Medical Fraud Case Study

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The Challenge of Health Care Fraud – NHCAA

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

The 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 conservative estimate is 3% of total health care expenditures, while some government …

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 …

A case study of healthcare fraud - PubMed

https://pubmed.ncbi.nlm.nih.gov/20222262/

The anticipated Medicare cutbacks have created angst among physicians and healthcare institutions. This case is a clear reminder to individual physicians and medical institutions …

Top Healthcare Fraud Takedowns of 2020

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

5 most scandalous fraud cases of 2021 - Fraud Magazine

https://www.fraud-magazine.com/article.aspx?id=4295016799

COVID-19 unemployment insurance fraud is an international affair. They used bots or teams …

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

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

Two indictments recently unsealed 13 defendants, including physicians and other medical professionals, charged with a $100 million healthcare fraud, money …

Healthcare Fraud: A $44M Case Study - Prison Professors

https://prisonprofessors.com/healthcare-fraud-a-44m-case-study/

Healthcare fraud is a felony under state and federal law, and penalties include time in prison and fines. Healthcare provider fraud is a top law enforcement priority because it is …

Case Studies - Fraud Magazine

https://www.fraud-magazine.com/topics.aspx?topic=cases

Here’s a story about a controller who used many tricks in the books to rob a medical practice and some lessons on how to detect and avoid such scams. Phony drug rehab …

FRAUD CASE STUDY – MEDICALLY …

https://www.dodig.mil/Portals/48/Documents/Components/PO/APO/Fraud-Resources/GenFraudScenarios/FCS_MedicallyUnnecessaryProcedures.pdf

FRAUD CASE STUDY – MEDICALLY UNNECESSARY PROCEDURES Case . A doctor was accused of performing medically unnecessary procedures on numerous …

Top 10 Medicaid Fraud Cases (Millions of Dollars …

https://khourilaw.com/medicaid-fraud-cases/

Much like with the prior year, there were dozens of federal districts involved and the bust continued to boost the amounts of funds recovered from healthcare fraud …

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