Top Health Care Fraud Schemes

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DOJ announces 78 people charged over $2.5 billion in false health …

(5 days ago) WEBThe cases unsealed over a two-week period this month included "one of the largest health care fraud schemes ever prosecuted" by the department, in which two …

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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2021 National Health Care Fraud Enforcement Action

(8 days ago) WEB9 defendants are alleged to have engaged in various health care fraud schemes that exploited the COVID-19 pandemic which resulted in the submission of …

https://www.justice.gov/criminal/criminal-fraud/2021-national-health-care-fraud-enforcement-action

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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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Busted: The top fraud schemes of Q2 2023

(2 days ago) WEBWith help from the National Health Care Anti-Fraud Association (NHCAA), we have compiled a list of significant FWA cases that emerged between April and June 2023.

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-fraud-schemes-of-q2-2023

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DOJ targets nationwide health care fraud scheme involving over …

(9 days ago) WEBCNN —. The Justice Department announced a sweeping enforcement effort Wednesday aimed at health care, telemedicine and illegal prescription schemes …

https://www.cnn.com/2023/06/28/politics/doj-health-care-fraud-scheme/index.html

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2021 National COVID-19 Health Care Fraud Takedown

(8 days ago) WEB14 defendants in 7 federal districts across the United States were charged for their alleged participation in various health care fraud schemes that exploited the COVID-19 pandemic and resulted in over …

https://oig.hhs.gov/newsroom/media-materials/2021takedown/

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Busted: The top fraud schemes of Q1 2022 - Cotiviti

(5 days ago) WEBWith help from the National Health Care Anti-Fraud Association (NHCAA), we’ve gathered some of the most noteworthy cases of FWA from January through March. Lab test …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q1-2022

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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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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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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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The Health Care Fraud and Abuse Control Program Protects - CMS

(1 days ago) WEBIn June 2016, the Medicare Fraud Strike Force conducted a nationwide health care fraud takedown, which resulted in criminal and civil charges against 301 …

https://www.cms.gov/newsroom/fact-sheets/health-care-fraud-and-abuse-control-program-protects-consumers-and-taxpayers-combating-health-care-0

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Busted: The top healthcare fraud schemes of Q1 2021 - Cotiviti

(5 days ago) WEBThey conspired to use the home care services provider to defraud Medicare and MassHealth of a minimum of $100 million by getting referrals through the payment of …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q1-2021

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10 popular health care provider fraud schemes - Fraud Magazine

(7 days ago) WEB(Also see the ACFE's 2013 Fraud Examiners Manual's section on health care fraud — beginning with 1.1101 — to learn more about these and other types of fraud schemes.) …

https://www.fraud-magazine.com/article.aspx?id=4294976280

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Unveiling $5.4M Healthcare Fraud: The Case of Adarsh Gupta and …

(4 days ago) WEBThe charges brought against him included three counts of health care fraud and two counts of false statements relating to health care matters. With a maximum penalty of …

https://www.msn.com/en-us/money/companies/unveiling-5-4m-healthcare-fraud-the-case-of-adarsh-gupta-and-the-medicare-scheme/ar-AA1nN93v

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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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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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Office of Public Affairs National Health Care Fraud Takedown …

(3 days ago) WEBAttorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Alex M. Azar III, announced today the largest ever health care fraud enforcement action involving 601 charged defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals, for their alleged …

https://www.justice.gov/opa/pr/national-health-care-fraud-takedown-results-charges-against-601-individuals-responsible-over

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The Change Healthcare cyberattack is a 'catastrophe' for American

(Just Now) WEBSeventy-four percent of hospitals reported in March direct impacts to patient care as a result of the cyberattack, and 94% said they felt financial impacts. And the …

https://fortune.com/2024/04/23/change-healthcare-cyberattack-unitedhealth-hack-ransomware/

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Hospice care scam: FBI issues warning about fraudsters signing …

(7 days ago) WEBThey have agents in the office dedicated to health care fraud. For news updates, follow Samica Knight on Facebook , X and Instagram . Report a correction or typo

https://abc13.com/hospice-care-scam-fbi-warning-lifesaving-medical-how-to-prevent-fraud/14742000/

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Laboratory Owners Charged in $36M COVID-19 Testing Fraud …

(Just Now) WEBAn indictment was unsealed today in the Southern District of Florida charging three men for their alleged roles in an approximately $36 million health care fraud, wire …

https://www.justice.gov/opa/pr/laboratory-owners-charged-36m-covid-19-testing-fraud-scheme

