Healthcare Fraud And Abuse Articles
Listing Websites about Healthcare Fraud And Abuse Articles
Combating Health Care Fraud and Abuse: Conceptualization and …
(3 days ago) WEBConclusions. The proposed framework and the initial prototype have the potential to improve the health care claims process by using blockchain technology for …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/
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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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The Challenge of Health Care Fraud – NHCAA
(6 days ago) WEBThe National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. A …
https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/
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Fraud, Abuse, and Financial Conflicts of Interest NEJM
(Just Now) WEBIncreased attention and ever-growing complexity in the area of health care fraud-and-abuse regulation require the awareness of providers structuring all kinds of health care business arrangements.
https://www.nejm.org/doi/full/10.1056/NEJMp2201628
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Recommendations to protect patients and health care practices …
(Just Now) WEBFraud is defined as knowingly submitting, or causing to be submitted, false claims or making misrepresentations of a fact to obtain a federal health care payment …
https://www.japha.org/article/S1544-3191(20)30247-8/fulltext
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Justice Department charges 78 in multibillion-dollar health care …
(Just Now) WEBFederal and state law enforcement offices brought criminal charges across 16 states against 78 people for their roles in $2.5 billion in attempted health care fraud …
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Reconsidering Health Care Fraud and Abuse Laws - JAMA Network
(7 days ago) WEBAt a time when medical spending is stressing the US health care system, financial inducements aimed at encouraging cost controls or improving outcomes should be …
https://jamanetwork.com/journals/jama/fullarticle/2772476
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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 …
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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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How Medicare and Medicaid fraud became a $100B problem for …
(1 days ago) WEBKey Points. Medicare and Medicaid programs are being brazenly targeted by sophisticated criminals. Estimated annual fraud tops $100 billion, but investigators say …
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Dozens in 16 states charged with health care fraud schemes, …
(1 days ago) WEBWASHINGTON (AP) — The Justice Department has charged dozens of people in several health care fraud and prescription drug schemes, including one …
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Feds charge 138 medical professionals with $1.4B in healthcare …
(Just Now) WEBThe charges target approximately $1.1 billion in fraud committed using telehealth services, $29 million in COVID-19 healthcare fraud, $133 million connected …
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Dozens in 16 States Charged With Health Care Fraud Schemes, …
(6 days ago) WEBWASHINGTON (AP) — The Justice Department has charged dozens of people in several health care fraud and prescription drug schemes, including one …
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Feds brokered record $5B in healthcare fraud cases last year
(Just Now) WEBDive Insight: Around 25 years ago, the HIPAA privacy law established the Health Care Fraud and Abuse Control Program, bringing together the DOJ and the …
https://www.healthcaredive.com/news/feds-brokered-record-5b-healthcare-fraud-cases-last-year/626628/
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Medicare Fraud & Abuse: Prevent, Detect, Report - Centers …
(1 days ago) WEBThe diference between “fraud” and “abuse” depends on specific facts, circumstances, intent, and knowledge. Examples of Medicare abuse include: Billing for unnecessary …
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New Orleans author, nurse indicted for health care fraud Courts
(8 days ago) WEBA New Orleans nurse who authored a series of children's books was indicted by federal authorities Thursday on six counts of health care fraud. According to …
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Change Healthcare Grinds Through Massive Breach Probe - WSJ
(1 days ago) WEBTwo months after cyberattack, the claims tech company’s parent UnitedHealth Group works to identify the ‘substantial proportion’ of people in America whose personal …
https://www.wsj.com/articles/change-healthcare-grinds-through-massive-breach-probe-22fa3102
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Fourteen years of manifestations and factors of health insurance …
(3 days ago) WEBBayerstadler A, van Dijk L, Winter F. Bayesian multinomial latent variable modeling for fraud and abuse detection in health insurance. Insurance: Mathematics …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482647/
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Navigating False Claim Act Qui Tam False Claim Act Provisions
(6 days ago) WEBThe False Claims Act’s qui tam provisions allow individuals to report fraud, waste, and abuse (FWA) to the federal government and allows the federal government …
https://www.natlawreview.com/article/qui-tam-lawsuits-what-you-need-know-you-file-2024
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‘Goodfellas’ Meets Enforcement: Workers Offered Incentives
(3 days ago) WEBThe new pilot program, released on April 15, represents the latest initiative in DOJ’s ongoing focus on corporate fraud. Essentially, executives and employees are …
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Healthcare Fraud and Abuse - PMC - National Center for …
(3 days ago) WEBTo help combat fraud and abuse, the federal government's False Claims Act (FCA) of 1986 specifically targeted healthcare fraud and abuse. Under the FCA, …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804462/
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Work With Us: Defense Health Agency Seeks Commercial …
(Just Now) WEBDefense Health Agency. The Defense Health Agency provides health services to approximately 9.6 million beneficiaries, including uniformed service …
https://health.mil/News/Dvids-Articles/2024/04/18/news468852
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