Tag: regulatory enforcement

Couple Faces Sentencing for $600M Medicare Healthcare Fraud Scheme

Couple Faces Sentencing for $600M Medicare Healthcare Fraud Scheme

Alexandra Gehrke faces sentencing for a $600 million Medicare healthcare fraud scheme targeting elderly patients, highlighting regulatory and compliance challenges in healthcare billing and Medicare oversight.

Texas Insurance Agent Guilty of $300K Premium Theft and Wire Fraud

Texas Insurance Agent Guilty of $300K Premium Theft and Wire Fraud

Texas Department of Insurance investigation leads to prison sentence for former insurance agent overcharging $300K in premiums on surety bond for Maverick County Solid Waste Authority.

HHS OCR Settles HIPAA Right of Access Violation with Concentra

HHS OCR settles with Concentra over HIPAA violations for untimely access to medical records, marking the 54th Right of Access enforcement and emphasizing regulatory compliance in healthcare.

NC Insurance Department and Farm Bureau Uncover Roofing Insurance Fraud Sting

North Carolina Insurance Commissioner announces arrest in a roofing insurance fraud sting involving false claims and intentional property damage, highlighting insurer and regulator collaboration to combat fraud.

North Carolina Roofing Contractor Arrested for $30,000 Insurance Fraud Scheme

North Carolina roofing contractor faces felony charges for a $30,000 insurance fraud involving roof damage and false claims, uncovered by a joint sting operation by state insurance investigators and Farm Bureau.

North Carolina Roofing Contractor Arrested for Fraudulent Insurance Claim Scheme

North Carolina insurance authorities arrest a roofing contractor for a $30,000 fraudulent insurance claim involving intentional roof damage, spotlighting increased efforts to combat roofing scams and protect homeowners and insurers.

LaFontaine Management Settles $1.5M PPP Loan Eligibility Dispute

LaFontaine Management agrees to $1.5 million settlement over PPP loan eligibility, emphasizing evolving federal guidelines and compliance in pandemic relief enforcement.

Oklahoma Attorney General Intervenes in State Farm Insurance Claims Litigation

Oklahoma Attorney General intervenes in major State Farm homeowners insurance claims litigation, alleging fraudulent underpayment of wind and hail damage claims impacting market integrity and consumer protection.

Massachusetts Court Upholds Lawsuit Over Insurer’s Weather Event Coverage Restriction

Massachusetts court rejects insurer's motion to dismiss in a lawsuit over illegal refusal to offer collision coverage during a weather emergency, emphasizing regulatory compliance in auto insurance.

Health Care Fraud Sentence: Medicare Billing for Unperformed Lab Tests

Mohammed Asif sentenced for Medicare fraud involving billing for unperformed lab tests, underscoring enforcement in diagnostic testing compliance.