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Leader Of $50 Million Health Care Fraud Pleads Guilty - Shore …

(7 days ago) WEBDamian Williams, the United States Attorney for the Southern District of New York, announced that MANISHKUMAR PATEL pled guilty today in connection with a …

https://www.shorenewsnetwork.com/2024/04/27/leader-of-50-million-health-care-fraud-pleads-guilty/

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DOJ Releases 2024 COVID-19 Fraud Enforcement Task Force Report

(5 days ago) WEBThe Health Care Fraud (HCF) Unit, also a part of DOJ Criminal Division’s Fraud Section, reported charging 19 defendants for pandemic-relief fraud amounting to …

https://www.jdsupra.com/legalnews/doj-releases-2024-covid-19-fraud-1956052/

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Office of Public Affairs Justice Department Announces …

(1 days ago) WEBThe Department of Justice today announced criminal charges against 18 defendants in nine federal districts across the United States for their alleged participation in various fraud schemes involving health care services that exploited the COVID-19 pandemic and allegedly resulted in over $490 million in COVID-19 related false billings …

https://www.justice.gov/opa/pr/justice-department-announces-nationwide-coordinated-law-enforcement-action-combat-covid-19

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Doctor Convicted For $5.4M Medicare Fraud Scheme

(5 days ago) WEBDoctor Convicted For $5.4M Medicare Fraud Scheme. A federal jury convicted a New Jersey doctor today for causing the submission of over $5.4 million in …

https://oig.hhs.gov/fraud/enforcement/doctor-convicted-for-54m-medicare-fraud-scheme/

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Pelham Manor man pleads guilty in health care fraud and kickback …

(Just Now) WEBManishkumar Patel, of Pelham Manor, has pleaded guilty to health care fraud, wire fraud, and violation of the anti-kickback statute. News 12 Staff Apr 29, 2024, …

https://newjersey.news12.com/pelham-manor-man-pleads-guilty-in-health-care-fraud-and-kickback-scheme

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False Claims Act Settlements to Know from Q1 2024

(9 days ago) WEBOn February 29, opioid manufacturer Endo Health Solutions, Inc. agreed to pay $475.6 million to resolve allegations related to its marketing schemes and sale of …

https://www.jdsupra.com/legalnews/false-claims-act-settlements-to-know-7585842/

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Medical lab owner from Aventura charged in fraud scheme

(9 days ago) WEBThe 47-year-old and the other two defendants were each charged with conspiracy to commit health care fraud and wire fraud, three counts of health care …

https://www.bizjournals.com/southflorida/news/2024/04/26/aventura-medical-lab-owner-charged-fraud-scheme.html

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NKY doctors appeal after prison sentences handed down for fraud

(1 days ago) WEBThe sentences came more than a year after 51-year-old Ehn and Siefert, 70, were found guilty at trial of health care fraud. Ehn was also convicted of conspiracy to …

https://www.cincinnati.com/story/news/crime/2024/04/24/nky-doctors-appeal-after-prison-sentences-handed-down-for-fraud/73442668007/

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Criminal Division Health Care Fraud Unit - United States …

(Just Now) WEBThe Health Care Fraud Unit is a leader in using advanced data analytics and algorithmic methods to identify newly emerging health care fraud schemes and to …

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit

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DOJ Announces Coordinated Law Enforcement Action to Combat Health Care …

(1 days ago) WEBThe Department of Justice today announced criminal charges against 14 defendants, including 11 newly-charged defendants and three who were charged in superseding indictments, in seven federal districts across the United States for their alleged participation in various health care fraud schemes that exploited the COVID-19 …

https://www.justice.gov/opa/pr/doj-announces-coordinated-law-enforcement-action-combat-health-care-fraud-related-covid-19

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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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Small Business Administration Inspector General: $200 Billion In …

(7 days ago) WEBThirty people took part in a $9.2 million scheme led by Sherry Joseph, who committed the crime on pretrial release for separate fraud charges. Many of the …

https://www.realclearpolitics.com/video/2024/04/28/small_business_administration_inspector_general_200_billion_in_covid_relief_fraud.html

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2023 Nationwide COVID-19 Health Care Fraud Enforcement Action

(5 days ago) WEBThis action resulted in criminal charges brought against doctors and providers for false billings and Provider Relief Fund (PRF) fraud, manufacturers of fake COVID-19 vaccination record cards, and individuals who fraudulently charged Medicare for over-the-counter COVID-19 testing kits, with losses exceeding $203 million.

https://oig.hhs.gov/newsroom/media-materials/2023-covid-takedown/

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