Medical Record Fraud Cases

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What To Know About Medical Identity Theft | Consumer …

https://consumer.ftc.gov/articles/what-know-about-medical-identity-theft

Medical identity theft is when someone uses your personal information — like your name, Social Security number, health insurance account number or Medicare number — to see a doctor, get prescription drugs, buy medical devices, submit claims with your insurance …

A New Medicare Advantage Fraud Case Is …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

At least two dozen whistleblower cases, some dating to 2009, have alleged fraud by Medicare Advantage plans related to manipulating patient risk …

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 …

Health Care Fraud — FBI - Federal Bureau of Investigation

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

11 defendants plead guilty in $300 million …

https://www.cbsnews.com/dfw/news/11-defendants-plead-guilty-healthcare-fraud-case/

The lab companies disguised the kickbacks as legitimate transactions, including as medical advisor agreement payments, salary offsets, lease payments, and …

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 …

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

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

Former Michigan physician accused of healthcare fraud, falsifying medical records A Grand Rapids, Mich.-based federal grand jury charged a former physician of …

Electronic Health Records (EHR) Fraud - Constantine …

https://constantinecannon.com/practice/whistleblower/whistleblower-types/healthcare-fraud/electronic-health-records-ehr-fraud/

Individuals with knowledge of fraud related to EHR systems – whether in the form of false claims for EHR incentive payments, or in the form of false billings resulting from the use …

Middle District of Pennsylvania | Health Care Fraud

https://www.justice.gov/usao-mdpa/health-care-fraud

Anyone with information concerning suspected health care fraud or irregularities should contact the HHS-OIG at 1-800-HHS-TIPS (1-800-447-8477) and/or …

7 Red Flags for Fraud in Medical Records - Elite Learning

https://www.elitelearning.com/resource-center/health-information-professionals/7-red-flags-for-fraud-in-medical-records/

Medical charting is materially changed after the date of treatment. Sometimes providers learn of a legal challenge to a patient care encounter such as fraud or potential …

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