Medicare Fraud Strike Force charges 111 in the country's largest healthcare fraud takedown
Compliance Monitor, February 23, 2011
The Medicare Fraud Strike Force charged 111 defendants in nine cities for their alleged participation in Medicare fraud schemes involving more than $225 million in false billing, according to a Department of Justice (DOJ) press release. The operation is the largest-ever federal healthcare fraud takedown.
The defendants are accused of various healthcare fraud-related crimes, including the following:
- Conspiracy to defraud the Medicare program
- Criminal false claims
- Violations of the anti-kickback statutes
- Money laundering
- Aggravated identity theft
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services, such as the following:
- Home healthcare
- Physical and occupational therapy
- Nerve conduction tests
- Durable medical equipment
The DOJ and Department of Health and Human Services also announced the expansion of Medicare Fraud Strike Force operations to Dallas and Chicago. The 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 and an increased focus on community policing.
Related Products
-
Billing Alert for Long-Term Care
It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility...
-
Stark Law, 2nd edition: A user's guide to achieving compliance
This updated version of HCPro's Stark Law best seller, first published in 2005—and now co-authored by former CMS Stark...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- NFPA 3000: The newest active shooter standard
- Note similarities and differences between HCPCS, CPT® codes
- Differentiate between types of wound debridement
- OB services: Coding inside and outside of the package
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Don’t forget the three checks in medication administration
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- What is the difference between an IPA and a medical group?
- Practice the six rights of medication administration
- Clearing up the confusion: CPT codes 76376 and 76377
- E-mailed
-
- How to audit credentialing and privileging practices
- NFPA 3000: The newest active shooter standard
- Bill and charge for supplies correctly to reduce risk and minimize lost revenue
- Report revenue code based on setting
- Joint Commission and CMS Alignment: Restraint Management
- Q/A: Extended recovery time
- Q/A: Critical care coding
- Q/A: CPT code 97760 and L-codes
- Peeling away the confusion: Split billing guidance
- Follow these nine tips to capture inpatient wound care correctly
- Searched