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September 16, 2016

DoJ Charges Providers in Medicare Fraud Cases, Settles Others
By Jacqueline Belliveau


Medicare fraud cases have the potential to drain the federal healthcare program of millions of dollars while also putting beneficiaries at risk of receiving unnecessary or low-quality care. In response, the federal government has ramped up its efforts to prevent and catch healthcare fraud, especially through legal channels. A study from the Transactional Records Access Clearinghouse in May projected that 2016 would see the lowest number of federal prosecutions for healthcare fraud since 1998, but the federal government has recently renewed its efforts to crack down on false medical billing and improper payments. In June, the Department of Justice (DoJ) partnered with the Department of Health and Human Services to announce the largest healthcare fraud takedown in the departmentís history. More than 300 individuals, including 61 physicians and licensed medical professionals, were charged with participating in healthcare fraud schemes that amounted to $900 million in false medical billing.


Transactional Records Access Clearinghouse, Syracuse University
Copyright 2016
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