DOJ charges 345 people involve in more than $6 billion healthcare fraud
America ı By Jackie Allen
0 Comments
In March, Medicare chief Seema Verma announced a “historic action” to make virtual medical care or telemedicine more available through the Centers for Medicare and Medicaid Services (CMS).
She temporarily lifted a variety of federal restrictions on the use of the service to expand services beyond the limited rural areas. Verma also praised telehealth, saying it could handle routine care for an older patient with diabetes without risking a visit to a medical office during the pandemic.
A Medicare recipient with mild flu-like symptoms could receive advice from a doctor at home “instead of leaving the house and sitting in a waiting room full of other vulnerable people,” said Verna.
Mike Cohen, an operations officer with the Health and Human Services (HHS) Inspector General's Office, said in April that anti-fraud "guardrails have been removed under this epidemic. The concern is that things will never go back to what they were. There will be a lot of pressure on CMS to make at least some of these changes permanent." He added that the action resulted in an increase in telemedicine fraud.
Sober homes substance abuse treatment fraud
Defendants have been charged with more than $845 million in alleged fraud connected to substance abuse treatment facilities or sober homes. And other defendants charged with over $806 million connected to fraud and illegal opioid distribution schemes nationwide.
The sober homes cases include charges against more than 12 criminal defendants related to more than $845 million of allegedly false claims for tests and treatments for patients seeking treatment for drug and alcohol problems.
Defendants include practitioners, doctors, and operators of substance abuse treatment facilities. Patient recruiters referred to in the industry, as "body brokers" were also named as defendants
The defendants allegedly participated in various schemes that involve the payment of illegal kickbacks and bribes for the referral of hundreds of patients to substance abuse treatment facilities.
Those patients received medically unnecessary drug testing, which was sometimes billed as thousands of dollars for a single test. There were also billings for therapy sessions that were not usually provided. And the result was millions of dollars of false and fraudulent claims submitted to private insurers.
Many of these cases allegedly involve the illegal prescription and/or distribution of opioids. This healthcare fraud includes charges and guilty pleas involving more than 240 defendants. It involves more than $800 million in false and fraudulent claims. Insurance companies were allegedly paying for treatments that were unnecessary and often never provided.
Increase in fraud 2016-2020
Since 2016, HHS OIG has seen a significant increase in telemedicine fraud. There have been many alleged schemes involving marketing networks that have lured thousands of individuals into a criminal scheme through telemarketing calls, direct mail, TV ads, and internet pop-up ads.
Discussion
No comments yet. Be the first to join the discussion!
FOLLOW US
Recent Posts
Beyond the Brink: Will the New Iran-Gulf Deal Bring Lasting…
Extraterrestrial Kickoff? Viral Psychic Warns of UFO Abduction at Miami…
Shadows of Deception: Did the CIA Lead a Decades-Long Cover-Up…
Global Arms Race: Russia and China Allegedly Racing to Reverse…
Florida’s New “Gang Member” Law: Are You at Risk Under…
New Boston Man Enters Guilty Plea in Federal Child Exploitation…
China’s Academic Purge: 12,000 Degrees Erased in Massive Economic Pivot
Don’t Miss It
Two High-Profile Attorneys. One State Bar Judge. And the Due Process Battle at the Heart of California’s Attorney Discipline System
By – Samuel LopezSouthern Poverty Law Center Indictments Linked to Former Official and $1.2 Million in Payments to Neo-Nazi Informant
By – Jackie AllenMichigan Couple Sentenced Following Disturbing Abuse Case Spanning Across Two States
By – Tyler BrooksMissouri Man Sentenced to 46 Months for Possessing Machine Gun After Reckless Social Media Post
By – Tyler BrooksThe Massive Cultural Divide Between the Obama Center Gala and the Trump White House
By – Tyler BrooksFrom the Front Lines to the Big Screen: Sean Penn Sets His Sights on a Controversial Capitol Riot Drama
By – Tyler Brooks7 Candid Revelations Bunnie Xo Made About Her Marriage to Jelly Roll Before Their Divorce
By – Tyler BrooksSpaceX Shakes Up Wall Street: Massive $60 Billion Acquisition of Cursor Signals New AI Era
By – Tyler Brooks
Kelly Warner Law Firm Blames USA…
5/17/17 Based on the information released in The Washington Post article…
By – USA Herald
Aaron Kelly Law Firm Resorts To…
Professor Volokh thereafter filed a bar complaint against Dan Warner…
By – Jeff Watterson
Arizona Bar Opens Investigation on Attorney…
USA Herald recently reported on a developing story involving Attorneys…
By – Paul O'Neal
Did Tom Holland and Zendaya’s Families…
