Top Healthcare Fraud Schemes

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Busted: The top healthcare fraud schemes of Q3 2023

(3 days ago) WEBBusted: The top healthcare fraud schemes of Q3 2023. As we review the third quarter of 2023, we’re confronted with a resurgence of fraud, waste, and abuse (FWA) cases that continue to target both public and private payers. These cases persistently employ a …

https://resources.cotiviti.com/fraud-waste-and-abuse/busted-the-top-healthcare-fraud-schemes-of-q3-2023

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Justice Department Charges Dozens for $1.2 Billion in Health Care …

(3 days ago) WEBThe Department of Justice today announced criminal charges against 36 defendants in 13 federal districts across the United States for more than $1.2 billion in …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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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 …

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

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

(Just Now) WEBRevCycleIntelligence breaks down some of this year’s largest healthcare fraud, waste, and abuse takedowns, convictions, and schemes. Telemedicine exploited …

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

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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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Busted: The top healthcare fraud schemes of Q4 2021 - Cotiviti

(6 days ago) WEBBusted: The top healthcare fraud schemes of Q4 2021. Erin Rutzler. The second full year of the COVID-19 pandemic unfortunately closed out with a spike in allegations of …

https://blog.cotiviti.com/busted-the-top-healthcare-fraud-schemes-of-q4-2021

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2021 National Health Care Fraud Enforcement Action

(8 days ago) WEB9 defendants are alleged to have engaged in various health care fraud schemes that exploited the COVID-19 pandemic which resulted in the submission of …

https://www.justice.gov/criminal/criminal-fraud/2021-national-health-care-fraud-enforcement-action

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Health Care Fraud — FBI

(8 days ago) WEBHealth care fraud is not a victimless crime. It affects everyone and causes tens of billions of dollars in losses each year. The FBI is the primary agency for investigating health care fraud, for

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

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Busted: The top fraud schemes of Q3 2022 - Cotiviti

(5 days ago) WEBBusted: The top fraud schemes of Q3 2022. Summer 2022 was a busy season for healthcare fraud, waste, and abuse (FWA). From genetic testing-related kickbacks, to falsified claims, overbilling, and more, bad …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q3-2022

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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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The Health Care Fraud and Abuse Control Program Protects - CMS

(1 days ago) WEBIn June 2016, the Medicare Fraud Strike Force conducted a nationwide health care fraud takedown, which resulted in criminal and civil charges against 301 …

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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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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Common Types of Health Care Fraud Fact Sheet - Centers for …

(Just Now) WEBThis fact sheet provides a brief overview of some common types of Medicaid fraud, waste, and abuse involving providers. Although the examples involve violation of Federal laws, …

https://www.cms.gov/files/document/overviewfwacommonfraudtypesfactsheet072616pdf

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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 …

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

(5 days ago) WEBHARRISBURG — Attorney General Michelle Henry announced that four people who conspired to defraud Medicaid of nearly $9 million have pleaded guilty 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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No easy fixes to Obamacare enrollment fraud : Shots - NPR

(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 …

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

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Connecticut ophthalmologist sentenced to prison for five-year …

(Just Now) WEBIn July 2022, Salzberg pleaded guilty to one count of conspiracy to commit health care fraud and one count of conspiracy to receive kickbacks. Salzberg, a …

https://www.irs.gov/compliance/criminal-investigation/connecticut-ophthalmologist-sentenced-to-prison-for-five-year-health-care-fraud-scheme

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Medicare and Medicaid fraudsters continue to steal taxpayer money

(1 days ago) WEBHealthcare fraud was the leading source of False Claims Act settlements and judgments in fiscal year 2023. In addition to recovering taxpayer funds and deterring …

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

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Busted: The top fraud schemes of Q1 2022 - Cotiviti

(5 days ago) WEBAcupuncture fraud: $1.7 million. A Minnesota acupuncturist is facing charges for Medicare fraud. According to the criminal complaint, she submitted more than $1.6 million in …

https://blog.cotiviti.com/busted-the-top-fraud-schemes-of-q1-2022

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Update on Department of Justice Healthcare Fraud Investigations

(9 days ago) WEBDOJ Secures Plea in $50 Million Medicare Fraud and Kickback Scheme. On April 26, the US Department of Justice (DOJ) announced that Manishkumar Patel …

