HHS Report to Congress on Progress of
Report to Congress Fraud Prevention System, Second Implementation Year, June 2014.
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Medicare Fraud Strike Force charges 90 individuals for approximately $260 million in false billing
Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that a nationwide takedown by Medicare Fraud Strike Force operations in six cities has resulted in charges against 90 individuals, including 27 doctors, nurses and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $260 million in false billings.
Record-Breaking Recoveries Resulting From Joint HHS/DOJ Effort to Combat Health Care Fraud
Annual report shows that for every dollar spent on health care-related fraud and abuse investigations in the last three years, the government recovered $8.10.
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.
August 8, 2014
California - McKesson Corp. to Pay $18 Million to Resolve False Claims Allegations Related to Shipping Services Provided Under Centers for Disease Control Vaccine Distribution Contract
McKesson Corporation has agreed to pay $18 million to resolve allegations that it improperly set temperature monitors used in shipping vaccines under its contract with the Centers for Disease Control and Prevention, the Justice Department announced today. McKesson is a pharmaceutical distributor with corporate headquarters in San Francisco.
August 4, 2014
Tennessee - Community Health Systems Inc. to pay $98.15 Million to Resolve False Claims Act Allegations
The Justice Department announced today that Community Health Systems Inc. (CHS), the nation's largest operator of acute care hospitals, has agreed to pay $98.15 million to resolve multiple lawsuits alleging that the company knowingly billed government health care programs for inpatient services that should have been billed as outpatient or observation services. The settlement also resolves allegations that one of the company's affiliated hospitals, Laredo Medical Center, improperly billed the Medicare program for certain inpatient procedures and for services rendered to patients referred in violation of the Physician Self-Referral Law, commonly known as the Stark Law. CHS is based in Franklin, Tennessee, and has 206 affiliated hospitals in 29 states.
August 1, 2014
California - Former Owner of Southern California Medical Supply Company Found Guilty for a 10-Year, $8.3 Million Medicare Fraud Scheme
On July 31, 2014, a federal jury in Los Angeles found that the former owner of a durable medical equipment (DME) supply company located in Carson, California, was guilty of health care fraud charges relating a 10-year scheme in which Medicare was fraudulently billed more than $8 million for DME that was not medically necessary.
August 8, 2014
Texas – Pablo Piedra Perez was arrested in Texas after reentering the United States from Mexico
On April 11, 2014, Pablo Piedra Perez was sentenced to 2 years and 7 months in jail and ordered to pay $679,715 in restitution after pleading guilty to a charge of health care fraud. Perez was arrested in September 2013 in Texas after reentering the United States from Mexico.
June 3, 2014
Texas - Vivian Yusuf was arrested at Houston International Airport after arriving on a flight from Nigeria.
In March 2011, Yusuf was indicted on charges of conspiracy to commit health care fraud, health care fraud, and aggravated identity theft. Investigators believe that Yusuf and her co-conspirators billed Medicare for more than $3.4 million for durable medical equipment (DME) that was neither medically necessary nor prescribed by a physician.