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412 charged in record health care fraud ‘takedown’

Jaclyn Jaeger | July 18, 2017

Compliance officers in the healthcare industry take note: a nationwide “takedown” by the Medicare Fraud Strike Force has resulted in charges against a record 412 healthcare professionals—the largest ever health care fraud enforcement action—for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings. Moreover, the Department of Justice has warned it is just warming up.

Thirty state Medicaid Fraud Control Units participated in the arrests, announced July 13. In addition, 295 health care providers—including doctors, nurses, and pharmacists—are now in the process of being suspended or banned from participation in federal health programs by the Department of Health and Human Services (HHS).

Over 120 of the defendants, including doctors, were charged for their roles in prescribing and distributing opioids and other dangerous narcotics, “making this also the largest opioid-related fraud take-down in American history,”... To get the full story, subscribe now.