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Fraud news and information

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Fla. pharmacists win $597M blowing whistle on scheme
By Bloomberg.com | August 13, 2013
Mark Jones learned about the costs and benefits of health-care delivery when he treated AIDS patients in Key West, Florida, in the late 1980s. The pharmacy he co-founded—unusual at the time—provided a humane last step for gay men who didn't want to spend their final weeks confined to a...
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Cincinnati doctor accused of performing unneeded surgeries
By Columbus (Ohio) Dispatch | August 09, 2013
A Cincinnati spine doctor accused of performing unnecessary surgeries and billing healthcare programs for millions of dollars has been indicted on federal charges including healthcare fraud.
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Reform Update: HHS to award $54 million for navigator training
By Jaimy Lee | August 08, 2013 | Basic Web Basic Web Subscription Details
HHS is preparing to award $54 million in grants to navigators—organizations that will provide impartial information about signing up for coverage on the state health insurance exchanges.
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Electronic trail helped MLB persuade Biogenesis players to accept suspensions
By Ronald Blum / Associated Press | August 07, 2013 | Basic Web Basic Web Subscription Details
Facebook friends. Transcripts of BlackBerry instant messages. Records of texts. Major League Baseball's investigators used an arsenal of high-tech tools to collect the evidence that persuaded a dozen players to accept 50-game suspensions this week for their ties to the Biogenesis clinic.
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Mich. cancer center founder faces charges in $35M Medicare billing fraud scheme
By Chad Halcom, Crain's Detroit Business | August 06, 2013
The owner of Rochester Hills-based Michigan Hematology Oncology Centers and founder of the not-for-profit Swan for Life Cancer Foundation faces charges of healthcare fraud at U.S. District Court today for his role in an alleged $35 million Medicare billing scheme.
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Whistle-blower lawsuit says Tenet, HMA defrauded Medicaid
By Kate Brumback / Associated Press | August 01, 2013
A lawsuit says Tenet and Health Management Associates paid clinics to direct expectant mothers living in the U.S. illegally to their hospitals and filed fraudulent Medicaid claims on those patients.
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Northwestern to pay nearly $3 million to settle claims against cancer researcher
By Joe Carlson | July 30, 2013 | Basic Web Basic Web Subscription Details
Northwestern University has agreed to pay nearly $3 million to settle a whistle-blower's allegations that a cancer researcher formerly at the school was misusing federal grant money.
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Sacred Heart sued in two patient deaths
By Andrew L. Wang, Crain's Chicago Business | July 30, 2013
The families of two Chicago residents are suing Sacred Heart Hospital, alleging that their relatives were given unnecessary procedures that led to their deaths at the now-shuttered Chicago hospital.
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HHS inspector general's funding cuts will hurt fraud probes
By Joe Carlson | July 26, 2013 | Basic Web Basic Web Subscription Details
Funding cuts are blocking investigations into Medicare and Medicaid fraud and the data security of the new health-insurance exchanges, among other items at HHS' top watchdog agency.
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Feds ban some Medicare providers in crackdown
By Kelli Kennedy / Associated Press | July 26, 2013
For the first time in history, federal health officials said Friday they will ban certain types of Medicare and Medicaid providers in three high-fraud cities from enrolling in the tax-payer funded programs for the poor as part of an effort to prevent scams.
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