FBI reports on healthcare fraud
Device Regulation Alert: Safety, Compliance and Reimbursement News, June 9, 2008
The FBI recovered millions of dollars from healthcare fraud cases in fiscal year 2007. A total of 2,493 cases resulted in 839 indictments and 635 convictions for healthcare fraud, according to the FBI’s report to the public on financial crimes.
National FBI initiatives targeted durable medical equipment among other healthcare services. Local initiatives also targeted medical equipment as well as home health, pharmacy, and clinic services.
The most prevalent fraudulent schemes include:
- Upcoding items (billing for more expensive equipment than was provided)
- Kickbacks
- Excessive services or items
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