Feds Charge Hundreds—Including Doctors and Nurses—with $1.3 Billion in Healthcare Fraud

Feds Charge Hundreds—Including Doctors and Nurses—with $1.3 Billion in Healthcare Fraud

The U.S. departments of Health and Human Services (HHS) and Justice (DOJ) have announced charges against 412 defendants in the largest healthcare fraud action yet by the Medicare Fraud Strike Force. Among those charged are 115 doctors, nurses, and other licensed medical professionals. More than 120 of the defendants are charged with taking part in prescribing and distributing opioids, as well as other narcotics. All told, the alleged fraud schemes amount to $1.3 billion in …

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On the Heels of Medicare Fraud Sweep, Advice on Creating a Compliance Program

On the Heels of Medicare Fraud Sweep, Advice on Creating a Compliance Program

Recently we told you more than 300 people were charged with healthcare fraud involving some $900 million in false billings. Surely some were out to juke the system, but others were probably guilty of nothing more than poor compliance practices. Either way, the government is likely to continue cracking down on this multibillion dollar waste, making it a prudent time to shore up your own compliance program (as required under the Affordable Care Act [ACA, …

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