Health Care Fraud

2014 HCFAC Report — $27.8 Billion Recovered for Medicare

(March 23, 2015): Last week, the Department of Justice (DOJ) and Department of Health and Human Services (HHS) announced that they had recovered more than $27.8 billion to the Medicare Trust Fund due to the efforts of the Health Care Fraud and Abuse Control Program (HCFAC). As set out in the 2014 HCFAC Report, in […]

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HEAT Strike Force Enforcement Takes an International Turn

(October 17, 2010): Medicare’s HEAT Strike Force is actively tracking down wrongdoers. The FBI has announced the arrest of 73 defendants, a number of which are allegedly members of an international organized crime organization, as part of one of the largest criminal health care fraud cases ever brought. It is estimated that these individuals are

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Additional Cities will have HEAT Teams in 2011

(August 27, 2010): Additional cities will be getting Medicare fraud HEAT teams. Yesterday, Attorney General Eric Holder and U. S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius conducted the second of a planned series of “Regional Health Care Fraud Prevention Summits.” In addition to these agency heads, participants learned of current and

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Multiple Texas Health Care Providers and Suppliers Charged in DOJ’s June 2024 Strike Force Takedown

(July 11, 2024): Last week, the Department of Justice (DOJ) announced that it has criminally charged 193 defendants with violations of various health care fraud statutes. The government estimates that the fraudulent schemes employed by the defendants resulted in losses of $1.6 billion to Federal, State, and private payor health care programs. These cases are

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President Obama Publicizes Measures to Reduce Medicare Improper Payment Rate

(June 8, 2010): For those of you who missed the first two dozen pronouncements (okay, perhaps a little exaggerated, but still . . . we got the message when Congress made it a False Claims Act violation to hold onto a mere overpayment for more than 60 days), President Barack Obama has again expressed his

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HEAT Strike Force Update: Prosecutions in Texas Increased in March 2010

(April 3, 2010): The Federal government is taking considerable steps to stop Medicare fraud and abuse. Notably, the number of publicly-disclosed HEAT Strike Force investigations and prosecutions in Texas significantly increased last month. Two of the cases disclosed involved mental health professionals: A Psychologist was convicted of health care fraud and money laundering, in connection

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