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91 Individuals in 6 States Charged with Medicare Fraud

The Medicare Fraud Strike Force has arrested 91 individuals in Florida, California, Texas, Illinois, New York and Louisiana for their alleged participation in the submission of approximately $429.2 million in false bills to Medicare. The Medicare Fraud Strike Force is a multi-agency task force of federal and state law enforcement officers that focuses on preventing and deterring Medicare fraud across the country.

According to the Department of Justice, many of the charged individuals allegedly submitted claims to Medicare for treatments that were medically unnecessary or never provided. Other defendants allegedly paid illegal kickbacks to patient recruiters and Medicare beneficiaries. The defendants include licensed medical professionals, doctors, registered nurses, home health providers, and mental health professionals.

Thirty-three Miami residents were charged with submitting illegal bills totaling $204.5 million to Medicare for home health care, occupational and physical therapy, durable medical equipment, and mental health services.

Twenty-one Texas residents located in Dallas and Houston are accused of collecting approximately $261.3 in Medicare funds for medical services that were medically unnecessary or not provided. In addition, seven of the individuals are charged with paying illegal kickbacks to Medicare beneficiaries to induce the Medicare beneficiaries to attend a partial hospitalization program, but instead of receiving medical treatment, the beneficiaries allegedly watched television and played games.

Sixteen residents of Los Angeles have been charged with various Medicare schemes, including providing ambulance rides that were medically unnecessary and resulted in $49.2 million of illegal Medicare charges.

Fifteen Brooklyn residents were charged with various medical fraud schemes resulting in $23.2 million in illegal Medicare charges.

Four residents of Baton Rouge, Louisiana were charged with submitting fraudulent charges to Medicare for durable medical equipment that was not medically necessary.

Two Chicago residents were charged with submitting fraudulent invoices to Medicare for medical treatments that were not medically necessary.

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