Thursday, June 25, 2009

Medicare Fraud Strike Force Hits Detroit

HHS issued a press release on 6/24/09 detailing the arrests of 53 physicians and healthcare executives. You can find the complete release at: http://www.hhs.gov/news/press/2009pres/06/20090624a.html

Excerpts:

Today, federal agents from the FBI and the HHS Office of Inspector General
(HHS-OIG) began executing arrest warrants in Detroit, Miami and Denver as part
of a concentrated effort to address fraud in the metro-Detroit area. Charges
were unsealed today against 53 individuals who are accused of various Medicare
fraud offenses, including conspiracy to defraud the Medicare program, criminal
false claims and violations of the anti-kickback statutes. The Strike Force
operations in Detroit have identified two primary areas – infusion therapy and
physical/occupational therapy providers – in which schemes were allegedly
orchestrated to defraud the Medicare program.

According to the indictments, the defendants charged today participated in
schemes to submit claims to Medicare for treatments that were in fact medically
unnecessary and oftentimes, never provided. In many cases, indictments
allege that beneficiaries accepted cash kickbacks in return for allowing
providers to submit forms saying they had received the unnecessary and not
provided treatments. Collectively, the physicians, medical assistants,
patients, company owners and executives charged in the indictments are accused
of conspiring to submit more than $50 million in false claims to the Medicare
program.

No comments:

Post a Comment