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

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District of New Jersey Announces Charges in Health Care Fraud …

(4 days ago) WEBLuis Roa, 51, of Santiago, Chile, pleaded guilty by videoconference on Sept. 24, 2020, before U.S. District Judge Kevin McNulty to an information charging him with …

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

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U.S. Attorney's Office Announces the Formation of Multi-Agency …

(5 days ago) WEBIn February 2023, the FBI, U.S. Attorney’s Office for the District of South Carolina, and other federal, state, and local agency partners began meeting as part of a …

https://www.postandcourier.com/kingstree/news/u-s-attorneys-office-announces-the-formation-of-multi-agency-health-care-fraud-task-force/article_ef694c66-07f6-11ef-84ad-471728f45496.html

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

(8 days ago) WEBThe state's Medicaid program is called the Arizona Health Care Cost Containment System (AHCCCS). Mayes initially estimated the fraud had amounted to …

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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Connecticut ophthalmologist sentenced to prison for health care …

(6 days ago) WEBIn a news release, the United States Attorney’s Office District of Massachusetts noted that Salzberg was also ordered to pay $1.34 million in restitution to …

https://www.ophthalmologytimes.com/view/connecticut-ophthalmologist-sentenced-to-prison-for-health-care-fraud-scheme

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Investigations Newsletter: Big Baby’s Big Foul: Former NBA Star …

(9 days ago) WEBBig Baby’s Big Foul: Former NBA Star Glen 'Big Baby' Davis Sentenced to 40 Months for Healthcare Fraud Scheme On May 9, former Boston Celtics forward Glen …

https://www.jdsupra.com/legalnews/investigations-newsletter-big-baby-s-1573298/

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

(6 days ago) WEBTerrence Williams, who played for four NBA franchises between 2009 and 2013, was sentenced to 10 years in prison in August after admitting to leading the …

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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Ex-NBA player Davis sentenced in fraud scheme - ESPN

(4 days ago) WEBGlen 'Big Baby' Davis sentenced to 40 months in prison over fraud scheme (0:24) Former NBA forward Glen Davis will serve 40 months in prison for an alleged …

https://www.espn.com/nba/story/_/id/40113791/glen-big-baby-davis-sentenced-40-months-prison-fraud-scheme

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District of New Jersey Four Men Indicted for Their Roles in $35

(3 days ago) WEBFor the conspiracy to commit health care fraud and health care fraud charges, the defendants face a statutory maximum of 10 years in prison and a fine of $250,000, …

https://www.justice.gov/usao-nj/pr/four-men-indicted-their-roles-35-million-pharmacy-compounded-medication-scheme

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Ex-NBA Player Glen ‘Big Baby’ Davis Gets 40 Months for Fraud

(9 days ago) WEBFormer National Basketball Association player Glen “Big Baby” Davis was ordered to spend more than three years behind bars for participating in a scheme to …

https://www.bloomberg.com/news/articles/2024-05-09/ex-nba-player-glen-big-baby-davis-gets-40-months-for-fraud

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NBA's Glen 'Big Daddy' Davis sentenced to 40 months for …

(Just Now) WEBMay 10 (UPI) --A federal court on Friday sentenced former NBA champion Glen "Big Daddy" Davis to 40 months in prison for his part in a scheme to defraud the league's …

https://www.upi.com/Top_News/US/2024/05/10/glen-davis-nba-health-care-fraud/4281715375689/

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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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Glen ‘Big Baby’ Davis Sentenced to 40 Months in Prison - Complex

(3 days ago) WEBGlen ‘Big Baby’ Davis Sentenced to 40 Months in Prison for Involvement in NBA Healthcare Fraud Scheme. Davis and other 20 others have been sentenced in …

https://www.complex.com/sports/a/backwoodsaltar/glen-big-baby-davis-sentenced-40-months-fraud

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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, this …

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

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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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Doctor And Three Others In Bergen County Charged In $10 Million …

(6 days ago) WEBAllegedly Paid and Received Kickbacks in Connection with Medically Unnecessary Prescriptions for Pain Creams. NEWARK, N.J. – A doctor and three …

https://www.justice.gov/usao-nj/pr/doctor-and-three-others-bergen-county-charged-10-million-health-care-fraud-scheme

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