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See also: Medicare fraud and Health care fraud. Health insurance fraud is described as an intentional act of deceiving, concealing, or misrepresenting information that results in health care benefits being paid to an individual or group. Fraud can be committed either by an insured person or by a provider.
Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging in fraud are always seeking new ways to circumvent the law. Damages from fraud can be recovered by use ...
Medicare fraud. In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately. [1]
(Reuters) -The U.S. Justice Department has criminally charged 193 people, including 76 doctors, nurses and other medical professionals, with participating in health care fraud schemes worth $2.75 ...
Our health insurance system is complicated, a patchwork mess that leaves a gap. In Ohio, a single adult making less than $20,783 per year qualifies for Medicaid. Any more, and they have to find ...
Michael Brier, 61, of Newton, Massachusetts, the CEO of Recovery Connection Centers of America, has agreed to plead guilty to health care fraud for defrauding insurers out of more than $3.5 ...
Imprisoned at. FCI Williamsburg. Farid Tanios Fata ( Arabic: فريد طانيوس فتى, born 1965) is a Lebanese-born former hematologist / oncologist and the mastermind of one of the largest health care frauds in U.S. history. Fata was the owner of Michigan Hematology-Oncology (MHO), one of the largest cancer practices in Michigan.
Here are key points, for you and anyone else who may have been affected :—Impact : Patient and member information that may have been accessed includes contact information (such as first and last ...