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NEWS ABOUT: Medicare fraud

Medicare Fraud Task Force Makes Biggest Bust Ever

107 charged in scheme, whose fake claims allegedly totaled $452M

(Newser) - The Justice Department's special Medicare fraud strike team made its biggest bust ever yesterday, charging 107 doctors, nurses, and other alleged fraudsters in a "nationwide takedown" affecting seven cities. All told, they're accused of bilking the government out of $452 million, the Los Angeles Times reports. Among... More »

Dummy Firms Squeeze Millions From Medicare

Fraud-fighters finding it hard to stay ahead of shell companies

(Newser) - Fraudsters using complicated networks of ghost companies are sucking hundreds of millions of dollars out of Medicare every year and it's a bit like taking candy from a baby, a Reuters investigation finds. The probe—which officials say will likely lead to a criminal investigation of the firms involved—... More »

White House: We've Recovered $5.6B in Fraud

Cabinet secretaries to meet on wasteful spending

(Newser) - The Justice Department has managed to recover some $5.6 billion lost to fraud over the 2011 fiscal year, officials will announce today. Civil fraud accounted for some $3.4 billion, with the rest attributable to criminal fraud, insiders tell the Washington Post . Much of the money was recovered by... More »

Feds Nab 91 in $295M Medicare Fraud Sting

Accused 'treated' dead people, ran Florida housing scheme

(Newser) - The Obama administration notched yet another win for its Medicare fraud team yesterday, as the Justice Department announced the arrests of 91 fraudsters from across the country, accused of bilking Uncle Sam for a combined $295 million. “The defendants allegedly treated the Medicare program like a personal piggy bank,... More »

Feds Catching 85% More Health Care Fraudsters

This is shaping up to be a banner year

(Newser) - Health care fraud prosecutions have shot up this year, thanks to an Obama administration crackdown, according to new figures from a Syracuse University research team. Already the feds have prosecuted 903 people for fraud this year, which is 24% more than they nabbed in the entirety of 2010, and puts... More »

Almost 10% of Medicare Payments Improper

But it's hard to tell how much of that is fraud

(Newser) - The federal government lost around $48 billion to fraudulent and improper Medicare claims last year—which made up nearly 10% of all payments the program doled out, according to a new report from the Government Accountability Office. And even that figure might be on the low side, because it doesn’... More »

Feds Nail Biggest-Ever Medicare Scam

More than 100 arrested in fraud sting

(Newser) - Federal agents swooped on health care facilities in nine states yesterday, arresting doctors, nurses, therapists, and health care executives accused of carrying out the biggest Medicare fraud ever seen. More than 100 people were involved in the scam, which bilked taxpayers out of up to $200 million by billing for... More »

Small Pharmacy Makes Millions Fighting Fraud

Ven-A-Care exposes drug companies that overcharge Medicare

(Newser) - Ven-A-Care started out as a small pharmacy supplying intravenous drugs for AIDS and cancer patients, but these days it doesn’t make its money off drugs—at least, not the ones it sells. Instead, it’s pulled in $380 million since 2000 by acting as a professional whistleblower, suing drug... More »

Feds: Firm Used Dementia Patients in $200M Scam

Health center charged with Medicare fraud

(AP) - Federal authorities charged the nation's largest community mental health center today, alleging the Miami-based company billed Medicare $200 million in a scam that preyed on patients with severe dementia and altered their clinical files so the company could charge for more services. Prosecutors alleged that American Therapeutic Corp. paid the... More »

Gangsters Busted in Biggest-Ever Medicare Fraud

Armenian gang used phony doctors, clinic to scam $163 million

(Newser) - Investigators say they have smashed an Armenian crime ring responsible for "the largest Medicare fraud scheme ever perpetrated by a single criminal enterprise." A multi-state probe dubbed "Diagnosis Dollars" has resulted in the indictment of 73 members and associates of the ring, including 52 arrested in raids... More »

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