Advanced Search

Home Health & Hospice Week

Feds Bust Organized Crime Medicare Fraud Scheme

Published on Wed Sep 15, 2010

The feds have taken down one of the huge Medicare fraud schemes of the type that is making your life harder. Law- and policy-makers have been issuing new compliance rules based on the crimes like those allegedly committed by an Armenian-American organized crime syndicate. Seventy-three defendants were charged in indictments unsealed Oct. 13 in five judicial districts with various health care fraud-related crimes involving more than $163 million in fraudulent billing, says the Department of Justice, FBI, and OIG in a release. The defendants allegedly stole the identities of doctors and thousands of Medicare beneficiaries and operated at least 118 different phony clinics in 25 states, the release says. The criminal operation is "the largest Medicare fraud scheme ever perpetrated by a single criminal enterprise and charged by the Department of Justice." "The emergence of international organized crime in domestic health care fraud schemes signals a dangerous expansion that poses [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All