Various Types Of Federal Healthcare Fraud Infographic By James S Health care fraud is not a victimless crime. it affects everyone and causes tens of billions of dollars in losses each year. the fbi is the primary agency for investigating health care fraud, for. The recent sentencing of a texas woman to 10 years in prison marked the end of a long running, multi million dollar health care fraud scheme that placed vulnerable patients at risk.
Best Practices For Employers Mitigating Health Care Fraud The justice department today announced the 2024 national health care fraud enforcement action, which resulted in criminal charges against 193 defendants, including 76 doctors, nurse practitioners, and other licensed medical professionals in 32 federal districts across the united states, for their alleged participation in various health care fraud schemes involving approximately $2.75 billion. In fiscal year 2014, doj and hhs health care fraud and prevention efforts recovered nearly $3.3 billion. over the past five years, doj specifically has recovered more than $15 billion in cases. The health care fraud unit is a leader in using advanced data analytics and algorithmic methods to identify newly emerging health care fraud schemes and to target the most egregious fraudsters. the unit’s team of dedicated data analysts work with prosecutors to identify, investigate, and prosecute cases using data analytics. The department of health and human services, office of inspector general participated alongside key law enforcement partners in the 2024 nationwide health care fraud enforcement action. this action resulted in criminal charges brought against 193 defendants, with intended losses exceeding $2.75 billion.
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