In a previous post about health insurance fraud we wrote, “These fraudulent activities take a wide variety of forms, bearing witness to the inventiveness of those bent on health insurance fraud.” https://www.videntpartners.com/blog/2024/many-faces-health-insurance-fraud. The fraudulent scheme in today’s case, U.S. v. Julian Omidi (9th Cir. 1/16/2025), bears witness to that inventiveness.
Health insurance fraud, broadly defined, is any deceptive practice by healthcare or healthcare-related providers (physicians, hospitals, clinics, diagnostic testing labs, certain allied health professionals, suppliers of durable medical equipment, etc.) to unlawfully obtain payments from private insurance companies, Medicare and/or Medicaid. These fraudulent activities take a wide variety of forms, bearing witness to the inventiveness of those bent on health insurance fraud. Here are some of the common types, with examples provided for clarification if needed.