Medicare Fraud strike force charges 89 individuals for approximately $223 million in false billing
Attorney General Eric Holder and HHS Secretary Kathleen Sebelius announce a nationwide takedown by Medicare Fraud Strike Force operations in eight cities.
HHS would increase rewards for reporting fraud to nearly $10 million
Health and Human Services Secretary Kathleen Sebelius today announced a proposed rule that would increase rewards paid to Medicare beneficiaries and others whose tips about suspected fraud lead to the successful recovery of funds to as high as $9.9 million.
HHS Report to Congress on Progress of
Report to Congress Fraud Prevention System, First Implementation Year, September 2012.
- Read the Report (PDF – 3.7MB)
The Centers for Medicare & Medicaid Services strives to make information accessible to all. Nevertheless, portions of this report may be difficult to read using assistive technology. People with disabilities having problems accessing this report may send an email to 508_Compliance@cms.hhs.gov.
Public/Private Partnership unites to fight fraud
A new partnership to fight fraud unites public and private organizations. Participants include federal and state governments, insurers, and a number of groups working to fight health care fraud.
June 6, 2013
Michigan - Michigan Doctor Sentenced for Role in Medicare Fraud Scheme
Lansing-area resident Dr. Paul Kelly was sentenced to 18 months in prison today for his role in a $13.8 million Medicare fraud scheme.
June 6, 2013
Texas - Stafford DME Owner Heads to Federal Prison for Health Care Fraud and Identity Theft
Abdul Waheed Alex Shittu, 55, a naturalized United States citizen from the Federal Republic of Nigeria, has been sentenced to 81 months in federal prison following his convictions of conspiracy to commit health care fraud and aggravated identity theft.
June 5, 2013
Kentucky - London Physician Pleads Guilty to Health Care Fraud Charges in First Case of its Kind in Kentucky
Kentucky cardiologist pleaded guilty to charges that he falsely recorded the severity of patients' illnesses in order to receive payment for numerous heart procedures. Sandesh Rajaram Patil, 51, a former cardiologist at St. Joseph's Hospital in London, admitted Tuesday in Frankfort to making false statements regarding the placement of heart stents.
June 5, 2013
Connecticut - Substance Abuse Counselor Sentenced To Two Years in Federal Prison for Defrauding Medicaid Program
Deirdre M. Daly, Acting United States Attorney for the District of Connecticut, announced that Alan Emmett Bradley, 57, formerly of Norwalk, Conn., and Ocoee, Fla., was sentenced today by United States District Judge Vanessa L. Bryant in Hartford to 24 months of imprisonment, followed by two years of supervised release, for defrauding Connecticut's Medicaid program. Bradley also was ordered to pay $151,898.75 in restitution.
June 1, 2013
Los Angeles - Won Suk Lee was arrested at Los Angeles International Airport after arriving on a flight from South Korea. He is currently in custody and is awaiting criminal prosecution
Lee and his co-conspirators are responsible for approximately $2.1 million in false claims submitted to Medicare.