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Topic: Health fraud


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In the News (Sat 20 Apr 19)

  
  FBI: About the Health Care Fraud Unit   (Site not responding. Last check: 2007-10-22)
One of the primary missions of the Health Care Fraud Unit, established in 1992 as a separate unit within the Financial Crimes Section of the Criminal Investigative Division, is to insure the success of investigations which have a national impact on the health care fraud crime problem.
Health care fraud offenses are being investigated in every one of the FBI's field offices and many of our larger offices have squads of agents whose sole responsibility is to investigate health care fraud.
Because health care fraud investigations usually involve labor intensive record reviews and interviews or the use of proactive investigative techniques such as undercover operations, telephone intercepts, or video and audio surveillance, the FBI is uniquely qualified to conduct these types of investigations.
www.fbi.gov /hq/cid/fc/hcf/about/hcf_about.htm   (1217 words)

  
 USDOJ: Deputy Attorney General: Publications and Documents - - Health Care Fraud Report Fiscal Year 1998
Health care fraud schemes are diverse and vary in complexity, with unscrupulous providers targeting both public and private health insurance plans.
Health care fraud schemes have been investigated and prosecuted in every part of the country, in urban and rural areas, and in rich and poor areas.
Civil health care fraud matters are referred by federal or state investigative agencies or by private persons known as "relators." Relators file suits on behalf of the federal government under the 1986 qui tam amendments to the FCA, and may be entitled to share in the recoveries resulting from these lawsuits.
www.usdoj.gov /dag/pubdoc/health98.htm   (11607 words)

  
 How to Spot Health Fraud
FDA describes health fraud as "articles of unproven effectiveness that are promoted to improve health, well being or appearance." The articles can be drugs, devices, foods, or cosmetics for human or animal use.
While FDA remains vigilant against health fraud, many fraudulent products may escape regulatory scrutiny, maintaining their hold in the marketplace for some time to lure increasing numbers of consumers into their web of deceit.
Fraud promoters like to use ambiguous language like this to make it easier to finagle their way out of any legal action that may result.
www.fda.gov /fdac/features/1999/699_fraud.html   (2081 words)

  
 Spotting Health Fraud
Fraud is the intentional deception to cause a person to give up property or some lawful right through trickery, cheating or artifice.
The leading source of fraud in this country is in the area of health and nutrition.
Fraud often travels while attractively cloaked in terms like "marketing" and "advertising." Your best defense is education.
www.urbanext.uiuc.edu /greenline/00v2/08.html   (337 words)

  
 Protect Yourself Against Health Fraud
Health fraud means promoting, for financial gain, a health remedy that doesn't work -- or hasn't yet been proven to work.
Health fraud has grown significantly in the past several decades.
Below are some tips that can help you in identifying health fraud and where you can go for sound nutrition information.
www.supplecity.com /articles/healthfraud.htm   (447 words)

  
 ABC News: GAO: FBI Health Care Fraud Funds Missing   (Site not responding. Last check: 2007-10-22)
WASHINGTON May 16, 2005 — Money earmarked for health care fraud investigations may be going to the fight against terrorism and other uses, congressional investigators said in a report Monday on the FBI.
The Justice inspector general has previously reported that 321 agents were moved from white-collar crime investigations, especially health care fraud, to counterterrorism cases after the Sept. 11 attacks.
Health care fraud is a big challenge, and big money is at stake," said Grassley, chairman of the Senate Finance Committee.
abcnews.go.com /Politics/wireStory?id=761980   (378 words)

  
 CHCAA - Canadian Health Care Anti-Fraud Association   (Site not responding. Last check: 2007-10-22)
About Us The Canadian Health Care Anti-Fraud Association was founded in 2000 to give a voice to the public and private sector health care organizations interested in preventing fraud in the Canadian health care environment.
Membership is open to organizations and individuals responsible for the detection, prevention, investigation and prosecution of health care fraud.
Respond to changes in the health care system resulting from various factors such as changing demographics, changes in treatment methodologies and technologies, changes in public policy and funding as well as changes in information technologies.
www.chcaa.org   (239 words)

