Corporate Compliance

Task force uncovers $452 million in Medicare fraud

Compliance Monitor, June 6, 2012

Medicare Fraud Strike Force operations in seven U.S. cities resulted in fraud charges against 107 people, including physicians, nurses and other licensed medical professionals. These individuals are charged with submitting false billing for a total of $452 million, according to a Department of Justice press release.

The defendants face various healthcare fraud charges, including:
  • Conspiracy to commit healthcare fraud
  • Healthcare fraud
  • Anti-kickback statute violations
  • Money laundering
The charges stem from a variety of alleged fraud schemes involving various medical treatments and services, such as home healthcare, mental health services, psychotherapy, physical and occupational therapy, durable medical equipment, and ambulance services.  
The Department of Health and Human Services also suspended or took other administrative action against 52 providers following a data-driven analysis and credible allegations of fraud.