Healthcare Provider Fraud Cases

Listing Websites about Healthcare Provider Fraud Cases

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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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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WEBThe charges target approximately $1.1 billion in fraud committed using telemedicine (the use of telecommunications technology to provide health care …

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

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Serial Health Care Fraudster Sentenced for $234M Medicare Fraud …

(6 days ago) WEBAccording to court documents, Imran Shams, 65, of Glendale, was convicted of Medicare and Medicaid fraud in separate 1990 and 2001 cases in New York and …

https://www.justice.gov/opa/pr/serial-health-care-fraudster-sentenced-234m-medicare-fraud-scheme

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Criminal Division Case Summaries - United States Department of …

(3 days ago) WEBCase Summaries. DOJ Announces Nationwide Coordinated Law Enforcement Action to Combat Health Care Fraud and Opioid Abuse. June 28, 2023. …

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

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Justice Department charges 78 in multibillion-dollar health care …

(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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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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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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National Healthcare Fraud Enforcement Action Results in Charges

(6 days ago) WEBWASHINGTON: A strategically coordinated, six-week nationwide federal law enforcement action has resulted in criminal charges against 138 defendants, including …

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

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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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Florida health clinic owner sentenced in $36 million fraud scheme …

(1 days ago) WEBInside the health care fraud scheme that billed over $36 million. From October 2018 to November 2022, Fernandez Delmas and other leaders in the scheme …

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

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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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Health Care Fraud — FBI

(8 days ago) WEBHealth care fraud can be committed by medical providers, patients, and others who intentionally deceive the health care system to receive unlawful benefits or payments. …

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

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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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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, …

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

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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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Health Care Provider’s Crimes Caused Patients’ Deaths — FBI

(4 days ago) WEBA Maryland health care provider was recently sentenced to prison for cheating insurers out of more than $20 million and causing patient deaths as a result. …

https://www.fbi.gov/news/stories/health-care-providers-crimes-caused-patients-deaths

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Suit says Life Source Services fraudulently sent patients to hospice

(8 days ago) WEBAbout 500 qui tam cases are filed in federal courts annually, mostly involving health care and defense contracting. When the government or the plaintiff prevails, the …

https://www.northjersey.com/story/news/health/2023/01/03/nurse-alleges-life-source-services-oradell-sent-patients-to-hospice-for-profit/69767967007/

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Update on Department of Justice Healthcare Fraud Investigations

(9 days ago) WEBDOJ Secures Plea in $50 Million Medicare Fraud and Kickback Scheme. On April 26, the US Department of Justice (DOJ) announced that Manishkumar Patel …

https://www.natlawreview.com/article/doj-secures-plea-50-million-medicare-fraud-and-kickback-scheme

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

(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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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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Medicare and Medicaid fraudsters continue to steal taxpayer money

(1 days ago) WEBHealthcare fraud was the leading source of False Claims Act settlements and judgments in fiscal year 2023. In the second case, NextGen Healthcare Inc. agreed …

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

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Nursing Home Chain ReNew Health To Pay $7 Million In Medicare …

(7 days ago) WEBAs part of the settlement agreement, ReNew Health will pay $6,841,727 to the federal government and $242,273 to the state of California, plus interest.. The backstory. In …

https://www.msn.com/en-us/news/us/nursing-home-chain-renew-health-to-pay-7-million-in-medicare-fraud-case/ar-BB1m43NN

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No easy fixes to Obamacare enrollment fraud : Shots - Health …

(3 days ago) WEBRonnell Nolan, president and CEO of the trade association Health Agents for America, said her group has suggested to CMS that it add two-factor authentication to …

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

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Arizona facing third wrongful death lawsuit related to Medicaid …

(1 days ago) WEBState didn't check prospective providers' liability insurance, suit says. The legal action from Russell's family accuses the state health department of awarding …

https://www.azcentral.com/story/news/local/arizona-health/2024/05/04/arizona-facing-third-wrongful-death-lawsuit-related-to-medicaid-fraud/73548077007/

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

(8 days ago) WEBThe number of suspended providers with open cases because of credible allegations of fraud is now at 284. The agency over the past year has terminated 79 …

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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Fake rehab centers fleeced Arizona, victimized Indigenous people

(2 days ago) WEBMayes said since May 3 providers have tried to bill the state 3,000 to 4,000 times using a health-care code that the state had cut off as part of its crackdown. "It …

https://www.azcentral.com/story/money/business/health/2023/05/16/fake-rehab-centers-fleeced-arizona-victimized-indigenous-people-kris-mayes/70221299007/

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Office of Public Affairs National Enforcement Action Results in 78

(1 days ago) WEBThe Justice Department, together with federal and state law enforcement partners, announced today a strategically coordinated, two-week nationwide law …

https://www.justice.gov/opa/pr/national-enforcement-action-results-78-individuals-charged-25b-health-care-fraud

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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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Fake drug and alcohol treatment centers cause a big scandal in

(2 days ago) WEBHe says he prosecuted a record number of health care fraud cases. But Mayes says the previous attorney general and governor didn't go far enough. MAYES: …

https://www.npr.org/2024/05/14/1251200117/fake-drug-and-alcohol-treatment-centers-cause-a-big-scandal-in-arizona

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Private equity in health care: three takeaways going forward

(9 days ago) WEBAnalysis of the Welsh Carson case and the recent government agency scrutiny highlights a fundamental disconnect between private equity investors and many …

https://www.reuters.com/legal/litigation/private-equity-health-care-three-takeaways-going-forward-2024-05-09/

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Glen 'Big Baby' Davis sentenced to 40 months in prison over fraud

(4 days ago) WEBGlen 'Big Baby' Davis sentenced to 40 months in prison over fraud scheme (0:24) Former NBA forward Glen Davis will serve 40 months in prison for an alleged …

https://www.espn.com/nba/story/_/id/40113791/glen-big-baby-davis-sentenced-40-months-prison-fraud-scheme

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Libor convictions reviewed by UK fraud agency in wake of …

(3 days ago) WEBLibor convictions reviewed by UK fraud Errors first emerged with the way the SFO used its legacy disclosure tool from provider Autonomy Introspect in 2022.

https://www.ft.com/content/ac3f79e2-a8e6-4240-8ba2-a2dd0c5a22ff

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Criticism of Arizona's Medicaid fraud crackdown is growing

(9 days ago) WEBThe number of people publicly criticizing Arizona's Medicaid fraud crackdown appears to be growing and protesters say they won't stop until state leaders address …

https://www.azcentral.com/story/news/local/arizona-health/2023/10/03/criticism-of-arizonas-medicaid-fraud-crackdown-is-growing/71051357007/

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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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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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Strengthening Medicare and the care economy Budget 2024–25

(5 days ago) WEBHigh‑quality health services through Medicare. Boosting access to essential health services. Case study. Rohan’s daughter Zoya has been off school with a runny nose …

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

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Provider Manual Title: CCC Plus Waiver Revision Date: …

(Just Now) WEBDepartment of Medical Assistance Services Division of Program Integrity Supervisor, Provider Review Unit 600 East Broad Street Richmond, Virginia 23219 Investigations of …

https://vamedicaid.dmas.virginia.gov/sites/default/files/2024-05/CCC%2B%20Waiver%20Chapter%206%20%28updated%205.16.24%29_Final.pdf

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBAndrew McCubbins, 39, of Draper, Utah, the owner of a telemedicine company, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District …

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

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