$1.4B in health care fraud rings busted by Feds, doctors and nurses nabbed

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The Justice Department says the proceeds were spent on luxuries like yachts and real estate

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The Justice Department says they have busted multiple health care fraud rings worth $1.4 billion, with 138 people facing charges nationwide — including doctors and nurses.

The Fed said plans spread across 31 federal districts involved $1.1 billion in telemedicine scams involving medical professionals who allegedly billed Medicare and other government entities for remote consultations that reportedly never happened. . Another $29 million was linked to false bills for COVID-19 health care, $133 million was linked to substance abuse treatment facilities, or “sober homes”, and $160 million in other cases of health care fraud such as illegal opioid distribution. form included.

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Officials said some of the proceeds from the scams were spent on a range of high-end items, including luxury homes, vehicles, yachts and real estate. At least one defendant used his allegedly wrongfully earned profit to gamble in Las Vegas.

Several federal agencies were involved in coordinated law enforcement efforts to crack down on health care fraud, including the Office of the Inspector General of Health and Human Services, and the Drug Enforcement Administration.

“We’ve often seen criminals who engage in health care fraud — stealing from taxpayers while endangering the health of Medicare and Medicaid beneficiaries,” said HHS Deputy Inspector General Gary Cantrell. “Today’s announcement should serve as another warning to those individuals who may consider engaging in such illegal activity: Our agency and its law enforcement partners can root out fraud, hold bad actors accountable.” We stand firm in our commitment to protect the millions of beneficiaries who hold and rely on federal health care programs.”

“Health care fraud targets vulnerable people in our communities, our health care system, and our basic expectation of competent, available care.” FBI Calvin Shivers, assistant director of the Criminal Investigation Division, said in a statement. “Despite an ongoing pandemic, the FBI and our law enforcement partners are dedicated to protecting American taxpayers and businesses from the enormous costs of health care fraud.”


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