Largest Healthcare Fraud Takedown in History Charges 301 People for $900 Million in False Billing

August 5, 2016 | Strategic Insights for Ambulatory Care

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​More than 300 defendants across the country were charged for alleged participation in Medicare and Medicaid fraud schemes on June 22, 2016, after the government conducted the largest coordinated Medicare and Medicaid fraud takedown in history. The sweeps involved providers who participated in schemes that added up to approximately $900 million in false billings. Among the charges levied were conspiracy to commit healthcare fraud, violations of the antikickback statute, money laundering, and aggravated identity theft. The fraud schemes involved various treatments and services, such as home care, psychotherapy, physical and occupational therapy, and durable medical equipment. Additionally, the U.S. Department of Justice (DOJ) reports that more than 60 of the defendants were charged with fraud related to Part D of the Medicare prescription drug benefit program.

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