Department of Justice Charges Three in Largest Single Criminal Healthcare Fraud Case

July 27, 2016 | Strategic Insights for Health System


​Three individuals were charged with conspiracy, obstruction, money laundering, and healthcare fraud in connection with a $1 billion Medicare fraud and money laundering scheme, the U.S. Department of Justice (DOJ) announced on July 22, 2016. It is the largest single criminal healthcare fraud case brought by the DOJ, according to the press release. The three individuals charged are the owner of more than 30 Miami-area skilled nursing and assisted-living facilities, a hospital administrator, and a physician's assistant. The owner, through his facilities, had access to thousands of Medicare and Medicaid beneficiaries, many of whom did not qualify for skilled nursing home care or assisted-living placement, DOJ said.

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