Medical Billing Fraud Articles

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

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-9-recent-cases.html

From Cincinnati-based Bon Secours Mercy Health agreeing to pay $1 million to settle allegations that it improperly billed Medicare, to a Florida physician being …

Health Care Fraud — FBI - Federal Bureau of Investigation

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

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

The medical biller of a Chicago-area visiting physician practice was sentenced today to 45 months in prison for her role in a $4 million health care fraud …

What Should Health Care Organizations …

https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03

CMS categorizes fraud and program integrity issues into 4 categories: (1) mistakes resulting in administrative errors, such as incorrect …

The Challenge of Health Care Fraud – NHCAA

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

Medical identity theft frequently results in erroneous information being added to a person’s medical record, or even the creation of an entirely fictitious medical record in the victim’s …

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 …

Top Healthcare Fraud Takedowns of 2020

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

December 30, 2020 - 2020 will not only go down in the history books as the year COVID-19 hit, but also as a historic year for healthcare fraud takedowns. The …

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

Federal prosecutors have charged 14 people — including a medical doctor and owners of laboratories, pharmacies and a home health agency — in multiple Covid-related fraud …

Feds Charge 24 In Alleged $1.2 Billion …

https://www.npr.org/2019/04/10/711688988/feds-charge-24-in-alleged-1-2-billion-medicare-fraud-scheme

Federal prosecutors on Tuesday said they dismantled one of the largest health care fraud schemes ever investigated by the FBI, charging 24 people in a $1.2 billion alleged scam involving...

What Is Medical Billing Fraud? - All Things Medical Billing

https://www.all-things-medical-billing.com/what-is-medical-billing-fraud

Probably the most extensive efforts to combat medical billing fraud have been undertaken by the federal government. In 1996, the Health Insurance Portability and Accountability Act …

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