26% of United States health consumers have had their PHI stolen from healthcare systems, according to the results of a study from Accenture, released in Orlando at HIMSS17. The study reveals that 50% of people who experienced such a breach were victims of medical identity theft, and thus had to pay an average of $2,500 […]
TeamHealth Holdings, a major U.S. hospital service provider, has agreed to resolve allegations that it violated the False Claims Act by billing Medicare, Medicaid, the DHA, and the Federal EHB Program for higher and more expensive levels of medical service than what were actually performed (a practice also known as “up-coding”), the DOJ announced today. […]
The Office of the Inspector General has reported that the federal government has recovered over $3 billion in fraudulent healthcare claims in the 2016 fiscal year.
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Texas-based MB2 Dental Solutions (MB2), 21 pediatric dental practices affiliated with them, as well as their owners and marketing chief, all have agreed to pay the US and Texas Medicaid $8.45 million to settle allegations that they violated the False Claims Act. They are accused of knowingly submitting, or otherwise causing the submission of, claims […]
A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud conspiracy that targeted Medicare Part D.
Read full story here: https://www.justice.gov/opa/pr/mother-sentenced-120-months-prison-son-sentenced-30-months-prison-involvement-95-million
SPRINGFIELD, Ill. – U.S. District Judge Sue E. Myerscough has entered judgment in favor of the government and against a Springfield psychiatrist, Duttala Obul Reddy, for $908,000, to settle allegations of false billing, as announced by U.S. Attorney Jim Lewis.
Read full story here: https://www.justice.gov/usao-cdil/pr/springfield-psychiatrist-ordered-pay-908000-civil-settlement
The co-owner of a Detroit home health care company was sentenced today to 96 months in prison for his role in a Medicare fraud scheme that caused approximately $33 million in losses.
See the full story here: https://www.justice.gov/opa/pr/detroit-area-home-health-care-agency-co-owner-sentenced-96-months-prison-33-million-medicare
Pennsylvania-based medical device manufacturer Biocompatibles Inc., a subsidiary of BTG plc, pleaded guilty today to misbranding its embolic device LC Bead and will pay more than $36 million to resolve criminal and civil liability arising out of its illegal conduct, the Justice Department announced today. LC Bead is used to treat liver cancer, among other […]
ROANOKE, VIRGINIA – United States Attorney John P. Fishwick Jr. announced the guilty plea today of a man who was previously charged with stealing funds from the Social Security Administration.
See the full story here: https://www.justice.gov/usao-wdva/pr/vinton-man-pleads-guilty-federal-fraud-charge
Original Article here: https://www.justice.gov/usao-wdmo/pr/former-dental-clinic-owners-indicted-1-million-health-care-payroll-tax-fraud
SPRINGFIELD, Mo. – Tammy Dickinson, United States Attorney for the Western District of Missouri, announced today that Marshfield, Mo., husband and wife have been indicted by a federal grand jury for their roles in health care fraud and payroll tax fraud schemes that totaled more than $1 million.
Pamela Van Drie, 57, and […]