For years, the world has watched the relationship between Tom…
By – Tyler Brooks
Over 400 cats were liberated by…
In a stunning operation that has sent shockwaves through the…
By – Tyler Brooks
Unlock the Unexplained: Hearst Networks Launches…
Do you ever find yourself falling down a rabbit hole…
By – Tyler Brooks
Steven Spielberg’s Urgent Call for UFO…
Why the Truth Matters Now Why is this a priority…
By – Tyler Brooks
Anna Kepner Killing: Federal Judge Orders…
The discovery was made the following morning by a cleaning…
By – Jackie Allen
GM and Lockheed Martin Shock the…
In a powerful sign of America’s push to strengthen its…
By – Rachel Moore
GM and Lockheed Martin Shock the…
In a powerful sign of America’s push to strengthen its…
By – Rachel Moore
SpaceX Stuns the World with $60…
In one of the most audacious moves in Silicon Valley…
By – Rihem Akkouche
12 Killed in Horrific Skydiving Plane…
A devastating plane crash at a Missouri skydiving drop zone…
By – Rihem Akkouche
First Tropical Storm of 2026 Season…
Forecasters are closely tracking what could become the first tropical…
By – Rihem Akkouche
Russia Shadow Fleet Captain Faces UK…
Western governments argue these tactics are specifically designed to conceal…
By – Jackie Allen
8 Killed in ‘Unsurvivable’ B-52 Bomber…
A powerful U.S. Air Force B-52 Stratofortress bomber has crashed…
By – Rihem Akkouche
Body Found Floating in Queens Park…
Earlier this year, authorities launched an investigation after a man’s…
By – Jackie Allen
ZCash Security Scare Raises Questions About…
Following the announcement, ZCash experienced a dramatic selloff as traders…
By – Jackie Allen
The Pursuit of Biological Immortality and…
The objective was clear, articulated in the sterile language of…
By – Tyler Brooks
Oliver Tree Dies at 32 in…
Oliver Tree More Than a Musician Beyond his music, Tree…
By – Jackie Allen
New York Chaos Erupts After Knicks…
Fatal Shooting Under Investigation In Brooklyn, a separate fatal shooting…
By – Jackie Allen
New York Knicks End 53-Year Championship…
The victory sparked celebrations both inside the arena and throughout…
By – Jackie Allen
New York Knicks End 53-Year Championship…
The victory sparked celebrations both inside the arena and throughout…
By – Jackie Allen
Paramount and Warner Brothers Merger Approved…
Critics fear ownership changes could alter editorial priorities at CNN.…
By – Jackie Allen
David Geffen Reunites With Ex-Husband Aboard…
The legal battle quickly escalated. Michaels filed a lawsuit alleging…
By – Jackie Allen
Me Too Fallout Deepens as French…
Me Too Allegations and Recent Reports The investigation follows a…
By – Jackie Allen
Iran Agreed to US Demands: Trump…
After Iran Agreed to US Israel Seeks Additional Guarantees Trump…
By – Jackie AllenME Too Growing Pressure on French Institutions The case arrives…
By – Jackie Allen
Trump: Magneto’s Secret Weapon to Fuel…
Why Magneto Demands Such Intensity The confession highlights the intense…
By – Tyler Brooks
Dana White Declares The Historic UFC…
Ignoring the Noise The lead-up to UFC Freedom 250 was…
By – Tyler Brooks
Kanye West and Kim Kardashian Daughter:…
What’s Next for the New Teenager? As North West officially…
By – Tyler Brooks
Cruise Ship Horror: Teen Accused in…
Defense vs. Prosecution The courtroom clash over Hudson’s detention highlighted…
By – Tyler Brooks
What We Know About the Edwards…
A tragic accident occurred Monday morning at Edwards Air Force…
By – Tyler Brooks
B-52 Crashed at Edwards Air Force…
Eight people are believed dead after a U.S. Air Force…
By – Nicolas Carreno
Nichelle Nichols’ Final Mission Ends in…
By Samuel López | USA Herald The woman who helped…
By – Samuel Lopez
Cannabis Giants Hit with Sweeping Class…
YOU MAY BE ENTITLED TO COMPENSATION Weitz & Luxenberg is…
By – Samuel Lopez
New Pill Doubles Survival for Pancreatic…
Federal Agencies Rush Public Patient Access The dramatic clinical success…
By – Tyler Brooks
FDA warns public as cookie firm…
“The FDA is issuing this alert to ensure customers are…
By – Tyler Brooks
Trump orders CDC to slash childhood…
Pediatricians Defy New Rules as Legal Battle Escalates The administration’s…
By – Tyler Brooks
USDA warns Americans over Salmonella in…
Federal Inspectors Order Kitchen Cleanout Federal safety teams are urging…
By – Tyler Brooks
Pulisic Is Not Training. What Happens…
Mauricio Pochettino pulled Christian Pulisic at halftime of the USMNT’s…
By – Nicolas Carreno
Mexico vs South Africa World Cup…
The 2026 FIFA World Cup is officially underway, but the…
By – Rihem Akkouche
FIFA World Cup 2026: Gianni Infantino…
Corporate Profits Versus The Soul of the Game At the…
By – Tyler Brooks
The Halfway House Showdown: Convicted Serial…
By – Tyler Brooks
New York Knicks NBA Finals Game…
The two have maintained a friendship throughout Trump’s business and…
By – Jackie Allen
Chinese Company Blocked from Claiming Olympic…
The case also reflects broader concerns about consumer protection in…
By – Samuel LopezNo posts found.
No posts found.
