EXPLAINED: Hhs office of inspector general | Rare Historical Photos

Florida Woman Convicted in $8.6 Million Medicare Fraud Scheme Involving Unwanted Medical Braces

A federal jury has convicted a Gainesville, Florida, woman for participating in a Medicare fraud scheme that generated more than $8.6 million in fraudulent claims for medically unnecessary orthotic braces, according to an October 27 announcement from the U.S. Department of Justice.

Clever Dude · 3h ago

Harlingen Couple Sentenced to Prison After Billing Medicare $14 Million for Wheelchairs and Repairs for Just 37 Patients

A Harlingen couple received federal prison sentences after admitting their medical equipment company billed Medicare about $14 million for wheelchairs, parts and repairs that were not provided.

Medical Daily · 12h ago

Rhode Island Indicts Seven in Alleged $2 Million Medicaid Fraud Featuring AI Patient Notes Written Months Later

A Rhode Island grand jury indicted seven people tied to a Providence health agency over an alleged $2 million Medicaid fraud scheme involving AI-generated patient records and backdated training documents.

Medical Daily · 12h ago

Kansas Software CEO Gets 19 Years After Platform's Fake Doctor Orders Drove Over $1 Billion in False Billing

A Kansas software CEO got 19 years for a scheme that billed Medicare and other insurers over $1 billion for braces. How to spot similar fraud.

Medical Daily · Oct 20

Health Care Companies Get One DOJ Door for Self-Reporting Fraud as Prosecutors Add AI to Their Search

DOJ will centralize health care fraud self-disclosures and use AI to find fraud. What changes, what is still unclear, and what patients can do.

Medical Daily · Oct 17

Queens Pharmacy Owner Arrested Trying to Board One-Way Toronto Flight in Alleged $31 Million HIV Medicaid Fraud

A Jackson Heights pharmacy owner faces fraud charges over HIV drug kickbacks and buybacks. What patients and taxpayers need to know about the case.

Medical Daily · Oct 14

Patients May Have Received Eye Tests They Did Not Need, a Federal Indictment Alleges

A federal indictment alleges a NJ eye care founder billed Medicare for unnecessary tests. How to check whether your own imaging was warranted.

Medical Daily · Jul 30

Four Men Admit Using ChatGPT to Fake Records in a $2.2 Million Minnesota Medicaid Scheme

Four Minnesota men pleaded guilty to a $2.2 million Medicaid fraud, using ChatGPT to fabricate records when insurers requested documentation.

Medical Daily · Jul 29