Real Life Health Care Fraud Cases

Listing Websites about Real Life Health Care Fraud Cases

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Nurse Practitioner Sentenced in Twelve Million Dollar …

(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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Florida health clinic owner sentenced in $36 million fraud …

(1 days ago) WebUSA TODAY. A Florida woman has been sentenced to more than eight years in prison for her role in a health care fraud conspiracy that brought in $8.6 million. …

https://www.usatoday.com/story/news/nation/2023/10/30/florida-woman-health-care-fraud-blue-cross-blue-shield/71379942007/

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Two Florida Residents Sentenced for $93M Health Care …

(2 days ago) WebJesus Trujillo, 52, of Miami, was sentenced to 14 years in prison after pleading guilty to conspiracy to commit health care fraud and wire fraud and conspiracy to commit …

https://www.justice.gov/opa/pr/two-florida-residents-sentenced-93m-health-care-fraud-and-money-laundering-scheme

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

(4 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, the …

https://www.justice.gov/opa/pr/man-sentenced-336m-health-care-fraud-wire-fraud-and-identity-theft-scheme

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Twenty-Three Individuals Charged in $61.5 Million …

(8 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/twenty-three-individuals-charged-615-million-medicare-fraud-schemes

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Top Healthcare Fraud Takedowns of 2020

(6 days ago) WebFeds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory …

https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020

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Justice Department charges 78 in multibillion-dollar …

(Just Now) WebThe Justice Department announced charges against 78 people related to health care fraud schemes. Federal and state law enforcement offices brought criminal …

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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Four People Plead Guilty, Sentenced for Multi-Million …

(5 days ago) WebJason Alexandre, Rex Barr, Earlson Satine, and Natasha Hudson were charged in 2021 with Medicaid fraud, theft by deception, and related offenses, and …

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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Top Healthcare Fraud, Waste, and Abuse Takedowns of the Year

(Just Now) WebPharmacist, marketer plead guilty to $180M healthcare fraud scheme. In August 2021, a Mississippi pharmacist and a Louisiana marketer pleaded guilty for their …

https://revcycleintelligence.com/features/top-healthcare-fraud-waste-and-abuse-takedowns-of-the-year

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Dozens in 16 States Charged With Health Care Fraud Schemes, …

(6 days ago) WebJune 28, 2023, at 3:59 p.m. Dozens in 16 States Charged With Health Care Fraud Schemes, Including $1.9B in Bogus Claims. More. Kevin Wolf. Attorney General Merrick …

https://www.usnews.com/news/business/articles/2023-06-28/dozens-in-16-states-charged-with-health-care-fraud-schemes-including-1-9b-in-bogus-claims

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Feds charge 138 medical professionals with $1.4B in …

(Just Now) WebThe COVID-19 cases announced today build upon the success of the COVID-19 Health Care Fraud Takedown on May 26, a coordinated law enforcement action against 14 defendants in seven …

https://www.fiercehealthcare.com/tech/feds-charge-138-medical-professionals-including-doctors-1-4b-telehealth-fraud-case

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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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Texas Physician Convicted in $16 Million Medicare Fraud Scheme

(Just Now) WebA federal jury in Texas found a physician who was the owner and operator of a medical clinic in Houston, Texas, guilty today of participating in a $16 million Medicare …

https://oig.hhs.gov/fraud/enforcement/texas-physician-convicted-in-16-million-medicare-fraud-scheme/

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8 Frightening Healthcare Fraud Examples in Real Life - Etactics

(1 days ago) WebMedical Identity Theft Example 1. In September of 2021, a Las Vegas resident received 144 months in federal prison and a $4,321,590.39 fine for conspiring to …

https://etactics.com/blog/healthcare-fraud-examples

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JPS to Pay $3.3 Million in False Claims Lawsuit for Upcoding Claims

(1 days ago) WebAdvertisement. John Peter Smith Hospital agreed to pay $3.3 million to settle a case alleging it violated the False Claims Act by upcoding claims given to federal …

https://www.dmagazine.com/healthcare-business/2021/09/jps-to-pay-3-3-million-in-false-claims-lawsuit-for-upcoding-claims/

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Update on Department of Justice Healthcare Fraud Investigations

(9 days ago) WebOn April 26, the US Department of Justice (DOJ) announced that Manishkumar Patel pleaded guilty to charges related to a $50 million health care fraud …

https://www.natlawreview.com/article/doj-secures-plea-50-million-medicare-fraud-and-kickback-scheme

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Health Care Fraud Case Files BCBSM

