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Elizabeth Hernandez, 45, routinely billed more than 24 hours of “office visits” in a day and pocketed about $1.6 million, federal prosecutors said.
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In one case filed in the Southern District of Florida, investigators said they found nearly $2 billion in fraudulent telemedicine claims submitted to government-funded coverage programs like Medicare and Medicaid.
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The numbers issued by a SBA inspector general are much greater than previous projections and underscore how vulnerable the Paycheck Protection and COVID Economic Injury Disaster Loan programs.
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Agents are providing fraudulent information on applications for health plans. Those who are signed up are disqualified from other forms of free and low-cost care and risk disruptions in treatments.
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Some seniors got dozens of COVID tests they never ordered. Bad actors may have used seniors' Medicare information to improperly bill the federal government — and could do it again, investigators say.
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Arguments on Tuesday center on a powerful tool for fighting fraud in government contracts and programs. The case examines whether major pharmacies knowingly overcharged Medicare and Medicaid.
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A House bill would close one of a laundry list of oversight gaps revealed in a recent investigation of the system regulators use to ban fraudsters from billing government health programs.
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States are acting in the wake of a federal investigation into what officials say was a fraud scheme in which several now-closed South Florida nursing schools sold phony nursing diplomas and transcripts.
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Federal authorities say three South Florida nursing school participated in a wire fraud scheme that they say created an illegal shortcut for aspiring nurses to get licensed and find employment.
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Philip Esformes was found guilty in 2019 in what federal prosecutors described at the time as the “largest health care fraud scheme charged by the U.S. Justice Department.”