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Health Care Investigations Archives

Over 200 in Westchester and Rockland lost Medicare privileges

Medical professionals often rely on payments from Medicare for services provided to patients. The United States Department of Health and Human Service’s Centers for Medicare and Medicaid Services administers this program and requires medical professionals meet certain criteria to receive payment. In some situations, the government can choose to exclude a professional’s ability to request payments.

NY psychiatrist faces 10 years prison sentence for health care fraud

The United States Attorney for the Western District of New York has charged a local psychiatrist with health care fraud. The medical professional operates a private practice, has served with many nursing homes and has also spoken at consulting engagements for pharmaceutical companies.

Tips to reduce the risk of a health care fraud investigation

The United States Department of Justice Medicare Fraud Strike Force is a government group put together with one focus: take down medical professionals and others that are committing health care fraud. As noted in a recent publication by the New York Law Journal, this group is very successful at this task. It is responsible for the conviction of thousands of medical professionals across the nation.

Three Long Island doctors charged with health care fraud

The government recently accused three physicians out of Long Island for taking part in a health care fraud scheme that cost the Medicare and Medicaid program approximately $163 million in fraudulent charges. The physicians were investigated by many government agencies, including the Justice Department (DOJ), Internal Revenue Service (IRS), Federal Bureau of Investigation (FBI) and the New York State Office of the Medicaid Inspector General.

NY hospital system settles False Claims Act violations with DOJ

The Department of Justice (DOJ) recently announced a settlement between the government and a family of integrated hospitals and health care providers that operate in New York. The settlement includes an agreement to pay the State of New York $895,427 and an additional $14 million to resolve allegations of violation of the False Claims Act.

Government and health-care fraud, Part 2: Investigations

As noted in the previous piece, Government and health-care fraud, Part 1: Why the crackdown?, the United States government has stepped up its efforts to prosecute those who are accused of health-care fraud. The main motivation for these efforts is money. The government stands to lose billions every year through this form of crime.

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