Medicare Fraud Strike Force Remains Active

Medicare Set-Aside Blog on September 19, 2008
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On September 18, 2008, the Department of Justice (DOJ) announced in a Press Release that Medicare Fraud Strike Force (MFSF) agents arrested 18 individuals in the greater Los Angeles area for their alleged roles in Medicare fraud schemes totaling more than $33 million.

According to the Press Release, the arrests involved durable medical equipment owners, medical professionals, and medical clinic owners who allegedly engaged in various Medicare fraud schemes, including schemes involving power wheelchairs, orthotics, hospital beds, enteral nutrition and feeding supplies.

In May 2007, the DOJ and Department of Health and Human Services (HHS) announced in a News Release that the MFSF began operations in March 2007 and had already resulted in 38 arrests and indictments involving over $142 million in Medicare billings. At the time of the announcement, HHS revealed that the MFSF used “real-time analysis of billing data” to identify and react to fraud schemes.

Since May 2007, MFSF efforts have yielded a steady stream of arrests and indictments. In fact, the DOJ reports in the Press Release that federal prosecutors have indicted 103 cases with 175 defendants in both Los Angeles, California and Miami, Florida since 2007. The DOJ also claims that these defendants fraudulently billed the Medicare program for more than half a billion dollars.

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