National Health Care Fraud and Opioid Takedown Results in Charges Against 345 Defendants Responsible for More than $6 Billion in Alleged Fraud Losses
On Sept. 30, the Department of Justice, in coordination with FBI, OIG, and DEA, announced a historic nationwide enforcement action involving charges against 345 defendants across 51 federal districts. The defendants—including more than 100 doctors, nurses, and other licensed medical professionals—have been charged with submitting more than $6 billion in false and fraudulent claims to federal health care programs and private insurers.
The Centers for Medicare & Medicaid Services Center for Program Integrity (CPI) separately announced that it has taken a record-breaking number of administrative actions related to fraud, revoking Medicare billing privileges for 256 additional medical professionals for their involvement in telemedicine schemes.
Under the leadership of Administrator Seema Verma, the CPI team has an ongoing collaboration with law enforcement to continue delivering on the agency’s commitment to protect taxpayer dollars and encourage the prosecution of health care fraud schemes involving telemedicine, durable medical equipment and other illegal behavior. Through CMS’ enforcement alliance with the Health Care Fraud Strike Force, more than 4,200 defendants that collectively billed the Medicare program for about $19 billion in fraudulent payments have been charged since March 2007.
Watch the takedown video.
Read the press release.