Largest Medicare fraud case nets 114 offenders

NewsGuard 100/100 Score

In one of the largest healthcare fraud cases, the U.S. government last Thursday charged 114 doctors, nurses and other defendants with Medicare crime schemes that exceeded $225 million in false billings.

The charges in the latest of a series of cases were announced by Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius. In fact critics warned that the 45 million elderly and disabled Americans who are enrolled in taxpayer-funded Medicare plans are subject to this fraud. Medicare reform represented a key part of the sweeping year-old health care law championed by Democratic President Barack Obama, but opposed by many Republicans in Congress.

These new charges have accused defendants in nine cities. In addition to arrests, law enforcement agents also executed 16 search warrants. The defendants were charged with crimes like conspiracy to defraud the Medicare program, false claims, kickbacks and money laundering, administration officials said. They added that the alleged schemes involved various medical treatments, tests and services, such as home health care, physical and occupational therapy and medical equipment.

Holder said, “Although today marks a critical step forward in combating and deterring illegal activity, our work is far from over.” He added that fraud has accounted for as much as an estimated $60 billion a year in the Medicare program. According to FBI official, Shawn Henry, 2,600 health care fraud cases were under investigation and that organized crime groups have been increasingly linked to the alleged schemes.

Sebelius revealed that $4 billion was recovered last year and the government’s Medicare Fraud Strike Force was recently expanded to nine cities, with the addition of Dallas and Chicago. The nine cities included Los Angeles, Brooklyn, Detroit and Miami. Ms. Sebelius said, “Prosecution is important after the fact… What we’d like to do is also set up much higher firewalls before the fact and actually stop this money from going out the door.”

She added that the health-care overhaul passed last year now provides new support for fraud-prevention efforts. She said the agency was setting up new checks to screen providers before they are accepted into the system and building data systems that gather all billing information into one place, “which has never been available before.”

Dr. Ananya Mandal

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.

Citations

Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Mandal, Ananya. (2018, August 23). Largest Medicare fraud case nets 114 offenders. News-Medical. Retrieved on May 25, 2024 from https://www.news-medical.net/news/20110220/Largest-Medicare-fraud-case-nets-114-offenders.aspx.

  • MLA

    Mandal, Ananya. "Largest Medicare fraud case nets 114 offenders". News-Medical. 25 May 2024. <https://www.news-medical.net/news/20110220/Largest-Medicare-fraud-case-nets-114-offenders.aspx>.

  • Chicago

    Mandal, Ananya. "Largest Medicare fraud case nets 114 offenders". News-Medical. https://www.news-medical.net/news/20110220/Largest-Medicare-fraud-case-nets-114-offenders.aspx. (accessed May 25, 2024).

  • Harvard

    Mandal, Ananya. 2018. Largest Medicare fraud case nets 114 offenders. News-Medical, viewed 25 May 2024, https://www.news-medical.net/news/20110220/Largest-Medicare-fraud-case-nets-114-offenders.aspx.

Comments

  1. k . k . United States says:

    I'm sick of all the foreigners on welfare. We need to take our country back. If you don't want to speak english go back to your country. They abuse everything and bring the mess they left to America. I don't want my taxes educating them, feeding them, paying for their health care, housing them, they send ther women in walmart while they sit in their trucks with $3,000 worth of rims on them and laugh at us as we pay our hard earned money for our groceries. They bring in the drugs to our country take our jobs and just plain use us, our country and i'm sick of it!

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
An Arm and a Leg: The Medicare episode