CHA News Article

More Than 100 Charged in Medicare Fraud ‘Takedown’

A joint nationwide “takedown” yesterday by the U.S. Department of Justice and the Department of Health and Human Services’ (HHS) Medicare Fraud Strike Force in seven cities resulted in charges against 107 individuals, including doctors, nurses and other licensed medical professionals, for alleged participation in Medicare fraud schemes involving approximately $452 million in false billing. The coordinated takedown involved the highest amount of false Medicare billings in a single takedown in strike force history. HHS also suspended or took other administrative action against 52 providers following a data-driven analysis and allegations of fraud.

The joint Medicare Fraud Strike Force is a multi-agency team of federal, state and local investigators designed to combat Medicare fraud through the use of Medicare data-analysis techniques. In addition to making arrests, agents also executed 20 search warrants in connection with ongoing strike force investigations. The defendants are accused of various health care fraud-related crimes, including conspiracy to commit health care fraud, health care fraud, violations of anti-kickback statutes and money laundering. The charges are based on a variety of alleged fraud schemes involving various medical treatments and services such as home health care, mental health services, psychotherapy, physical and occupational therapy, durable medical equipment and ambulance services.