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The lawsuit, filed by Phillips & Cohen under the False Claims Act, accused the healthcare insurance giant of overcharging the government by submitting misleading bids for Medicare Part D ...
Insurance fraud is any act committed to defraud an insurance process. It occurs when a claimant attempts to obtain some benefit or advantage they are not entitled to, or when an insurer knowingly denies some benefit that is due. According to the United States Federal Bureau of Investigation, the most common schemes include premium diversion ...
Motor insurance policy fraud cases jump as households squeezed by living costs. The number of fraudulent motor insurance applications being detected has jumped by 16% since last year, according to ...
While insurance companies can choose to cancel your service due to not paying premiums or committing insurance fraud, non-renewal is a business decision to simply not renew your policy when it ends.
The Coalition Against Insurance Fraud is a coalition of insurance organizations, consumers, government agencies [ 1] and legislative bodies in the United States working to enact anti- fraud legislation, educate the public, and provide anti-fraud advice. [ 2] They are also a resource where consumers can find scam warnings, learn where to report ...
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [ 4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—. (1) to defraud a financial institution; or. (2) to obtain, by means of false or fraudulent pretenses ...
A former Georgia insurance commissioner who made a failed Republican run for governor has pleaded guilty to conspiring to commit health care fraud. John W. Oxendine of Johns Creek entered the ...