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Fraud Related Topics 
Healthcare Dive
SEPTEMBER 9, 2022
A small proportion of providers that billed for telehealth — 1,714 out of 742,000 — posed a high risk of fraud or abuse to Medicare in COVID-19’s first year, regulators found
Healthcare Dive
JULY 6, 2022
Cases ranged from improper psychiatric treatment to providing false Medicare claims and illegal kickback schemes
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The Health Law Firm Blog
OCTOBER 19, 2022
Board Certified by The Florida Bar in Health Law On September 27, 2022, a Florida pharmacy owner pled guilty to conspiring to commit healthcare fraud in an $8.3 By George F. Indest III, J.D., M.P.A.,
Fierce Healthcare
NOVEMBER 9, 2022
Customization vs. Configuration in Healthcare Fraud Detection. mteefey. Wed, 11/09/2022 - 16:55
The Health Law Firm Blog
NOVEMBER 29, 2022
Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., M.P.A.,
Healthcare IT Today
OCTOBER 22, 2020
The US Department of Justice has filed charges against 345 defendants, including more than 100 medical professionals, accusing them of engaging in healthcare fraud schemes.
The Health Law Firm Blog
MARCH 7, 2022
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D., M.P.A.,
The Health Law Firm Blog
JANUARY 24, 2022
Board Certified by The Florida Bar in Health Law On November 18, 2021, a Tallahassee surgeon was sentenced to seven years in federal prison for committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. By George F. Indest III, J.D., M.P.A.,
Healthcare Compliance Blog
OCTOBER 27, 2022
The psychologist was convicted of four counts of healthcare fraud. The FBI and HHS-OIG investigated the case, which was brought as part of the Chicago Strike Force, supervised by the Criminal Division’s Fraud Section and the US Attorney’s Office for the Northern District of Illinois.
Healthcare Compliance Blog
SEPTEMBER 20, 2022
The defendant was also convicted for falsification of records designed to prevent detection of this fraud and aggravated identity theft for falsely corresponding with Medicare under the name of another physician. Million Healthcare Fraud Scheme appeared first on Med-Net.
The Health Law Firm Blog
NOVEMBER 7, 2022
Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., M.P.A.,
Electronic Health Reporter
JUNE 10, 2020
There is interesting research in Forbes’ recent article named “How E-Commerce’s Explosive Growth Is Attracting Fraud”. The article Fraud Detection with Machine Learning For e-Commerce and Retailers appeared first on electronichealthreporter.com.
Healthcare IT Today
SEPTEMBER 21, 2022
New types of fraud are continually emerging, and it’s also become harder to uncover with traditional approaches. The telehealth market is growing at a significant rate, and fraud is continuing to grow with it. Is Telehealth Fraud Getting Harder to Identify?
Healthcare Compliance Blog
OCTOBER 12, 2022
A federal jury in Texas convicted a 65-year-old foreign medical student for conspiracy to commit healthcare fraud. At the trial, the defendant attempted to convince the jury he had no knowledge of fraud and did not have the intent to defraud Medicare. Client Alerts client alerts Fraud
Healthcare Compliance Blog
JULY 11, 2022
The report says that in FY 2021 the DOJ opened 831 new criminal healthcare fraud investigations. Federal prosecutors filed criminal charges in 462 cases involving 741 defendants, and a total of 312 defendants were convicted of healthcare fraud related crimes during the year.
The Health Law Firm Blog
OCTOBER 14, 2022
Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. By George F. Indest III, J.D., M.P.A.,
Compliancy Group
AUGUST 31, 2022
Department of Justice’s (DOJ) Civil Cyber Fraud Initiative (CCFI). Details of DOJ Cyber Fraud Initiative Settlements. DOJ Cyber Fraud Initiative and the HIPAA Connection. Whistleblower Incentives Within the DOJ Cyber Fraud Initiative.
The Health Law Firm Blog
MARCH 16, 2022
million Medicare fraud scheme asked a New Jersey court to eliminate a bail condition. By George F. Indest III, J.D., M.P.A., Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3
HIT Consultant
OCTOBER 18, 2021
Capturing and combatting fraud in today’s healthcare landscape requires the convergence of innovation and experience to drive value beyond the margins. Organizations must take a multi-layered approach to identify, address, and prevent fraud. Julia Twaddle, Sr.
Healthcare Compliance Blog
AUGUST 8, 2022
Two Texas men have been charged with conspiracy to commit and committing wire fraud during the COVID-19 pandemic involving medical-grade nitrile gloves. The two men were both charged with conspiracy to commit wire fraud, and defendant 1 also faces an additional five counts of wire fraud.
Healthcare Compliance Blog
JUNE 13, 2022
The post Three Clinical Labs and Their Owner Charged with Medicaid Fraud and Kickbacks appeared first on Med-Net. Client Alerts client alerts Fraud Kickbacks Medicaid
Healthcare Compliance Blog
NOVEMBER 2, 2022
Massachusetts Attorney General Maura Healey announced that her office’s Medicaid Fraud Division recovered more than $71 million during the most recent federal fiscal year, which ended on September 30. Client Alerts client alerts Fraud Medicaid
Healthcare IT Today
SEPTEMBER 24, 2021
According to a survey by Proofpoint, the average healthcare organization received about 200,000 emails from over 10,000 different 3rd party domains. When you consider the thousands of vendors and suppliers that work with a healthcare organization, this isn’t a big surprise.
