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What Should Health Care Organizations Do to …

    https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03
    The literature suggests that comprehensive education in this area is lacking, with only about one-third of medical schools providing any curricular content relating to fraud and abuse. 17 In response, some stakeholders recommend resident physician education that would cover issues pertaining to compliance, billing, appropriate documentation ...

DOJ charges 14 people in alleged Covid-related …

    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 …

Health Care Fraud — FBI - Federal Bureau of Investigation

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

    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 …

    Opinion | Where the Frauds Are All Legal

      https://www.nytimes.com/2019/12/07/opinion/sunday/medical-billing-fraud.html
      Where the Frauds Are All Legal. Ms. Rosenthal, a journalist and physician, is a contributing …

    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 …

    Healthcare Fraud During a Pandemic: Fast …

      https://legal.thomsonreuters.com/en/insights/articles/healthcare-fraud-during-a-pandemic
      The life-and-death consequences of healthcare fraud can manifest in a lack of funds to buy respirators, unnecessary medical procedures being performed, or ineffective drugs …

    Top Healthcare Fraud Takedowns of 2020

      https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020
      Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, …

    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 …

    What Is Medical Billing Fraud? - All Things Medical Billing

      https://www.all-things-medical-billing.com/what-is-medical-billing-fraud
      What is Medical Billing Fraud – Medicare Task Force. Of particular significance in 2007 a Medicare Fraud Strike Force was created in Miami Florida to investigate and prosecute a …



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