  
 About Health Care Fraud
Health care fraud is committed when someone intentionally submits, or causes someone else to submit, false or misleading information for use in determining the amount of health care benefits payable.
Health care fraud could be committed by dishonest health care providers such as physicians, dentists, labs, and medical equipment suppliers or by plan members themselves.
It is estimated that losses due to fraud add $100 billion to the annual cost of health care in the United States.
www.hipusa.com /fraudbusters/about_fraud.html   (591 words)

  
 REPORT OF THE COUNCIL ON SCIENTIFIC AFFAIRS   (Site not responding. Last check: 2007-10-22)
The law also permits health claims to be made in literature available in retail establishments as long as such claims are made without promoting a particular brand, are not false and misleading, and the store presents a balanced view of the information about the product.
Biofield practitioners incorporate a holistic focus into therapy, and promote their methods as useful for stress and general improvement of health; relief of pain, edema, and acceleration of wound and 'd various emotional states; and treatment of fracture healing; improvement in digestion, appetite, an conditions such as eating disorders, irritable bowel syndrome, and pre-menstrual syndrome.
The Oxford Health Plan, based in Norwalk, Connecticut, is currently adding a network of about 1,000 holistic providers from which plan participants will be able to obtain chiropractic, acupuncture, and naturopathic treatment without prior approval of a "gatekeeper" at a cost of 2% to 3% added to the premium.
www.naturalhealthvillage.com /reports/council_of_sci_affairs.htm   (7471 words)

  
 NCAHF Position Paper on Homeopathy
Irrational health care is never harmless, and it is irresponsible to create patient confidence in pseudomedicine.
It matters not whether the article is harmless or whether it gives some psychosomatic relief; whether it is cheap or whether it has value for other purposes; whether it is produced by an obscure firm or whether it is produced by a "reputable" firm-the promotion of it is still quackery.
NCAHF is a private nonprofit, voluntary health agency that focuses upon health misinformation, fraud and quackery as public health problems.
www.ncahf.org /pp/homeop.html   (4226 words)

  
 DietFraud.com - Protect yourself from diet scams
Even when they fine individuals, or companies millions of dollars, they are back on the streets, even using their old names, just a few months or years later.
Health Warnings for products or supplements that may be sitting on your shelf.
Affiliates and other resources that are already on the web dealing with health fraud and related issues.
www.dietfraud.com   (301 words)

  
 Enzyte Marketers Sued
The term "health care fraud" is often mentioned in the same breath as the 1986 Federal False Claims Act.
In the war on health care fraud, law-enforcement agencies consider the Act to be their most powerful civil weapon.
Claims for health care for patients referred in exchange for "kickbacks." Here the underlying health care transaction violates program rules, and the claims consequently may cause the government to pay money to claimants it did not intend to benefit.
www.quackwatch.org /02ConsumerProtection/fca.html   (2653 words)

  
 Health Hippo: Fraud & Abuse
Health care fraud is higher on the list of priorities for federal law enforcement.
Health Care Programs: Fraud and Abuse; Revised PRO Sanctions for Failing To Meet Statutory Obligations, [Federal Register: April 29, 1997 (Volume 62, Number 82)] [Rules and Regulations] [Page 23140-23144].
Health care fraud schemes range from those committed by individual providers and/or consumers acting alone, to broad-based operations conceived for the purpose of committing fraud.
hippo.findlaw.com /hippofra.html   (3333 words)

  
 Physician Financial Relationships With Others
Health Care Programs: Fraud and Abuse; Revised PRO Sanctions, 1997 Federal Register, 4-29-97.
Health Care Fraud = False Claims = Qui Tam Actions, by Edward McDonough, McDonough and Associates, P.C. (Houston, Texas (713) 223-3600).
GAO Testimony: Fraud and Abuse: Providers Excluded From Medicaid Continue to Participate in Federal Health Programs, by Leslie G.Aronovitz, Associate Director for Health Services Quality and Public Health Issues, before the Subcommittee on Human Resources and Intergovernmental Relations, House Committee on Government Reform and Oversight.
www.netreach.net /~wmanning/finrel.htm   (911 words)

