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Medical Biller Sentenced to 45 Months in Prison for Role …

    https://www.justice.gov/opa/pr/medical-biller-sentenced-45-months-prison-role-4-million-health-care-fraud-scheme
    Lucero, Medicall’s Medical Director, pleaded guilty and will be sentenced at a later date. The case was investigated jointly by HHS-OIG and the FBI, and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division’s …

DOJ charges 14 people in alleged Covid …

    https://www.cnbc.com/2021/05/26/doj-charges-14-people-in-alleged-health-care-fraud-related-to-covid-19.html
    The DOJ's Fraud Section, which leads the Medicare Fraud Strike Force, announced it is prosecuting cases in the following districts: Western District of Arkansas, Northern District of California ...

Healthcare billing fraud: 9 recent cases - Becker's Hospital Review

    https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-9-recent-cases.html
    2. Florida physician convicted of $110M fraud. A Florida physician was convicted Feb. 10 for his role in a healthcare fraud scheme that involved billing health …

Justice Department Charges Dozens for $1.2 Billion in …

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

Fraud & Abuse Laws - Office of Inspector General

    https://oig.hhs.gov/compliance/physician-education/fraud-abuse-laws/
    False Claims Act [31 U.S.C. § § 3729-3733] The civil FCA protects the Government from …

Health Care Fraud — FBI - Federal …

    https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud
    Common Types of Health Care Fraud Fraud Committed by Medical Providers. Double billing: Submitting multiple claims for the same service Phantom billing: Billing for a service visit or supplies the ...

Top Healthcare Fraud Takedowns of 2020

    https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020
    One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and …

The Health Care Fraud and Abuse Control Program …

    https://www.cms.gov/newsroom/fact-sheets/health-care-fraud-and-abuse-control-program-protects-consumers-and-taxpayers-combating-health-care-0
    Since 2010, the U.S. Department of Health & Human Services, Office of Inspector General (HHS OIG), the Centers for Medicare & Medicaid Services (CMS), …

Big Data: Medical Billing Fraud and Abuse Claims …

    https://www.healthcarebusinesstoday.com/medical-billing-fraud-abuse-claims/
    By Ingrid S. Martin With medical billing fraud and abuse cases increasingly driven by data analysis, it has never been more important for healthcare providers to …

Health Care Fraud and Abuse - Hopkins Medicine

    https://www.hopkinsmedicine.org/johns_hopkins_healthcare/providers_physicians/health_care_fraud_and_abuse/
    Report all suspicions of fraud by contacting the JHHC Special Investigations Unit at: Phone: 410-424-4971. Toll-free: 1-844-697-4071 (TTY: 711) Fax: 410-424-2708. Email: …



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