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2021 National Health Care Fraud Enforcement Action

2021 National Health Care Fraud Enforcement Action

Press Release: National Health Care Fraud Enforcement Action Results in Charges Involving over $1.4 Billion in Alleged Losses

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Assistant Attorney General Kenneth A. Polite Jr. Delivers Remarks on Health Care Enforcement Actions

Video Screenshot

 

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The largest amount of alleged fraud loss charged in connection with the cases declared today – over $1.1 billion in allegedly false and fraudulent claims submitted by more than 43 criminal defendants in 11 judicial districts – relates to schemes involving telemedicine.

Example of Sober Homes Fraud Scheme

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Over $133 million in false & fraudulent claims are alleged in sober homes cases. Sober homes cases involve illegal kickback & bribery schemes to refer patients to substance abuse treatment facilities where patients could be subjected to medically unnecessary tests & treatments.

Example of CARES Act Provider Relief Fund Scheme

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9 defendants are alleged to have engaged in various health care fraud schemes that exploited the COVID-19 pandemic which resulted in the submission of over $29 million in false billings. 5 of these defendants were charged in alleged CARES Act Provider Relief Fund fraud schemes.

Resources:
HHS OIG 2021 National Health Care Fraud Enforcement Action

 

Updated August 11, 2023