(1 days ago) WebHealth Care Fraud Case Files Fraud case files. Here are some examples of real-life health care fraud cases investigated by Blue Cross Blue Shield of Michigan. Owner, …

https://www.bcbsm.com/health-care-fraud/case-files/

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Criminal Division Case Summaries - United States Department of …

(3 days ago) WebJune 28, 2023. Summary of Criminal Charges. Central District of California. Neda Mehrabani, 47, of Tarzana, California, was charged by information with health care …

https://www.justice.gov/criminal/criminal-fraud/health-care-fraud-unit/2023-national-hcf-case-summaries

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5 legal cases against doctors that made headlines in 2019

(2 days ago) WebJoseph DeCorso, M.D. DeCorso, a New Jersey physician, pleaded guilty in September to his role in a massive telemedicine fraud scheme, one of the largest …

https://www.fiercehealthcare.com/practices/5-legal-cases-against-doctors-made-headlines-2019

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Examples of Medical False Claims Act Violations That Will be …

(1 days ago) WebA representative of the US Department of Health and Human Services-Office of Inspector General added that. Our agency is dedicated to investigating health care fraud schemes …

https://cohenhealthcarelaw.com/2020/01/examples-of-medical-false-claims-act-violations-that-will-be-prosecuted/

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HIPAA Violation Cases - Updated 2024 - HIPAA Journal

(1 days ago) WebA violation of HIPAA attributable to ignorance can attract a fine of $137 – $34,464. A violation that occurred despite reasonable vigilance can attract a fine of $1,379 – …

https://www.hipaajournal.com/hipaa-violation-cases/

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Nursing Home Chain ReNew Health To Pay $7 Million In Medicare …

(7 days ago) WebAs part of the settlement agreement, ReNew Health will pay $6,841,727 to the federal government and $242,273 to the state of California, plus interest.. The backstory. In …

https://www.msn.com/en-us/news/us/nursing-home-chain-renew-health-to-pay-7-million-in-medicare-fraud-case/ar-BB1m43NN

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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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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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5 big medical court cases that made a difference this year

(Just Now) WebA jury recently awarded $22,246 in economic damages and $9.25 million in past and future noneconomic damages to a plaintiff who tried this approach, with the …

https://www.ama-assn.org/health-care-advocacy/judicial-advocacy/5-big-medical-court-cases-made-difference-year

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Fake drug and alcohol treatment centers cause a big scandal in

(2 days ago) WebHe says he prosecuted a record number of health care fraud cases. But Mayes says the previous attorney general and governor didn't go far enough. MAYES: We …

https://www.npr.org/2024/05/14/1251200117/fake-drug-and-alcohol-treatment-centers-cause-a-big-scandal-in-arizona

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WebThe Department of Justice announced today criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in 31 …

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

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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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Private equity in health care: three takeaways going forward

(9 days ago) WebThree takeaways are: (1) Health care reimbursement is finite. The goal of short-term investments in providers that depend on third party reimbursement is a hard …

https://www.reuters.com/legal/litigation/private-equity-health-care-three-takeaways-going-forward-2024-05-09/

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Man charged in fraud case blames deceased El Paso businessman …

(5 days ago) WebVic Kolenc, El Paso Times. Fri, May 17, 2024, 7:05 AM 5 min read. The man charged in a federal fraud case, along with the prominent, late El Paso businessman …

https://finance.yahoo.com/news/man-charged-fraud-case-blames-110504805.html

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The Great Scam: Federal prosecutors take us inside South Florida’s …

(5 days ago) Web(WSVN) - Billions of dollars were stolen in one of the biggest frauds in U.S. history. Now in exclusive interviews, federal prosecutors take us inside South Florida’s …

https://wsvn.com/news/special-reports/the-great-scam-federal-prosecutors-take-us-inside-south-floridas-most-shocking-cases-of-covid-relief-fraud/

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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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DDoS Attacks Against Life Sciences Organizations Likely to Rise

(2 days ago) WebEMEA targeted by application-layer DDoS attacks. Akamai research found that from January to December 2023, the Europe, Middle East, and Africa (EMEA) region …

https://www.akamai.com/blog/security/rising-ddos-attacks-against-life-sciences-organizations

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Tax Fraud Blotter: Load of CRAT Accounting Today

(7 days ago) WebCharlotte, North Carolina: A federal jury has convicted two tax attorneys and an insurance agent of conspiring to defraud the U.S. and of helping clients file false …

https://www.accountingtoday.com/news/tax-fraud-blotter-load-of-crat

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Office of Public Affairs Fifteen Texas Doctors Agree to Pay over …

(6 days ago) WebThe government’s pursuit of these matters illustrates the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is …

https://www.justice.gov/opa/pr/fifteen-texas-doctors-agree-pay-over-28-million-settle-kickback-allegations

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