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Business Crimes Hotline
DISTRICT OF COLUMBIA
Over $251 Million in Alleged Medicare False Billing
On July 16, 2010, the DOJ announced the unsealing of charges against 94 individuals, each accused of various Medicare fraud-related offenses. The charges, ranging from conspiracy to defraud the Medicare program and criminal false claims to violations of anti-kickback statutes and money laundering, included schemes in Baton Rouge, LA, Brooklyn, Detroit, Houston, and Miami. Collectively, these schemes resulted in the submission of more than $251 million in false claims to the Medicare program ' including claims for treatments that were not actually provided as well as those for medically unnecessary services. Included among the charges were claims that a number of beneficiaries received kickbacks in exchange for allowing a provider to submit forms for these non-provided or unnecessary services. Principally, the schemes involved claims for durable medical equipment, HIV infusion, home health care, and physical and occupational therapy.
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