Medicare fraud case underscores false billing, kickbacks

On Behalf of | Oct 17, 2019 | Fraud

Texas, specifically Harris County often features in stories involving large health care fraud cases. Texas is home to legions of medical centers and care providers in every specialty. The frequency of Medicare and Medicaid billing in the region often spurs the attention of government agencies and regulators.

That was once again evidenced via a recently concluded federal court case. In that matter, a jury convicted a prominent Harris County physician on several criminal counts tied to a long-term Medicare fraud scheme. Those charges included conspiracy to commit health care fraud and to solicit/receive kickbacks.

Government officials alleged that the fraud pilfered $16 million from the government and taxpayers. Several co-conspirators were tried and convicted in trials held prior to the doctor’s proceeding.

The fraud allegedly occurred over a near five-year period, centrally involving bogus care plans billed to Medicare and payments to patients willing to sign up for services that were never delivered.

We stress on our Hilder & Associates website the severity – that is, the sheer scope and might – of medical fraud probes brought by government enforces.

The above-cited story is an in-depth media report on the investigation notes the FBI’s central involvement and the dominant role played by the Medicare Strike Force under the oversight of the U.S. Department of Justice Criminal Division. The story notes that the Strike unit has since inception brought criminal charges against more than 4,200 defendants alleged to have committed health care fraud.

Government officials alleged that the fraud pilfered $16 million from the government and taxpayers. Several co-conspirators were tried and convicted in trials held prior to the doctor’s proceeding.

The fraud allegedly occurred over a near five-year period, centrally involving bogus care plans billed to Medicare and payments to patients willing to sign up for services that were never delivered.

We stress on our Hilder & Associates website the severity – that is, the sheer scope and might – of medical fraud probes brought by government enforces.

The above-cited story bears that out. An in-depth media report on the investigation notes the FBI’s central involvement and the dominant role played by the Medicare Strike Force under the oversight of the U.S. Department of Justice Criminal Division. The story notes that the Strike unit has since inception brought criminal charges against more than 4,200 defendants alleged to have committed health care fraud.

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