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7 Medicaid behavioral health fraud cases, audit findings to know

Federal prosecutors and auditors are targeting Medicaid behavioral health fraud on multiple fronts, with billions in alleged false claims under scrutiny...

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CareFirst sues ex-insurance brokers in MD civil racketeering case

Health insurer CareFirst sued two brothers whom it accused of coordinating an β€œinternational insurance-fraud machine” by falsifying out-of-state and overseas clients’...

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Attorney General Sunday Announces $1 Million Settlement with Alpha Dental; Patients who were Pushed into Expensive Services to Receive $500K

Attorney General Dave Sunday announced his office has reached a settlement with Infinity Dental regarding the southeastern Pennsylvania-based dental group selling patients expensive...

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GEICO sues medical supplier over alleged $1.9 million no-fault brace scheme

GEICO is suing to claw back more than $1.9 million it says it paid a New York medical supplier for braces injured...

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WhatΒ United States v. Bankman-FriedΒ Means for Health Care Fraud Defense

What You Need to Know On the surface, United States v. Bankman-Fried is a case about the collapse of a cryptocurrency exchange. But...

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Department of Justice Files Suit to Stop Ongoing Medicaid Fraud Related to New York’s $10 Billion Home-Care Program

The Justice Department announced today that it has filed a lawsuit in the U.S. District Court for the Eastern District of New York...

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Court upholds pharmacists’ convictions in $13 million insurer billing fraud

Six pharmacists got paid for medicine that never left the shelf – and a federal appeals court just upheld their convictions....

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Eli Lilly Wins Court Order in Fraud Allegations Against Florida, TN Pharmacy Groups

Eli Lilly, one of the world’s largest pharmaceutical makers, has won a federal court order against leaders of a Tennessee church...

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Pierce County prosecutes first insurance fraud case under partnership with OIC

The Pierce County Prosecuting Attorney’s Office filed its first insurance fraud charges under an interagency agreement with the Office of the...

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Healthcare billing fraud: 10 recent cases

From two health plan vendors agreeing to settle Medicare Advantage fraud allegations, to the conviction of a New York clinic owner...

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