Medicare Blog

where any new mexico doctors indicted in 2018 recent 2 billion medicare scam

by Joesph Kreiger Published 3 years ago Updated 2 years ago

What is the superseding indictment in the Medicare fraud case?

: The superseding indictment charges five health care professionals for their role in a wide-ranging health care fraud scheme in Brooklyn and Queens that billed the Medicare program for more than $116 million.

Why are so many medical professionals charged with health care fraud?

The number of medical professionals charged is particularly significant, because virtually every health care fraud scheme requires a corrupt medical professional to be involved in order for Medicare or Medicaid to pay the fraudulent claims.

Who is investigating the Medicare fraud cases?

The cases announced today are being prosecuted and investigated by U. S. Attorney’s Offices nationwide, along with Medicare Fraud Strike Force teams from the Criminal Division’s Fraud Section and from the U. S.

How much was the Medicare fraud in the Middle District?

In the Middle District of Florida, 21 individuals were charged with participating in a variety of schemes involving more than $21 million in fraudulent billings. In one case, a physician and clinic owner were charged with a conspiracy to defraud Medicare of more than $2.8 million for fraudulent home health billings.

How many doctors were charged with fraud?

Thirteen individuals, including five doctors, a chiropractor, three licensed physical and occupational therapists and two pharmacy owners have been charged for their participation in fraudulent schemes in connection with which Medicare and Medicaid programs were billed more than $163 million. The charges filed in federal court in Brooklyn ...

Where is the Medicare fraud takedown?

The charges filed in federal court in Brooklyn and Central Islip, New York, are part of a nationwide health care fraud takedown, led by the Medicare Fraud Strike Force, which resulted in criminal charges against 601 individuals for their alleged participation in health care fraud schemes involving approximately $2 billion in fraudulent claims.

How much did Ashirov charge Medicare?

Between 2015 and 2018, Ashirov, through ABO Pharmacy, billed more than $14.9 million to Medicare and Medicaid. Ashirov was arrested, and arraigned earlier today before United States Magistrate Judge Ramon E. Reyes, Jr., at the federal courthouse in Brooklyn.

How much did Ambulette Star Trans get paid?

Between 2010 and 2014, Ambulette Star Trans was paid approximately $7 million as a result of claims submitted to Medicaid. The indictment was unsealed on June 27, 2018, and the defendant remains at large. The case is being prosecuted by Andrew Estes of the Criminal Division’s Fraud Section. United States v.

Who is the prosecutor for Kim?

Tiscione at the federal courthouse in Brooklyn on June 27, 2018. The case is being prosecuted by Senior Litigation Counsel Patricia Notopoulos of the U.S. Attorney’s Office for the Eastern District of New York. United States v.

Who is the prosecutor for Abrahamson?

Hurley at the federal courthouse in Central Islip on June 26, 2018. The case is being prosecuted by Assistant United States Attorney Charles Kelly of the U.S. Attorney’s Office for the Eastern District of New York.

How much money did the medical fraud charge?

Collectively, the doctors, nurses, licensed medical professionals, health care company owners and others charged are accused of submitting a total of over $2 billion in fraudulent billings. The number of medical professionals charged is particularly significant, because virtually every health care fraud scheme requires a corrupt medical ...

What district is Medicare fraud in?

In the Southern District of New York, two defendants were charged in schemes involving health care fraud or drug diversion. In the Middle District of North Carolina, two defendants were charged with a conspiracy to defraud Medicare out of over $4 million.

How many defendants were charged in the Northern District of Indiana?

In the Northern District of Indiana, eight defendants were charged in various health care fraud schemes to defraud both the Medicare and Medicaid programs. In the Northern District of Iowa, two defendants – both medical professionals – were charged for their roles in two opioid-related schemes.

How much was fraudulent billing in Florida?

In the Middle District of Florida, 21 individuals were charged with participating in a variety of schemes involving more than $21 million in fraudulent billings. In one case, a physician and clinic owner were charged with a conspiracy to defraud Medicare of more than $2.8 million for fraudulent home health billings.

Why did Medicare pay kickbacks?

In many cases, patient recruiters, beneficiaries and other co-conspirators were allegedly paid cash kickbacks in return for supplying beneficiary information to providers, so that the providers could then submit fraudulent bills to Medicare.

What were the charges in the South Dakota case?

In the District of South Dakota, two defendants were charged in separate cases, one of which involved a scheme to defraud the Indian Health Service. In the Middle District of Tennessee, 10 defendants were charged in two separate schemes, including a conspiracy to fraudulently obtain oxycodone.

What was the defendant charged with in the fentanyl case?

In the District of Rhode Island, one defendant was charged for participating in a theft and aggravated identity theft scheme. In the District of South Carolina, three defendants were charged for their separate roles in a conspiracy to possess with the intent to distribute fentanyl.

How many doctors were arrested for Medicare fraud?

The FBI arrested 46 doctors and nurses across the country this week in the largest Medicare fraud bust ever. In total, 243 people were arrested in 17 cities for allegedly billing Medicare for $712 million worth of patient care that was never given or unnecessary.

How much money did Medicare pay for talking glucose monitors?

They billed Medicare for the devices and received more than $22 million.

Where do fraudsters go to get money?

Sometimes fraudsters, known to the Feds as "patient recruiters," will go to places like homeless shelters and soup kitchens and offer money to those who would share their Medicare patient numbers, a Department of Justice spokesman said.

How much did a doctor bill for a wheelchair?

A Los Angeles doctor is charged for allegedly billing $23 million for 1,000 power wheelchairs and home health services that were not medically necessary and often not provided. And in a Florida case, a health care provider received $1.6 million from Medicare for prescription drugs that were never purchased and never dispensed, said Lynch.

What are the details?

During the investigation — called Operation Brace Yourself — authorities discovered a widespread phone scam that involved luring elderly and disabled patients into getting medically unnecessary back, shoulder, wrist, and knee braces.

Anything else?

The investigation was conducted by the FBI in conjunction with the Department of Health and Human Services, and involved the IRS and 17 U.S. attorney's offices. Defendants in several states have been arrested, including New Jersey, Florida, Texas and California.

How many people were charged with Medicare fraud?

In what was called one of the largest health care fraud schemes in U.S. history, federal officials on Tuesday announced a crackdown against 24 people charged in cases involving more than $1.2 billion in Medicare losses.

How many people are in Medicare?

More than 59 million people are enrolled in Medicare, the federal health insurance program for people age 65 and older and people with disabilities. The defendants, from across the U.S., include three medical professionals, officials from five telemedicine companies and the owners of dozens of durable medical equipment companies.

Where are the telemedicine call centers located?

The call centers, located in the Philippines and across Latin America, allegedly paid illegal kickbacks and bribes to telemedicine companies to obtain durable medical-equipment orders for the Medicare patients. The telemedicine companies then allegedly paid physicians to write medically unnecessary orders for the equipment.

Do taxpayers pay for Medicare fraud?

All taxpayers pay the price. All taxpayers endure rising insurance premiums and out-of-pocket costs when Medicare fraud occurs , and officials said that in these cases the defendants preyed upon the vulnerability of patients seeking relief from medical problems.

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