Feds Charge 107 Providers in Alleged $452M Medicare Fraud Scheme

Federal authorities' "nationwide takedown" today resulted in charges against 107 people — including physicians, nurses and other licensed providers — for their alleged participation in a $452 million Medicare fraud scheme.

The takedown involves the highest amount of false Medicare billings in a single fraud bust in the history of the Medicare Fraud Strike Force, which is a joint effort between the Justice Department and the Department of Health and Human Services.

Defendants charged are accused of various healthcare fraud-related crimes, including conspiracy to commit healthcare fraud, healthcare fraud, violations of the antikickback statutes and money laundering. Collectively, they have been accused of conspiring to submit a total of approximately $452 million in fraudulent billing.

HHS also suspended or took other administrative action against 52 providers or healthcare facilities after conducting a data-driven analysis and finding "credible allegations" of fraud.

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