Top Healthcare Fraud Schemes

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Justice Department Charges Dozens for $1.2 Billion in Health Care …

(3 days ago) WEBThe Department of Justice today announced criminal charges against 36 defendants in 13 federal districts across the United States for more than $1.2 billion in alleged fraudulent …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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

(5 days ago) WEBBusted: The top healthcare fraud schemes of Q1 2021. Erin Rutzler. While 2021 has brought renewed optimism over the COVID-19 pandemic, it has also delivered …

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

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

(Just Now) WEBRevCycleIntelligence breaks down some of this year’s largest healthcare fraud, waste, and abuse takedowns, convictions, and schemes. Telemedicine exploited in $784M fraud …

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

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Office of Public Affairs National Health Care Fraud Enforcement

(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 federal …

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

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Top Healthcare Fraud Takedowns of 2020 - RevCycleIntelligence

(6 days ago) WEBFeds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including …

https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020

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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 over $29 million …

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

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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 fraud takedown …

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

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Busted: The top healthcare fraud schemes of Q4 2021 - Cotiviti

(6 days ago) WEBBusted: The top healthcare fraud schemes of Q4 2021. Erin Rutzler. The second full year of the COVID-19 pandemic unfortunately closed out with a spike in allegations of …

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q4-2021

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Busted: The top healthcare fraud schemes of Q3 2021 - Cotiviti

(6 days ago) WEBWith help from the National Health Care Anti-Fraud Association (NHCAA), we gathered the most outrageous cases of alleged fraud, waste, and abuse (FWA) from July through …

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q3-2021

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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 individuals, including …

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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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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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 Care Fraud …

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

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

(5 days ago) WEBHARRISBURG — Attorney General Michelle Henry announced that four people who conspired to defraud Medicaid of nearly $9 million have pleaded guilty and been …

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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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 of Justice (DOJ) …

https://www.thomsonreuters.com/en-us/posts/investigation-fraud-and-risk/medicare-medicaid-fraud-2024/

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Guilty Plea in $50 Million Medicare Fraud Scheme JD Supra

(7 days ago) WEBGuilty Plea in $50 Million Medicare Fraud Scheme. Manishkumar Patel of Pelham Manor, NY recently pleaded guilty in connection with a healthcare fraud and kickback scheme …

https://www.jdsupra.com/legalnews/guilty-plea-in-50-million-medicare-1823427/

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No easy fixes to Obamacare enrollment fraud : Shots - NPR

(3 days ago) WEBLooking for 'targeted' solutions. The largest enrollment partner is San Francisco-based HealthSherpa, which assisted 52% of all active enrollments nationally for this year, said …

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

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Busted: The top fraud schemes of Q1 2022 - Cotiviti

(5 days ago) WEBAcupuncture fraud: $1.7 million. A Minnesota acupuncturist is facing charges for Medicare fraud. According to the criminal complaint, she submitted more than $1.6 million in …

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

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Connecticut ophthalmologist sentenced to prison for five-year …

(Just Now) WEBIn July 2022, Salzberg pleaded guilty to one count of conspiracy to commit health care fraud and one count of conspiracy to receive kickbacks. Salzberg, a licensed medical …

https://www.irs.gov/compliance/criminal-investigation/connecticut-ophthalmologist-sentenced-to-prison-for-five-year-health-care-fraud-scheme

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBLuis Roa, 51, of Santiago, Chile, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District Judge Kevin McNulty to an information charging him with one count …

https://www.justice.gov/usao-nj/pr/district-new-jersey-announces-charges-health-care-fraud-cases-part-nationwide-federal-law

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U.S. Attorney's Office Announces the Formation of Multi-Agency …

(5 days ago) WEBIn February 2023, the FBI, U.S. Attorney’s Office for the District of South Carolina, and other federal, state, and local agency partners began meeting as part of a Health Care Fraud …

https://www.postandcourier.com/kingstree/news/u-s-attorneys-office-announces-the-formation-of-multi-agency-health-care-fraud-task-force/article_ef694c66-07f6-11ef-84ad-471728f45496.html

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Marco Island man faces prison time for $12M diabetes test strip …

