Health Insurance Fraud Cases

Listing Websites about Health Insurance Fraud Cases

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Nurse Practitioner Sentenced in Twelve Million Dollar Health Care …

(3 days ago) WEBPROVIDENCE, R.I. – A registered nurse and nurse practitioner, who defrauded commercial health insurers and Medicare of nearly $12 million by devising and executing fraudulent billing schemes in

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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DOJ announces 78 people charged over $2.5 billion in false health …

(5 days ago) WEBThe cases unsealed over a two-week period this month included "one of the largest health care fraud schemes ever prosecuted" by the department, in which two …

https://abcnews.go.com/Politics/doj-announces-78-people-charged-nationwide-health-care/story?id=100447219

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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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Man Sentenced for Over $600M Health Care Fraud, Wire Fraud, …

(4 days ago) WEBWhen insurance companies denied the inflated claims, James impersonated patients to demand that the insurance companies pay the outstanding balances of tens …

https://www.justice.gov/opa/pr/man-sentenced-336m-health-care-fraud-wire-fraud-and-identity-theft-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) WEBA case out of the Southern District of Florida was among one of the largest health care fraud schemes ever prosecuted, agency officials said. The indictment …

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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Health Care Fraud — FBI

(8 days ago) WEBTips for Avoiding Health Care Fraud. Protect your health insurance information. Treat it like a credit card. Don't give it to others to use, and be mindful when using it at the doctor’s office

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

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Participation in coordinated National Health Care Fraud …

(8 days ago) WEBJune 28, 2023 — U.S. Attorney Markenzy Lapointe announced criminal charges against fourteen defendants in connection with over $1.9 billion in fraud prosecuted in the …

https://www.irs.gov/compliance/criminal-investigation/participation-in-coordinated-national-health-care-fraud-enforcement-action

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2021 National COVID-19 Health Care Fraud Takedown

(8 days ago) WEB14 defendants in 7 federal districts across the United States were charged for their alleged participation in various health care fraud schemes that exploited the COVID-19 pandemic and resulted in over …

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

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How Insurers Exploited Medicare Advantage for …

(3 days ago) WEBThe New York Times. But a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage-fraud-allegations.html

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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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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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A New Medicare Advantage Fraud Case Is Taking Aim At Data …

(Just Now) WEBThe Justice Department has accused an upstate New York health insurance plan for seniors, In August, California-based Sutter Health agreed to pay …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

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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 …

https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/

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FTC Obtains $195 Million Judgment, Permanent Ban on …

(6 days ago) WEBThe Federal Trade Commission has obtained a $195 million judgment against Simple Health Plans LLC and its CEO Steven J. Dorfman over charges they duped …

https://www.ftc.gov/news-events/news/press-releases/2024/02/ftc-obtains-195-million-judgment-permanent-ban-telemarketing-selling-healthcare-products-against

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

(3 days ago) WEBThe agency is also working closely, he wrote, with insurance companies, state insurance departments, and law enforcement "so that agents violating CMS rules or …

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

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U.S. investigates alleged Medicare fraud scheme estimated at $2 …

(3 days ago) WEBFebruary 9, 2024 at 4:31 p.m. EST. The office building that houses Royce Medical Supply in Fort Lauderdale, Fla. The company is among seven firms identified in an alleged …

https://www.washingtonpost.com/national-security/2024/02/09/medicare-alleged-fraud-catheters/

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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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Fraud Protection Tips in the Health Insurance Marketplace®

(6 days ago) WEBIf we don’t have this information, we may not be able to process your application. Calls come from 1-855-997-1890 or 844-477-7500. Caller ID may also show as Health …

https://www.healthcare.gov/protect-from-fraud-and-scams/

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Insurance Fraud — FBI

(3 days ago) WEBThe total cost of insurance fraud (non-health insurance) is estimated to be more than $40 billion per year. In one Katrina-Related fraud case alone, the FBI received more than …

https://www.fbi.gov/stats-services/publications/insurance-fraud

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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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Department of Justice Settles Four Healthcare Fraud Cases

(4 days ago) WEBThe United States Department of Justice this month settled four cases involving health care fraud for a total of $6 million. Whistleblowers received $504,000 …

https://www.natlawreview.com/article/summer-medical-fraud-four-cases-across-us-where-unnecessary-tests-services-or

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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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Glen ‘Big Baby’ Davis Gets 40 Months In Prison For NBA …

(6 days ago) WEBProsecutors said Davis submitted $132,000 worth of bogus insurance claims over at least convicted in the healthcare fraud case. on the NBA Players’ Health …

https://www.forbes.com/sites/tylerroush/2024/05/09/former-nba-champion-glen-big-baby-davis-sentenced-to-40-months-in-prison-for-nba-healthcare-fraud-scheme/

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WEBThe cases that fall into more traditional categories of health care fraud include charges against over 60 defendants who allegedly participated in schemes to …

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

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Former NBA player Glen 'Big Baby' Davis sentenced to 40 months …

(5 days ago) WEBThe 38-year-old Davis was also sentenced to three years of supervised release. In November, Davis was found guilty of health care fraud, wire fraud, conspiracy to make …

https://www.msn.com/en-us/sports/nba/former-nba-player-glen-big-baby-davis-sentenced-to-40-months-in-insurance-fraud-scheme/ar-BB1m786a

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Scott says Medicare fraud case was ‘political persecution’ Miami …

(4 days ago) WEBBy 2003, the company agreed to pay $1.7 billion in what was then the largest health care fraud settlement in U.S. history. Scott’s resignation from the company was …

https://www.miamiherald.com/news/politics-government/article288431251.html

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Glen Davis sentenced to 40 months in prison - The Athletic

(Just Now) WEBMay 9, 2024. 78. Former NBA player Glen Davis was sentenced to 40 months in prison for his role in defrauding the NBA Players’ Health and Benefit Welfare Plan, …

https://theathletic.com/5483054/2024/05/09/glen-davis-prison-sentence-fraud-nba/

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Former NBA player Glen Davis sentenced in insurance fraud case

(7 days ago) WEBMore than 20 people were convicted in the case, many of them onetime NBA players who submitted fictitious dental and medical claims to the NBA Players’ Health …

https://www.wmur.com/article/celtics-glen-big-baby-davis-prison-sentence-fraud/60754780

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