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Extracted Claims (29746)

Certain defendants also allegedly conspired to conceal and launder the fraud proceeds from bank accounts they controlled in the United States to bank accounts overseas. 0.900

👤 The author 📋 News Article 🏷️ Crime , Money Laundering , Finance

Simplified: Certain defendants allegedly conspired to conceal and launder fraud proceeds.

1 sources

4 days ago
Certain defendants controlled dozens of nominee-owned durable medical equipment companies and laboratories that allegedly submitted fraudulent claims for products and services the beneficiaries did no... 0.900

👤 The author 📋 News Article 🏷️ Crime , Medicare , Health

Simplified: Certain defendants controlled nominee-owned companies that allegedly submitted fraudulent claims.

1 sources

4 days ago
According to court documents, the beneficiaries’ confidential information was then illegally sold to laboratories and durable medical equipment companies, which used this unlawfully obtained and fraud... 1.000

👤 The author 📋 News Article 🏷️ Crime , Medicare , Health

Simplified: Beneficiaries’ confidential information was illegally sold to laboratories and durable medical equipment companies.

1 sources

4 days ago
charges were filed in the Northern District of Illinois against five defendants, including two owners and executives of Pakistani marketing organizations, in connection with a $703 million scheme in w... 1.000

👤 The author 📋 News Article 🏷️ Legal , Crime , Medicare

Simplified: Charges were filed against five defendants in connection with a $703 million scheme.

1 sources

4 days ago
The defendants allegedly used artificial intelligence to create fake recordings of Medicare beneficiaries purportedly consenting to receive certain products. 0.900

👤 The author 📋 News Article 🏷️ Crime , Medicare , Artificial Intelligence

Simplified: Defendants allegedly used artificial intelligence to create fake recordings of Medicare beneficiaries.

1 sources

4 days ago
To date, law enforcement has seized approximately $27.7 million in fraud proceeds as part of Operation Gold Rush. 1.000

👤 The author 📋 News Article 🏷️ Law Enforcement , Fraud , Finance

Simplified: Law enforcement has seized approximately $27.7 million in fraud proceeds as part of Operation Gold Rush.

1 sources

4 days ago
The scheme nonetheless resulted in payments of approximately $900 million from Medicare supplemental insurers. 1.000

👤 The author 📋 News Article 🏷️ Medicare , Fraud , Finance

Simplified: The scheme resulted in payments of approximately $900 million from Medicare supplemental insurers.

1 sources

4 days ago
HHS and CMS intend to seek to return the $4.41 billion in escrow to the Medicare trust fund for needed medical care. 1.000

👤 The author 📋 News Article 🏷️ Government , Medicare , Health

Simplified: HHS and CMS intend to return $4.41 billion in escrow to the Medicare trust fund.

1 sources

4 days ago
The Health Care Fraud Unit’s Data Analytics Team and its partners detected the anomalous billing through proactive data analytics, and HHS-OIG and CMS successfully prevented the organization from rece... 1.000

👤 The author 📋 News Article 🏷️ Government , Medicare , Fraud

Simplified: HHS-OIG and CMS prevented the organization from receiving all but $41 million of $4.45 billion scheduled to be paid by Medicare.

1 sources

4 days ago
The arrests announced today also include a banker who facilitated the money laundering of fraud proceeds on behalf of the organization through a U.S.-based bank. 1.000

👤 The author 📋 News Article 🏷️ Crime , Money Laundering , Finance

Simplified: Arrests include a banker who facilitated money laundering for the organization.

1 sources

4 days ago
As alleged, the organization exploited the U.S. financial system by laundering the fraudulent proceeds and deploying a range of tactics to circumvent anti-money laundering controls to transfer funds i... 0.900

👤 The author 📋 News Article 🏷️ Finance , Crime , Money Laundering

Simplified: The organization allegedly laundered fraudulent proceeds and circumvented anti-money laundering controls.

1 sources

4 days ago
They then rapidly submitted $10.6 billion in fraudulent health care claims to Medicare for urinary catheters and other durable medical equipment by exploiting the stolen identities of over one million... 0.900

👤 The author 📋 News Article 🏷️ Medicare , Fraud , Health

Simplified: The organization submitted $10.6 billion in fraudulent health care claims to Medicare.

1 sources

4 days ago
The organization allegedly used a network of foreign straw owners, including individuals sent into the United States from abroad, who, acting at the direction of others using encrypted messaging and a... 0.900

👤 The author 📋 News Article 🏷️ Crime , Fraud

Simplified: An organization allegedly used foreign straw owners to buy dozens of U.S. medical supply companies.

1 sources

4 days ago
seven defendants who were arrested at U.S. airports and the U.S. border with Mexico, cutting off their intended escape routes as they attempted to avoid capture. 1.000

👤 The author 📋 News Article 🏷️ Law Enforcement , Crime

Simplified: Seven defendants were arrested at U.S. airports and the U.S. border with Mexico.

1 sources

4 days ago
These charges were announced in the Eastern District of New York, the Northern District of Illinois, the Central District of California, the Middle District of Florida, and the District of New Jersey... 1.000

👤 The author 📋 Press Release 🏷️ Law Enforcement , Fraud , Health Care

Simplified: Charges announced in Eastern District of New York Northern District of Illinois Central District of California Middle District of Florida District of...

1 sources

4 days ago
Twelve of these defendants have been arrested, including four defendants who were apprehended in Estonia as a result of international cooperation with Estonian law enforcement a 1.000

👤 The author 📋 Press Release 🏷️ Law Enforcement , Fraud , Health Care , Crime

Simplified: Twelve defendants arrested four apprehended in Estonia

1 sources

4 days ago
For instance, a nationwide investigation known as Operation Gold Rush resulted in the largest loss amount ever charged in a health care fraud case brought by the Department. 1.000

👤 The author 📋 Press Release 🏷️ Law Enforcement , Fraud , Health Care

Simplified: Operation Gold Rush resulted in largest loss amount ever charged in health care fraud case

1 sources

4 days ago
The cases are being prosecuted by Health Care Fraud Strike Force teams from the Criminal Division’s Fraud Section, 50 U.S. Attorneys’ Offices nationwide, and 12 State Attorneys General Offices 1.000

👤 The author 📋 Press Release 🏷️ Law Enforcement , Fraud , Health Care

Simplified: Health Care Fraud Strike Force teams are prosecuting the cases

1 sources

4 days ago
29 defendants were charged for their roles in transnational criminal organizations alleged to have submitted over $12 billion in fraudulent claims to America’s health insurance programs. 1.000

👤 The author 📋 Press Release 🏷️ Law Enforcement , Fraud , Health Care , Crime

Simplified: 29 defendants charged for roles in transnational criminal organizations submitted over $12 billion in fraudulent claims

1 sources

4 days ago
The cases were investigated by agents from HHS-OIG, FBI, DEA, and other federal and state law enforcement agencies. 1.000

👤 The author 📋 Press Release 🏷️ Law Enforcement , Fraud , Health Care

Simplified: HHS-OIG FBI DEA investigated the cases

1 sources

4 days ago