(4 days ago) WEBA Marco Island man pleaded guilty on May 10 for his role in a multi-million dollar health care fraud scheme.The scheme involved the distribution of adulterated diabetic test strips, …

https://nbc-2.com/article/marco-island-man-prison-time-12m-diabetes-test-strip-scheme/60826974

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NBA's Glen 'Big Daddy' Davis sentenced to 40 months for …

(Just Now) WEBMay 10 (UPI) -- A federal court on Friday sentenced former NBA champion Glen "Big Daddy" Davis to 40 months in prison for his part in a scheme to defraud the league's …

https://www.upi.com/Top_News/US/2024/05/10/glen-davis-nba-health-care-fraud/4281715375689/

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Busted: The top fraud schemes of Q3 2022 - Cotiviti

(5 days ago) WEBBusted: The top fraud schemes of Q3 2022. Summer 2022 was a busy season for healthcare fraud, waste, and abuse (FWA). From genetic testing-related kickbacks, to …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q3-2022

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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 program, …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Ex-NBA Player Glen ‘Big Baby’ Davis Gets 40 Months for Fraud

(9 days ago) WEBListen. 1:37. Former National Basketball Association player Glen “Big Baby” Davis was ordered to spend more than three years behind bars for participating in a scheme to …

https://www.bloomberg.com/news/articles/2024-05-09/ex-nba-player-glen-big-baby-davis-gets-40-months-for-fraud

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Glen ‘Big Baby’ Davis Gets 40 Months In Prison For NBA …

(6 days ago) WEBTerrence Williams, who played for four NBA franchises between 2009 and 2013, was sentenced to 10 years in prison in August after admitting to leading the scheme …

https://www.forbes.com/sites/tylerroush/2024/05/09/former-nba-champion-glen-big-baby-davis-sentenced-to-40-months-in-prison-for-nba-healthcare-fraud-scheme/

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Glen ‘Big Baby’ Davis Sentenced to 40 Months in Prison - Complex

(3 days ago) WEBGlen ‘Big Baby’ Davis Sentenced to 40 Months in Prison for Involvement in NBA Healthcare Fraud Scheme. Davis and other 20 others have been sentenced in connection with the …

https://www.complex.com/sports/a/backwoodsaltar/glen-big-baby-davis-sentenced-40-months-fraud

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Doctor Convicted of $6.3M Medicare Fraud Scheme

(3 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 program, currently …

https://www.justice.gov/opa/pr/doctor-convicted-63m-medicare-fraud-scheme

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Former NBA player Glen 'Big Baby' Davis sentenced to 40 months …

(5 days ago) WEBThe 38-year-old Davis was also sentenced to three years of supervised release. In November, Davis was found guilty of health care fraud, wire fraud, conspiracy to make …

https://www.msn.com/en-us/sports/nba/former-nba-player-glen-big-baby-davis-sentenced-to-40-months-in-insurance-fraud-scheme/ar-BB1m786a

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District of New Jersey Four Men Indicted for Their Roles in $35

(3 days ago) WEBFor the conspiracy to commit health care fraud and health care fraud charges, the defendants face a statutory maximum of 10 years in prison and a fine of $250,000, or …

https://www.justice.gov/usao-nj/pr/four-men-indicted-their-roles-35-million-pharmacy-compounded-medication-scheme

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Doctor And Three Others In Bergen County Charged In $10 Million …

(6 days ago) WEBAllegedly Paid and Received Kickbacks in Connection with Medically Unnecessary Prescriptions for Pain Creams. NEWARK, N.J. – A doctor and three people associated …

https://www.justice.gov/usao-nj/pr/doctor-and-three-others-bergen-county-charged-10-million-health-care-fraud-scheme

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Florida Man Sentenced to 10 Years in Prison and Ordered to Pay …

(8 days ago) WEBPITTSBURGH, Pa. - A resident of Fort Lauderdale, Florida, was sentenced in federal court to 120 months of imprisonment, to be followed by three years of supervised release, and …

https://www.justice.gov/usao-wdpa/pr/florida-man-sentenced-10-years-prison-and-ordered-pay-more-97-million-restitution

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