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States agree to share data with DOJ to fight Medicaid fraud

Dr. Mehmet Oz, the U.S. Centers for Medicare & Medicaid’s top official, was with FBI Director Kash Patel and other high-ranking...

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The Buyer Who Never Existed: Synthetic Fraud in RV Sales

How often do you enter personal information online without a second thought? It’s routine when opening a new account, applying for...

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Federal Watchdog Agency Finds Medicare Advantage Overpayments for Unsupported Diagnoses

A new report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) found that Medicare may have...

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National Fraud Enforcement Division’s Healthcare Fraud Unit Secures Six Trial Convictions Involving over $1.1 Billion in Fraud In Under Three Weeks: Convictions Span five Federal Districts & six Distinct Categories of Healthcare Fraud

The Justice Department’s National Fraud Enforcement Division today announced that its Health Care Fraud Unit, one of the most active white-collar...

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Luxury cars seized after alleged $30 million fraud ring involving children’s health services busted, officials say

Federal law enforcement officials on Thursday announced that two Ohio state employees and two co-conspirators were indicted in connection with an...

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AmTrust insurers sue New York law firm and surgeons over alleged fraud scheme

Insurers are fighting back. A trio of AmTrust carriers has filed a federal racketeering suit against a New York law firm, surgeons, and...

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Workers’ compensation fraud scheme targets Spanish-speaking employees

Washington Attorney General Nick Brown is alerting the public to a fraud scheme aimed at injured, Spanish-speaking workers throughout the Pacific Northwest. The...

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United States Announces $36.5 Million Settlement Of Medicare Fraud Lawsuit Against Matrix Medical Network

United States Attorney for the Southern District of New York, Jay Clayton, and Special Agent in Charge of the New York...

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Republicans Cry “Fraud” to Kick Seniors Out of Nursing Homes While Trump Pardons Convicted Fraudsters

On Wednesday, Republicans are holding another sham hearing where they will use bogus fraud claims as a cover to justify ripping away health...

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The New Face of Insurance Fraud Looks Just Like a Legitimate Claim

Every week, my team reviews claims that look, on the surface, like open-and-shut cases. The injury is plausible. The treatment records...

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