing $2.5 million through fraudulent …

https://www.nytimes.com/athletic/5483054/2024/05/09/glen-davis-prison-sentence-fraud-nba/

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Cyberattack Cripples Major U.S. Health Care Network

(Just Now) WEBHealthDay. FRIDAY, May 10, 2024 (HealthDay News) -- Ascension, a major U.S. health care system with 140 hospitals in 19 states, announced late Thursday that a cyberattack …

https://www.usnews.com/news/health-news/articles/2024-05-10/cyberattack-cripples-major-u-s-health-care-network

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The Benefits of AI in Healthcare IBM

(7 days ago) WEBFraud prevention: Fraud in the healthcare industry is enormous, at $380 billion/year, and raises the cost of consumers’ medical premiums and out-of-pocket …

https://www.ibm.com/think/insights/ai-healthcare-benefits

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Strengthening Medicare and the care economy Budget 2024–25

(5 days ago) WEBThe Government is investing $2.8 billion to continue its commitment to strengthen Medicare. This includes the $1.2 billion package to address pressures facing the health system, …

https://budget.gov.au/content/04-medicare.htm

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Enforcement Actions - U.S. Department of Health and Human …

(8 days ago) WEBMissouri And New Orleans Men Charged With $174 Million Conspiracy To Commit Health Care Fraud. May 14, 2024. Criminal and Civil Actions; Three Admit Half-Million Dollar …

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

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Immigration Options for Victims of Crime Homeland Security

(3 days ago) WEBImmigration Options for Victims of Crime. Many immigrants are fearful of admitting that they have been a victim of a crime in part because they believe they will …

https://www.dhs.gov/immigration-options-victims-crime

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Justice Department Announces Largest Health Care Fraud …

(8 days ago) WEBWASHINGTON – American pharmaceutical giant Pfizer Inc. and its subsidiary Pharmacia & Upjohn Company Inc. (hereinafter together "Pfizer") have agreed to pay …

https://www.justice.gov/opa/pr/justice-department-announces-largest-health-care-fraud-settlement-its-history

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