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DOJ charges dozens in $1.1B telehealth fraud crackdown

Healthcare IT News - Telehealth

Department of Justice announced this past week that it was bringing criminal charges against 138 total defendants for their alleged participation in various healthcare fraud schemes, resulting in about $1.4 billion of that loss involved allegedly fraudulent claims related to telemedicine. billion in alleged losses. More than $1.1

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Dozens charged in sprawling $1.2B telehealth and genetics fraud crackdown

Healthcare IT News - Telehealth

Meanwhile, the Centers for Medicare and Medicaid Services' Center for Program Integrity also announced that it has taken administrative actions against more than 50 healthcare providers alleged to be involved in similar schemes. Polite, Jr. in a statement. billion, according to the department. billion in alleged fraud.

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Florida provider group to pay $24.5M after False Claims Act allegations

Healthcare IT News - Telehealth

"Billing federal healthcare programs for services that providers know are unnecessary or unreasonable undermines the quality of care that patients receive and increases the costs of these taxpayer-funded programs," said Principal Deputy Assistant Attorney General Brian M. WHY IT MATTERS.

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Arizona telehealth company owners plead guilty in $64M scheme

Healthcare IT News - Telehealth

"From September 2017 through December 2019, Luke and Laughlin conspired together and with others to unlawfully enrich themselves by submitting and causing to be submitted false and fraudulent claims to federal healthcare benefit programs," the officials alleged. " WHY IT MATTERS. ON THE RECORD.

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Florida man pleads guilty in scheme exploiting amended telehealth restrictions

Healthcare IT News - Telehealth

Department of Justice announced this week that a Florida laboratory owner had pleaded guilty for his role in a $73 million Medicare kickback scheme. According to the agency , the conspiracy involved paying a telemedicine company to arrange for doctors to authorize medically unnecessary genetic testing.

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$6B fraud bust includes numerous telehealth schemes

Henry Kotula

Dive Brief: Federal agencies have charged 345 people across the country, including more than 100 providers and four telehealth executives, with submitting more than $6 billion in fraudulent claims to payers. billion was connected to telemedicine schemes and about $800 million each to substance abuse treatment and illegal opioid distribution.

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DOJ breaks up alleged genetic testing fraud scheme estimated at $2.1 billion

Henry Kotula

The defendants ordered unnecessary tests that were reimbursed by Medicare, with laboratories sharing the profit, DOJ says. Department of Justice has charged 35 people with unlawfully charging Medicare $2.1 billion in what it said is one of the largest healthcare fraud schemes in history. WHAT’S THE IMPACT.