Healthcare Compliance Blog
JULY 20, 2022
He was convicted of one count of healthcare fraud and one count of making a false claim. The post Federal Jury Convicts New York Doctor of Healthcare Fraud Scheme appeared first on Med-Net. Client Alerts client alerts Fraud Medicaid Medicare
Healthcare Dive
JULY 25, 2022
The special alert to healthcare providers describes how fraudsters recruit and reward practitioners in schemes to exploit the growth of telemedicine
Florida Health Care Law Firm
APRIL 18, 2022
Fraud in these cases is generally easy to prove. Simply verifying inventory, orders and dispensing records yields incredible data that when combined with comparative data from peer pharmacies can be used by law enforcement to establish that fraud has been committed.
Healthcare Compliance Blog
JULY 26, 2022
In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Billion in Healthcare Fraud appeared first on Med-Net. Client Alerts client alerts Fraud
Mobi Health News
JULY 7, 2022
A jury found Balwani guilty on all 12 charges he faced, including ten counts of wire fraud and two counts of conspiracy to commit wire fraud
Healthcare IT Today
JANUARY 19, 2021
The Federal Trade Commission (FTC) announced a consumer fraud settlement against a company that displayed a ‘HIPAA Compliant’ seal on its website.
Florida Health Care Law Firm
JANUARY 14, 2022
Attorney arrested 13 people in a $100 Million healthcare fraud scheme in NY and NJ involving automobile insurance claims. The post Healthcare Fraud Scheme Indictment Starts the New Year first appeared on Florida Healthcare Law Firm. The U.S.
The Health Law Firm Blog
APRIL 18, 2022
By George F. Indest III, J.D., M.P.A., Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 million, announced the U.S. Attorney for the U.S. District of Connecticut. [.].
Healthcare Compliance Blog
JUNE 22, 2022
A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Participating in the fraud can result in the person(s) being prosecuted. Client Alerts client alerts COVID-19 Fraud Vaccination
JNC Compliance
SEPTEMBER 6, 2022
The post 5 Tactics to Combat Healthcare Fraud appeared first on JNC Healthcare Compliance Group. In this series, I shared that the government recovered five billion dollars from the healthcare False Claims Act in 2021, one of the most significant recoveries […].
Healthcare Compliance Blog
APRIL 29, 2022
in restitution for her role in healthcare fraud, wire fraud, and theft of government funds. In March 2020 she pleaded guilty to one count of healthcare fraud, one count of wire fraud, and one count of theft of government funds. Client Alerts client alerts Fraud
Healthcare Dive
APRIL 21, 2022
Defendants — including doctors, medical business executives and fake vaccination card manufacturers — caused nearly $150 million in false billings to federal programs, the DOJ alleged
Fierce Healthcare
JULY 20, 2022
in phony telehealth claim fraud schemes. DOJ charges 36 over $1.2B rking. Wed, 07/20/2022 - 16:49
Healthcare Compliance Blog
JULY 7, 2022
A federal district judge in Miami sentenced the last of five defendants for his role in a healthcare fraud scheme operated out of a physical therapy clinic. Issue: Healthcare fraud affects everyone—individuals and businesses alike—and causes tens of billions of dollars in losses each year.
Healthcare Compliance Blog
AUGUST 25, 2022
A Texas physician and his employee were charged for their roles in a healthcare fraud scheme involving the submission of more than $3.5 million was billed to Medicare in connection to the fraud scheme.?. Uncategorized client alerts medicare fraud
Florida Health Care Law Firm
DECEMBER 7, 2021
Telemedicine pharmacy arrangements continue to be of significant interest to fraud enforcement. The federal jury trial in the billion-dollar telehealth pharmacy fraud scheme resulted in conviction on 22 counts of mail fraud, conspiracy to commit health care fraud and introduction of misbranded drugs into interstate commerce. The post Telemedicine Pharmacy Fraud Trial Ends in Convictions first appeared on Florida Healthcare Law Firm.
Med Law Blog
JULY 21, 2022
The US Office of Inspector General (OIG) released another in a series of Special Fraud Alerts on July 20, 2022, this one directed to potentially fraudulent telehealth, telemedicine, and telemarketing service fraud schemes, collectively referred to as “Telemedicine Companies”.
Healthcare Compliance Blog
AUGUST 16, 2022
Five individuals and two for-profit skilled nursing facilities (SNFs) in Pennsylvania were indicted on charges of conspiracy to defraud the United States and related healthcare fraud charges. Client Alerts client alerts Fraud
Fierce Healthcare
OCTOBER 5, 2022
Judge denies Elevance Health's bid to toss Medicare Advantage fraud suit. pminemyer. Wed, 10/05/2022 - 15:12
Fierce Healthcare
OCTOBER 28, 2021
UnitedHealth lawsuit claims TeamHealth upcoded claims for $100M in fraud. pminemyer. Thu, 10/28/2021 - 12:21
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