Federal team arrests 38 for Medicare
fraud.
by Schneider, Mary Ellen
A multiagency "strike force" targeting fraudulent
Medicare billing related to infusion therapy and durable medical
equipment recently made 38 arrests.
The arrests, all in south Florida, mark the first phase of
operations of the team of federal, state, and local investigators. The
team began its operations in March using both real-time analysis of
billing data from Medicare and claims data extracted from the Health
Care Information System.
In May the departments of Justice and Health and Human Services
jointly announced that the multiagency team had obtained indictments of
individuals and health care companies alleged to have collectively
billed the Medicare program for more than $142 million. The charges
include conspiracy to defraud the Medicare program, criminal false
claims, and violations of the antikickback statutes.
The antifraud efforts drew praise from Senate Finance Committee
Chairman Max Baucus (D-Mont.).
"Federal health dollars are just too scarce to lose to fraud
and abuse in Medicare," he said in a statement. "I'm glad
to see the Justice Department taking this new, more aggressive stance
against scams that endanger Medicare patients and that rob all taxpayers
who contribute to America's health care programs."
Sen. Baucus had recently expressed concern about reports of durable
medical equipment fraud in South Florida. In one recent instance, the
Health and Human Services inspector general found that many medical
device suppliers were not at their advertised addresses but were still
billing Medicare for millions of dollars in reimbursement.
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