  
 Fraud, health insurance fraud, securities fraud attorney   (Site not responding. Last check: 2007-10-22)
Fraud alert is a joint initiative against high value investment fraud and prime bank fraud.
The National Inventor Fraud Center is dedicated to educating inventors about invention marketing companies and how to market their inventions.
Focuses on health fraud resources and tips on where to report fraud cases.
internetserviceinfo.com /fraud.html   (1263 words)

  
 FTC: Operation Cure-All
Fraudulently marketed health products can keep people from the medical treatment they need, and some can cause serious harm.
The Federal Trade Commission is targeting false and unsubstantiated health claims on the Internet through Operation Cure.All - a law enforcement and consumer education campaign.
This website offers information for consumers on how to recognize health fraud, guidance for businesses on how to market health products and services truthfully, and information about the FTC's initiatives.
www.ftc.gov /bcp/conline/edcams/cureall/index.html   (112 words)

  
 Taxpayers Against Fraud - the False Claims Act Legal Center / Qui Tam
Taxpayers Against Fraud Education Fund is a nonprofit, public interest organization dedicated to combating fraud against the Federal Government through the promotion and use of the Federal False Claims Act and its qui tam provisions.
Inspector General for the Department of Health and Human Services has scheduled an audit of New York State's Medicaid fraud prevention efforts to try to find out why the state is recovering so little despite 800 employees devoted to the job, and a fraud-fighting budget of $130 million a year.
A June 2005 review of 2,077 national drug codes by the Office of the Inspector General of HHS found that the median Average Sales Price of prescription drugs was 49% lower than the Average Wholesale Price, with the greatest difference found for generic drugs (a 68% difference at the median).
www.taf.org   (3846 words)

  
 Boston.com / News / Local / Mass. / Urologist pleads guilty to health care fraud   (Site not responding. Last check: 2007-10-22)
A Plymouth urologist has pleaded guilty to accepting free samples of the prostate cancer drug Lupron from TAP Pharmaceutical employees and then billing health care providers for those samples.
Four other doctors have previously pleaded guilty to health care fraud during the investigation.
This material may not be published, broadcast, rewritten, or redistributed.
www.boston.com /news/local/massachusetts/articles/2004/11/17/urologist_pleads_guilty_to_health_care_fraud   (232 words)

  
 Food, Water, and Health Fraud
Russian health authorities have warned that the effects on humans of GM products have not been adequately studied and that they interfere with the immune system.
The contest between those chemists who worked for the food manufacturers to increase their profit, and those chemists who worked to protect the consumers has been compared to that which exists between the makers of armour and the makers of armour piercing projectiles.
Click here for web site on fraud in food production In 1990 an employee of Sun Up Foods, an orange juice processor, told the Food and Drug Administration (FDA) that the company had set up secret rooms in its facilities to hold tanks of liquid beet sugar, a common adulterant of orange juice.
www.christianparents.com /foodm0.htm   (2182 words)

  
 New Jersey AIDS Health Fraud Task Force
AIDS Health Fraud is the promotion of an AIDS related health product, treatment or service that is known to be false, unproven, or potentially harmful.
The new Jersey AIDS Health Fraud Task Force is made up of representatives of local AIDS organizations and government agencies.
Our goal is to educate the community about the dangers of AIDS fraud and to increase the ability of individuals to make informed decisions about their health.
www.state.nj.us /health/aids/fraud   (299 words)

  
 Medicare.gov - Medicare Fraud Overview
However, there are a few individuals who are intent on abusing or defrauding Medicare, cheating the program (and in some cases the people with Medicare who are liable for co-payments) out of millions of dollars annually.
Medicare is taking strong action to combat fraud and abuse of the system in key areas.
How to Report Fraud: Lists, step by step, what you need to do in order to report any suspected act of fraud.
www.medicare.gov /FraudAbuse/Overview.asp   (407 words)

