tci Medicare Compliance & Reimbursement - 2010 Issue 15

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

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...

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