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Multi-Billion Dollar Medical Fraud Problem Examined in NICB’S …

WEBThe National Insurance Crime Bureau (NICB), the insurance industry’s association dedicated to predicting, preventing, and prosecuting insurance crime, announces the release of its latest issue of The NICB Informer. In the Fall edition, we take a closer look at medical fraud and its many forms—from inflated billing to fraudulent …

Actived: 6 days ago

URL: https://www.nicb.org/news/news-releases/multi-billion-dollar-medical-fraud-problem-examined-nicbs-informer

The Federal Bureau of Investigation Is Reporting A Dramatic

WEBPHOENIX, Ariz. (KYMA, KECY), Joe Teposte, September 10, 2021 - In a report released by the Phoenix office of the Federal Bureau of Investigation, the number of health care fraud cases skyrocketed during the pandemic. According to the report in 2019, the FBI's Internet Crime Complaint Center received 657-cases, that number jumped to 1,383 in 2020.

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Two Florida Doctors Convicted in $31 Million Medicare Fraud …

WEBThe United States Department of Justice, January 30, 2023 A federal jury convicted two Florida doctors today for their roles in a scheme to defraud Medicare by submitting over $31 million in claims for expensive durable medical equipment (DME) that Medicare beneficiaries did not need and that were procured through the payment of …

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Virginia Doctor Pleads Guilty to $1.8 Million Health Care Fraud

WEBDepartment of Justice U.S. Attorney’s Office Eastern District of Virginia FOR IMMEDIATE RELEASE Friday, September 24, 2021 Virginia Doctor Pleads Guilty to $1.8 Million Health Care Fraud Scheme ALEXANDRIA, Va. – A Virginia doctor pleaded guilty today to his role in a $1.8 million health care fraud scheme to prescribe medically …

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Former CEO of St. Gabriel Health Clinic Convicted of $1.8 Million

WEBUS Attorney's Office, Middle District of Louisiana, Sept. 27, 2022 After a week-long trial, a federal jury convicted the former CEO of St. Gabriel Health Clinic Inc. for conducting a multi-year, multi-million-dollar scheme to defraud the Louisiana Medicaid Program.

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Fifteen Texas Doctors Agree to Pay over $2.8 Million to Settle

WEBUS Attorney’s Office – Eastern District of Texas, June 28, 2022 Total of Thirty-Three Texas Doctors Have Settled Related Healthcare Fraud Allegations SHERMAN, Texas – Fifteen additional Texas doctors have agreed to pay a total of $2,831,280 to resolve False Claims Act allegations involving illegal kickbacks in violation of the Anti …

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Fort Worth Doctor Sentenced to 10 Years in Health Care Fraud

WEBU.S. Attorney’s Office – Northern District of Texas, February 25, 2021 A Fort Worth osteopath who attempted to incinerate clinic records has been sentenced to 10 years in federal prison for his role in a $10 million healthcare fraud, announced Acting U.S. Attorney for the Northern District of Texas Prerak Shah.

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Novus Hospice CEO Pleads Guilty to Healthcare Fraud National

WEBU.S. Attorney’s Office – Northern District of Texas, March 19, 2021 The CEO of a local hospice agency has pleaded guilty to defrauding Medicare and Medicaid, announced Acting U.S. Attorney for the Northern District of Texas Prerak Shah. Bradley J. Harris, the 39-year-old former head of Novus and Optimum Health Services, pleaded …

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Novus Doctors, Nurse Found Guilty of Healthcare Fraud

WEBU.S. Attorney’s Office – Northern District of Texas, May 24, 2021 Three medical professionals who helped a local hospice agency scam Medicare have been convicted of healthcare fraud, announced Acting U.S. Attorney for the Northern District of Texas Prerak Shah. On Monday, a federal jury found Novus Health Services Medical …

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Reporting Fraud Medical Fraud

WEBHow To Prevent Fraud The National Insurance Crime Bureau (NICB) recommends you consider these tips to avoid medical fraud schemes: • If you’re involved in an accident, be cautious

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Orlando Cardiologist Pays $6.75 Million to Resolve Allegations of

WEBOrlando, FL – Dr. Ashish Pal, a cardiologist based in Orlando, Florida, has paid $6.75 million to resolve allegations that he violated the False Claims Act by performing medically unnecessary ablations and vein stent procedures, the …

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Ten Florida Residents Indicted for $67 Million Health Care Fraud

WEBThe United States Department of Justice, February 25, 2022. WASHINGTON – Ten Florida residents were charged in an indictment unsealed today in the Southern District of Florida for their alleged roles in a $67 million health care fraud, wire fraud, kickback, and money laundering scheme involving the submission of false and …

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Two Convicted For Conspiracy To Commit Healthcare Fraud …

WEBUnited States Attorney’s Office, Middle District of Florida, October 20, 2021 Jacksonville, Florida – A federal jury has found Scott Balotin (51, St. Johns) and Thomas Jones (52, Jacksonville) guilty of conspiracy to commit health care fraud and money laundering. Each faces a maximum penalty of 10 years in federal prison. The sentencing …

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Final Defendant Sentenced to Federal Prison in 12-Defendant, $53

WEBUnited States Attorney’s Office, Southern District of Florida, August 1, 2023. MIAMI – Edgar Perez, 51, of Miramar, Florida, the final defendant in a 12-defendant health care fraud conspiracy was sentenced yesterday to 12 months in federal prison, followed by three years of supervised release, and ordered to pay a restitution in the amount of …

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Etowah Pain Clinic Owner Pleads Guilty in Multi-Million-Dollar …

WEBUnited States Attorney’s Office, Northern District of Alabama, April 26, 2023. BIRMINGHAM, Ala. – Another individual has been convicted in the latest in a series of cases involving multi-million-dollar health care fraud and kickback conspiracies, announced U.S. Attorney Prim F. Escalona, Federal Bureau of Investigation Special Agent in …

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Three Men Indicted in San Antonio on Charges Related to $14.5

WEBUS Attorney's Office, Western District of Texas, Jan. 24, 2023. SAN ANTONIO – A federal grand jury in San Antonio recently returned an indictment charging a group of three defendants with 22 counts related to healthcare fraud, identity theft and kickbacks. According to court documents, Kuba Zarobkiewicz, 35, of San Antonio, and …

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Two Laredo doctors indicted for healthcare kickbacks National

WEBKGNS, By Jery Garza, Feb. 15, 2022 LAREDO, TX. (KGNS) – Two Laredo doctors are among a list of ten people indicted for their alleged involvement in a 300-million-dollar health care fraud scheme. The 26-count indictment from the U.S. Attorney’s Office Northern District of Texas accuses the people of paying and receiving illegal kickbacks and …

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Feds seize boat, SUV, cash in medical fraud investigation

WEBBy PETER DUJARDIN DAILY PRESS | AUG 12, 2020 AT 8:37 AM The FBI has seized a boat, an SUV, and several bank accounts as part of an insurance fraud investigation into a James City County therapist. Federal prosecutors contend that Maria Kokolis and her company -- Pamisage Integrated Health -- bilked private health-care firms and the …

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Former Procurement Director at Broward Health Charged With

WEBMiami, Fl. – On Friday, the former Procurement Director for Broward Health appeared in Ft. Lauderdale federal court to face charges accusing him of awarding lucrative government contracts to vendors in exchange for bribes and of trying to conceal his crimes by directing the bribe money to various bank accounts.

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