Healthsun Medicare Advantage Fraud
Listing Websites about Healthsun Medicare Advantage Fraud
Former Executive at Medicare Advantage Organization …
(2 days ago) WEBThe Justice Department today announced charges against a former executive at HealthSun Health Plans Inc. (HealthSun), a Medicare Advantage organization that operates Medicare Advantage plans in South Florida, for her role in a …
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Criminal Division HealthSun Health Plans, Inc. United …
(4 days ago) WEBPursuant to the Criminal Division’s Voluntary Self-Disclosure and Corporate Enforcement Policy, on October 25, 2023, the Fraud Section declined to prosecute …
https://www.justice.gov/criminal/case/healthsun-health-plans-inc
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Former Executive at MA Organization Charged for Multimillion …
(6 days ago) WEBAccording to court documents, Kenia Valle Boza, 39, of Miami, formerly the director of Medicare Risk Adjustment Analytics at HealthSun, allegedly orchestrated a …
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DOJ charges ex-HealthSun exec for role in Medicare fraud scheme
(Just Now) WEBThe Department of Justice (DOJ) has filed charges against a former HealthSun Health Plans executive as part of an alleged multimillion-dollar Medicare …
https://www.fiercehealthcare.com/payers/doj-charges-former-healthsun-executive-medicare-fraud-scheme
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Former MA risk adjustment exec charged in $53M fraud scheme
(4 days ago) WEBFormer MA risk adjustment exec charged in $53M fraud scheme. The former director of Medicare risk adjustment analytics at HealthSun Health Plans Inc., which operates …
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HealthSun Health Plans former executive charged with …
(9 days ago) WEBCMS pays Medicare Advantage plans based, in part, on the health condition of their enrollees. The court has alleged that Valle, 39, of Miami, tried to …
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Former HealthSun executive indicted for $53 million Medicare …
(3 days ago) WEBA former executive of HealthSun Health Plans Inc. has been indicted for allegedly masterminding a scheme that overbilled the U.S. federal government by $53 …
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Former HealthSun executive indicted for $53 million Medicare …
(6 days ago) WEBA former executive of HealthSun Health Plans Inc. has been indicted for allegedly masterminding a scheme that overbilled the U.S. federal government by $53 …
https://www.businessinsurance.com/article/20231027/STORY/912360692
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Criminal Indictment for Medicare Advantage Fraud
(7 days ago) WEBThis indictment comes as the DOJ has pledged to increase investigations related to fraud involving Medicare Advantage plans. Notably, consistent with the …
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HealthSun Avoids Charges By Self-Disclosing $53M Scam
(2 days ago) WEBLaw360 (October 26, 2023, 6:05 PM EDT) -- A former executive for a Florida health care plan has been indicted for an alleged $53 million Medicare fraud scheme, while the …
https://www.law360.com/articles/1737300/healthsun-avoids-charges-by-self-disclosing-53m-scam
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Medicare Advantage Fraud Charges Filed Against HealthSun …
(6 days ago) WEBNovember 27, 2023. Author: Erica Blachman Hitchings, Kelly Shivery. , The Department of Justice recently announced charges against a former executive at HealthSun Health …
https://www.whistleblowerllc.com/medicare-advantage-fraud-results-in-criminal-charges/
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Former HealthSun Executive Charged for Role in Medicare Fraud …
(7 days ago) WEBRecently, the United States Department of Justice (DOJ) filed charges against Kenia Valle Boza, a former HealthSun Health Plans executive, for her role in an …
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United States: Criminal Indictment For Medicare Advantage Fraud
(3 days ago) WEBMedicare Advantage. The alleged fraud in this case concerns false information that was the basis for payment to HealthSun's Medicare Advantage plans. …
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Former Executive At HealthSouth Charged In $53 Million Medicare …
(1 days ago) WEBThe U.S. Department of Justice announced on October 26, 2023 charges against a former executive at HealthSun Health Plans Inc. (HealthSun), a Medicare Advantage …
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Self-Disclosure Helps HealthSun Avoid Charges - SGR Law
(3 days ago) WEBThe case is United States v. Kenia Valle Boza, No. 1:23-cr-20417-KMW (S.D. Fla.). As in all criminal cases, the defendant is presumed innocent until proven guilty …
https://www.sgrlaw.com/client-alerts/self-disclosure-helps-healthsun-avoid-charges/
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Lessons From DOJ's Handling Of Rare Medicare Fraud Case
(5 days ago) WEBLaw360 (January 9, 2024, 6:45 PM EST) -- In October, the U.S. Department of Justice announced[1] a rare criminal indictment involving the Medicare Advantage program — …
https://www.law360.com/articles/1783181/lessons-from-doj-s-handling-of-rare-medicare-fraud-case
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Former Executive at Medicare Advantage Organization Charged …
(4 days ago) WEBThe Justice Department today announced charges against a former executive at HealthSun Health Plans Inc. (HealthSun), a Medicare Advantage organization that operates …
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Department of Justice Voluntary Self Disclosure Policy
(7 days ago) WEBThe Department of Justice’s (DOJ) decision to decline prosecution of HealthSun Health Plans for Medicare Advantage fraud showcases the major benefits …
https://www.natlawreview.com/article/should-my-company-self-disclose-major-fraud-answer-now-clear
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Lessons From DOJ's Handling Of Rare Medicare Fraud Case
(2 days ago) WEBHealthSun is also the latest example of a company benefiting from declination under the DOJ's public commitment to providing incentives for voluntary self …
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DOJ Criminal Indictment Related to Medicare Advantage
(8 days ago) WEBThis recent indictment is believed to be only the second time that DOJ has charged a defendant criminally for an alleged Medicare Advantage risk adjustment …
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Criminal Indictment for Medicare Advantage Fraud JD Supra
(5 days ago) WEBThe alleged fraud in this case concerns false information that was the basis for payment to HealthSun’s Medicare Advantage plans. The Medicare Advantage …
https://www.jdsupra.com/legalnews/criminal-indictment-for-medicare-8595496/
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Lessons From DOJ's Handling Of Rare Medicare Fraud Case
(9 days ago) WEBHealthSun Health Plans Inc., allegedly falsified diagnoses submitted to the Centers for Medicare and Medicaid Services, leading to millions of dollars in …
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Office of Public Affairs - United States Department of Justice
(Just Now) WEBThe investigation and resolution of this matter illustrates the government’s emphasis on combating healthcare fraud. One of the most powerful tools in this effort is …
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Medicare Program; Changes to the Medicare Advantage and the …
(7 days ago) WEBII. Strengthening Current Medicare Advantage and Medicare Prescription Drug Benefit Program Policies A. Definition of Network-Based Plan (§§ 422.2 and …
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CMS Changes Medicare Advantage and Part D Plans’ …
(6 days ago) WEBIn its November 2023 Proposed Rule and in its recently issued Final Rule that was published in the Federal Register on April 23, 2024, the Centers for Medicare …
https://www.foley.com/insights/publications/2024/04/cms-changes-medicare-advantage-part-d-plans/
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District of South Carolina U.S. Attorney's Office Announces the
(6 days ago) WEBCOLUMBIA, S.C. — Together with state and federal partners, U.S. Attorney Adair F. Boroughs announced the formation of the Palmetto Health Care Fraud Task …
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