Thursday, March 13, 2008

Medicare Fraud Strike Force - One Year Later

The Medicare Fraud Strike Force was formed in March 2007 and since starting, the Strike Force has brought charges against 120 defendants, resulting in 101 convictions. An initial press release notes that [t]he strike force is able to identify potential fraud cases for investigation and prosecution quickly through real-time analysis of billing data from Medicare Program Safeguard Contractors (PSCs) and claims data extracted from the Health Care Information System." During the first phase of the Medicare Fraud Strike Force in Miami, teams "identified two primary schemes that defrauded the Medicare program – infusion therapy and durable medical equipment (DME) suppliers."  One of the most convictions of the Strike Force involved "[a] federal jury in Miami convict[ing] a physician and the owners and operators of two durable medical equipment companies and a home health care agency of Medicare fraud (see here).


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