  
 Health Care Fraud Report
A complete yet concise synthesis of one of today's fastest growing legal specialties, the Report monitors a broad range of health care fraud and abuse issues in the private insurance industry, managed care organizations, and federal and state programs.
Learn how to prevent and detect fraud where you work, and how to report suspected fraud to the government.
Follow federal health care anti-fraud initiatives and enforcement efforts at the Centers for Medicare & Medicaid Services, Health and Human Services Office of Inspector General, FBI, Department of Justice, and other government agencies.
www.bna.com /products/health/hfra.htm   (360 words)

  
 AMA (Legal Issues) Health Care Fraud and Abuse
News stories abound about federal government fraud enforcement activities against hospitals, clinical laboratories, durable medical equipment suppliers, hospices, and home health agencies.
While federal fraud investigations and enforcement actions against individual physicians have been isolated thus far, physicians and their practices are not immune to such government actions.
The documents in this section provide a brief overview of the federal fraud enforcement climate facing physicians, as well as provide the basic structure that physicians and others can use to establish a compliance program that can be incorporated into their practices.
www.ama-assn.org /ama/pub/category/4595.html   (215 words)

  
 HealthWatcher.net | Consumer Health Watchdog
If you would like to support our efforts to combat health and diet fraud we make it easy for you to help the cause.
HealthWatcher and its affiliated web sites are one of the world's best sources for up to date information about consumer health fraud, cancer quackery, diet scams, herbal product dangers, chiropractic problems, alternative medicine and assorted fraudulent practices.
If the FDA and the Natural Health Products Directorate seem to be not in control, find out why.
www.healthwatcher.net   (1540 words)

  
 National Association For Chiropractic Medicine - A Consumer Advocacy Association
Members of the NACM are licensed chiropractic physicians who understand the value of properly utilized spinal manipulative procedures in the management of neuromusculoskeletal disorders and confine their practice to these conditions.
The main purpose of the NACM is to further the understanding of spinal manipulative procedures in health care delivery.
The NACM is the only chiropractic organization recommended to the public and to the insurance industry by the American Medical Association and the National Council Against Health Fraud as well as many other published consumer articles on chiropractic practice.
www.chiromed.org   (1811 words)

  
 Medicaid - Wex   (Site not responding. Last check: 2007-10-22)
Today, Medicaid is a major social welfare program and is administered by the Health Care Financing Administration (http://www.hcfa.gov/medicaid/medicaid.htm).
Neither the age of the applicant nor the fact that he or she works are restrictions to receiving Medicaid.
Since its inception, the program has been plagued by fraud from both health care providers and patients.
www.law.cornell.edu /topics/medicaid.html   (289 words)

  
 Fraud & Quackery: Internet Resources: The Alternative Medicine Homepage
American Council on Science and Health"founded in 1978 by scientists who became concerned that many important public policies related to health and the environment did not have a sound scientific basis.
Anti-Quackery Ring: "This ring is for sites that combat & debunk health-related frauds, myths, fads, and fallacies, and are more interested in real, objective, scientific proof, than in the speculative, subjective, and unproven theories and anecdotes of so-called Alternative Medicine.
If you are sympathetic to the aims of the National Council Against Health Fraud, and you consider Quackwatch to be a reliable source of anti-quackery information, then this ring may be just what you're looking for."
www.pitt.edu /~cbw/fraud.html   (441 words)

  
 SKEPTISEUM: Alternative Medicine   (Site not responding. Last check: 2007-10-22)
Aromatherapy is a supposed healing "art" using fragrant substances (as from flowers or aromatic resins) to promote health, enhance beauty, or affect mood.
The fragrant oils are recommended for massage and are supposedly capable of helping to restore "balance" to one's body and life.
The benefits of supposedly healthful mineral waters were touted in advertisements, including labels on bottles and in brochures and in other sources.
www.csicop.org /skeptiseum/Alternative.html   (2033 words)

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