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Medicare Compliance & Reimbursement

Physician Notes:

DOJ Arrests 94 People in One Day for Medicare Fraud Totaling Over $250 Million in Alleged False Billing

Published on Sun Jul 04, 2010

Plus: OIG Estimates $137 Million In KX Overpayments For DME. When the Medicare Fraud Strike Force has a big day, it has a very big day. On July 16, the Dept. of Justice-Health and Human Services Medicare Fraud Strike Force charged 94 people for allegedly participating in different schemes to bill over $250 million in false claims to Medicare carriers. The defendants span across five different states (Florida, Louisiana, New York, Michigan, and Texas), and were involved in various fraudulent schemes against the Medicare program. For instance, practitioners in Miami were accused of fraudulently billing for physical therapy, home health care, and HIV infusion services, and a medical biller in that state is charged with billing approximately $49 million for fraudulent services. Even Medicare patients were under the microscope, with one Medicare beneficiary accused of selling her Medicare number to various clinics in New York, according to a July 16 [...]
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