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Justice Department Accuses $ 138 of Healthcare Fraud

Image for an article titled DOJ accused 138 people of over $ 1.4 billion in healthcare fraud during the pandemic

Photo: David Esnault (Getty Images)

Ministry of Justice announced On Friday, he accuses 138 people, including 42 doctors, nurses and countless telemedicine medical professionals, for allegedly participating in the collection of healthcare fraud schemes that cost taxpayers an estimated $ 1.4 billion in damages. The biggest culprit? Telemedicine fraud, according to the US Department of Justice, accounting for more than three-quarters belonging lost funds.

More than $ 1.1 billion of allegedly bogus claims were filed by 43 telemedicine fraud perpetrators who collectively spent the proceeds on “luxury goods, including cars, yachts and real estate.” The department said.

Referring to the court records, he outlined the alleged scheme as follows: FFirst, the accused telemedicine executives allegedly pay doctors and nurses for unnecessary orders, expensive medical equipment, diagnostic tests, and pain relievers are all acquired with minimal (if any) patient interaction on their part. Then, medical equipment suppliers, genetic testing laboratories and pharmacies will ransom these bogus purchases in exchange for “illegal kickbacks and bribes,” the Justice Department said.before filing more than $ 1.1 billion in fake claims with Medicare or other issuers. In some cases, these same healthcare providers are said to have billed Medicare for telemedicine consultations. ”it didn’t happen as pictured, ”whatever that means.

Other schemes cited in the Justice Department allegations include “various healthcare fraud schemes designed to exploit the COVID-19 pandemic,” such as the use of extended access some providers had patient health data. In these cases, nine defendants are said to have used this newly acquired data access to Medicare applications for “unrelated, medically unnecessary and expensive laboratory tests, including cancer genetic testing.” The Justice Department indicted nine defendants for this particular robbery, which it said involved more than $ 29 million in false invoices.

The rest of the cases listed by the Ministry of Justice get worse from there. The five defendants spent an unnamed amount that they pulled from the federal budget. Supplier Assistance Fund about Las Vegas casinos and luxury cars, not the COVID-19 patients for whom it was intended. Nineteen are medical professionals who have been charged with appointing approximately 12 million doses of opioids and other highly addictive drugs; and fake billing of $ 14 million to the backend. Another $ 133 million in false claims allegedly submitted by defendants who were associated with a fake sober house that billed residents for drug testing when it was not medically required –they often bill thousands of dollars per test, ”the Justice Department said.

The rest of the accusations here are mainly related to the “more traditional categories” of your health care fraud committed by more than 60 of the remaining defendants, according to the Justice Department… They were charged with filing about $ 145 million in fake insurance claims for medical care that was “medically unnecessary and often never provided.” – said the Ministry of Justice.

It’s pretty crude to see it all like this, but the Justice Department announcement exposes what you probably already knew: the global pandemic has left many of us behind. worse, sadder, and generally speaking more desperate than we’ve ever been, and the rascals get richer. Calvin Shivers, who helps lead the FBI’s Criminal Investigations Department, noted in his robbery statement that these types of fraud schemes are clearly designed often become vulnerable population. And if the country recent surge in covid-19 cases, this is any indication, real human cost from these scammers will grow with it.


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