107 health care professionals busted for health care fraud

More than 100 people are charged in what authorities say is the largest one-day takedown ever for Medicare fraud. A federal health care fraud strike force conducted raids in seven cities, targeting more than $450 million in alleged false billing.

At a news conference in Washington, D.C., to announce the arrests, Attorney General Eric Holder said they “underscore the Justice Department’s determination to move aggressively in bringing to justice those who would violate our laws and defraud the Medicare program for their personal gain.”

The arrests are the latest in a three-year crackdown on health care fraud, which is estimated to cost taxpayers between $80 and $160 billion per year. Authorities recovered a record $4.1 billion last year.

The 107 people charged Wednesday include doctors, nurses and other health care professionals in seven cities: Miami, Tampa, Chicago, Detroit, Houston, Los Angeles and Baton Rouge.

In addition, the government has suspended payments to 52 provider organizations the individuals are associated with. Health and Human Services Secretary Kathleen Sebelius said the operation, including the arrests and the cutoff of payments, is part of an effort to get ahead of fraud instead of relying on the old “pay-and-chase” model.

“Now, we’re analyzing patterns and trends and claims data, instead of just going claim by claim,” Sebelius said.

Bravo. Nice to see one portion of Obama’s program for digital medical records being used to arrest the crooks gaming the system.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.