Health Care Fraud Prevention

Listing Websites about Health Care Fraud Prevention

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The Health Care Fraud and Abuse Control Program …

(1 days ago) WEBHealth Care Fraud Prevention Partnership (HFPP): The Obama Administration has joined with private insurers, states, and associations in the HFPP to prevent health care fraud on a national scale. To detect and prevent payment of …

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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Fact Sheet: The Health Care Fraud and Abuse Control …

(8 days ago) WEBHealth Care Fraud Prevention Partnership (HFPP): The Obama Administration has joined with private insurers, states, and associations in the HFPP to …

https://www.justice.gov/opa/pr/fact-sheet-health-care-fraud-and-abuse-control-program-protects-conusmers-and-taxpayers

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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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Preventing Health Care Fraud and Abuse - AAP

(7 days ago) WEBThe best way to protect your workplace from fraud and abuse is to have a compliance program. Large health care organizations have had these in place for years …

https://www.aap.org/en/practice-management/liability-and-regulation/preventing-health-care-fraud-and-abuse/

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Health Care Fraud — FBI

(8 days ago) WEBHealthcare Fraud Prevention Partnership; Insurance groups such as the National Health Care Anti-Fraud Association, the National Insurance Crime Bureau, and insurance investigative units;

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

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AI and machine learning – an intelligent approach to …

(9 days ago) WEBThe National Health Care Anti-Fraud Association estimated (on a conservative basis) that healthcare fraud costs the U.S. about $68 billion annually — …

https://www.hfma.org/cost-effectiveness-of-health/ai-and-machine-learning-an-intelligent-approach-to-healthcare-fraud-prevention/

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Criminal Division Health Care Fraud Unit - United States …

(Just Now) WEBPoints of Contact to Report Health Care Fraud: Health and Human Services Office of Inspector General (“HHS-OIG”): HHS-OIG fights waste, fraud, and abuse, and …

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit

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Combating Health Care Fraud and Abuse: …

(3 days ago) WEBAlthough several companies are exploring blockchain to enhance health care reimbursement and revenue cycle management, few have explicitly assessed …

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

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Programs – NHCAA

(1 days ago) WEBThe NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference (ATC) is recognized as the single-most important health care anti-fraud event, spotlighting trends and emerging schemes. NHCAA is …

https://www.nhcaa.org/programs/

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2021 National Health Care Fraud Enforcement Action

(2 days ago) WEBThe Department of Health and Human Services Office of Inspector General, along with our law enforcement partners, participated in a strategically coordinated, six …

https://oig.hhs.gov/newsroom/media-materials/2021-national-ea/

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How Providers Can Detect, Prevent Healthcare Fraud and Abuse

(1 days ago) WEBTo prevent an organization from participating in healthcare fraud and abuse activities, providers should understand key healthcare fraud laws, implement a …

https://revcycleintelligence.com/features/how-providers-can-detect-prevent-healthcare-fraud-and-abuse

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What is the Healthcare Fraud Prevention Partnership (HFPP

(5 days ago) WEBWhat is the Healthcare Fraud Prevention Partnership (HFPP)? The HFPP is a voluntary public-private Partnership advancing the detection and prevention of healthcare fraud, …

https://downloads.cms.gov/files/HFPP-flyer-12152016.pdf

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The Health Care Fraud and Abuse Control Program Protects - CMS

(9 days ago) WEBHealth Care Fraud Prevention Partnership (HFPP): The Obama Administration has joined with private insurers, states, and associations in the HFPP to …

https://www.cms.gov/newsroom/fact-sheets/health-care-fraud-and-abuse-control-program-protects-consumers-and-taxpayers-combating-health-care

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBThe charge of conspiracy to commit health care fraud is punishable by a maximum potential penalty of 10 years in prison and a fine of $250,000, or twice the …

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

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Top Antitrust Officials Call for More Health-Care Enforcement

(6 days ago) WEBListen. 2:44. The US hasn’t enforced its antitrust laws enough in the health care industry, top Justice Department officials said, voicing particular concern about …

https://www.bloomberg.com/news/articles/2024-05-08/top-doj-antitrust-officials-call-for-more-health-care-enforcement

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Manhattan U.S. Attorney Announces Charges Against 48 …

(7 days ago) WEBThe New York FBI Health Care Fraud Task Force was formed in 2007 in an effort to combat health care fraud in the greater New York City area. The task force is comprised …

https://www.fbi.gov/newyork/press-releases/2012/manhattan-u.s.-attorney-announces-charges-against-48-individuals-in-massive-medicaid-fraud-scheme-involving-the-diversion-and-trafficking-of-prescription-drugs

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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 …

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

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Negotiating with health care hackers - POLITICO

(8 days ago) WEBHealth care companies are retaining help — often from Silicon Valley — to manage ransomware attacks. The two bills also have similar provisions to reduce …

https://www.politico.com/newsletters/politico-pulse/2024/05/17/negotiating-with-health-care-hackers-00158429

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

(8 days ago) WEBArizona Republic. 0:04. 1:34. Arizona's Medicaid agency is a "completely new" organization one year after a humanitarian crisis caused by massive fraud was …

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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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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Three Admit Half-Million Dollar Health Care Fraud Conspiracy

(5 days ago) WEBThree Admit Half-Million Dollar Health Care Fraud Conspiracy. Publication date: Monday, May 13, 2024.

https://www.oversight.gov/investigative-press-releases/Three-Admit-Half-Million-Dollar-Health-Care-Fraud-Conspiracy

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

(5 days ago) WEBIn February, Satine pleaded guilty to felony Medicaid fraud and theft by deception and was sentenced to 1½ to 5 years in state prison. He is required to pay $2.8 …

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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3 admit $500K-plus health care fraud - The Business Journals

(7 days ago) WEBThe owner and two employees of a St. Louis County home health care firm pleaded guilty in a Missouri Medicaid fraud scheme of more than $552,000, the feds …

https://www.bizjournals.com/stlouis/news/2024/05/15/3-admit-500k-health-care-fraud.html

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The Health Care Fraud and Abuse Control Program Protects - CMS

(8 days ago) WEBThe Health Care Fraud Prevention and Enforcement Action Team (HEAT), a joint initiative between HHS, OIG, and DOJ, has played a critical role in the fight …

https://www.cms.gov/newsroom/fact-sheets/health-care-fraud-and-abuse-control-program-protects-consumersand-taxpayers-combating-health-care

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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, …

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

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NJ scams: Elder fraud is rampant in NJ. What to look out for

(9 days ago) WEBMore than $87 million in NJ in 2021. Elder fraud is rising at an alarming rate nationwide, going from about 50,000 victims in 2017 to almost 100,000 in 2021, …

https://www.northjersey.com/story/news/watchdog/2023/04/11/nj-fraud-senior-phone-scams-elder-fraud-grandparent-scam-what-to-do/70052568007/

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