Healthcare Fraud Cases Examples

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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WEBAlexander A. Istomin, 57, pleaded guilty in October 2022 to an eleven-count Information charging him with health care fraud, mail fraud, aggravated identity theft, and causing the introduction of

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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Medical Doctor Charged for $20.7M Health Care Fraud and Illegal

(5 days ago) WEBA federal grand jury in New Jersey returned a superseding indictment yesterday charging a medical doctor with allegedly engaging in a health care fraud and …

https://www.justice.gov/opa/pr/medical-doctor-charged-207m-health-care-fraud-and-illegal-kickback-schemes

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Criminal Division Case Summaries - United States Department of …

(3 days ago) WEBJune 28, 2023. Summary of Criminal Charges. Central District of California. Neda Mehrabani, 47, of Tarzana, California, was charged by information with health …

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

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

(3 days ago) WEB“HHS-OIG is proud to work alongside our law enforcement partners to disrupt fraud schemes that use the guise of telehealth to expand the reach of kickback …

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

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Top Healthcare Fraud Takedowns of 2020

(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 hospital managers, laboratory …

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

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DOJ charges 14 people in alleged Covid-related health-care fraud

(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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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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8 Frightening Healthcare Fraud Examples in Real Life

(1 days ago) WEBMedical Identity Theft Example 1. In September of 2021, a Las Vegas resident received 144 months in federal prison and a $4,321,590.39 fine for conspiring to defraud the North Carolina Medicaid …

https://etactics.com/blog/healthcare-fraud-examples

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Healthcare billing fraud: 9 recent cases - Becker's Hospital Review

(6 days ago) WEB6. Bon Secours Mercy Health settles false claims case for $1M. Cincinnati-based Bon Secours Mercy Health agreed to pay $1 million to settle allegations that it …

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-9-recent-cases.html

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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 …

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

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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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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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Health Care Fraud - Definition, Examples, Cases, Processes

(6 days ago) WEBDefinition of Health Care Fraud. Noun. The knowing and willful executing, or attempt to execute, a scheme or deceit to defraud a health care insurance or benefit …

https://legaldictionary.net/health-care-fraud/

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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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2020 National Health Care Fraud and Opioid Takedown

(3 days ago) WEBCases Charged in Health Care Fraud and ARPO Strike Force Locations. For example, in one case, a telemedicine doctor who was the top prescriber in the …

https://www.justice.gov/criminal/criminal-fraud/hcf-2020-takedown/case-descriptions

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Combating Health Care Fraud and Abuse: Conceptualization and

(3 days ago) WEBHealth care fraud and abuse involve all sectors of the health care industry, including drug and device manufacturers, hospitals, pharmacies, physicians, …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/

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Health care fraud: Ex-Bergen jail guard admits participating in …

(5 days ago) WEBFormer Bergen jail guard admits to helping defraud county health care system of $3 million. A former Bergen County corrections officer admitted in federal …

https://www.northjersey.com/story/news/bergen/2021/04/21/bergen-county-corrections-officer-admits-defrauding-county-healthcare-system/7325076002/

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

(6 days ago) WEBAccording to documents filed in this case and statements made in court: The count of conspiracy to commit health care fraud is punishable by a maximum of 10 …

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

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U.S. DOJ Recovers $16 Million in Healthcare Fraud Settlement with …

(5 days ago) WEBHealthcare fraud is a labyrinthine crime, often veiled under layers of deceit, demanding exhaustive investigation to unravel its full extent. One such case, emanating from South …

https://www.msn.com/en-us/news/politics/u-s-doj-recovers-16-million-in-healthcare-fraud-settlement-with-bluewave-healthcare/ar-AA1nUXjv

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Physician Indicted in $10 Million Health Care Fraud Scheme

(5 days ago) WEBRaffai is charged with health care fraud. He was arrested and is making his initial court appearance today in the U.S. District Court for the Northern District of New …

https://www.justice.gov/opa/pr/physician-indicted-10-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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2021 National Health Care Fraud Enforcement Action

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

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

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