Tag Archives: Fraud and Abuse

Anatomy of a fraud bust: Collaboration creates efficiency

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http://www.fiercehealthpayer.com/antifraud/story/anatomy-fraud-bust-collaboration-creates-efficiency/2015-09-29?page=full

FBI Healthcare Fraud

A Detroit FBI agent explains how large, multi-person fraud schemes unravel

Adventist Health System to pay $115 million to settle suit over false claims

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http://www.healthcarefinancenews.com/news/adventist-health-system-pay-115-million-settle-suit-over-false-claims?mkt_tok=3RkMMJWWfF9wsRouv6TIZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4ITcBkI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

Image via <a href="https://www.facebook.com/adventisthealthsystem/photos/a.423073464460431.1073741828.423069824460795/681184975315944/?type=3&src=https%3A%2F%2Fscontent-lga1-1.xx.fbcdn.net%2Fhphotos-xfp1%2Ft31.0-8%2F11700980_681184975315944_3941985121416821659_o.jpg&smallsrc=https%3A%2F%2Fscontent-lga1-1.xx.fbcdn.net%2Fhphotos-xfa1%2Fv%2Ft1.0-9%2F11753276_681184975315944_3941985121416821659_n.jpg%3Foh%3D60999a00639e970662b2f02b63f1510b%26oe%3D5663E8F7&size=2048%2C1536&fbid=681184975315944">Facebook</a>.

The settlement is one of the largest of its kind, representing a continued crackdown by federal authorities.

Justice Department seeks individual liability in healthcare fraud

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http://www.modernhealthcare.com/article/20150916/NEWS/150919935

http://www.healthcaredive.com/news/justice-department-seeks-individual-liability-in-healthcare-fraud/405838/

Patients scarred, insurance firms duped in massive scam, L.A. County prosecutors say

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http://www.latimes.com/local/lanow/la-me-ln-indictment-doctor-lawyer-massive-medical-fraud-20150915-story.html

Fraud

Phoenix doc sentenced to prison for medical schemes including trading prescriptions for prostitutes

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http://www.bizjournals.com/phoenix/blog/health-care-daily/2015/09/phoenix-doc-sentenced-to-prison-for-medical-scams.html

Aetna hit with counterclaims by ‘hotel-like’ hospital in $120M kickback lawsuit

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http://www.beckershospitalreview.com/legal-regulatory-issues/aetna-hit-with-counterclaims-by-hotel-like-hospital-in-120m-kickback-lawsuit.html

Looking Glass and Money