BC Advantage - 2021 Issue 6

Justice Department Announces New COVID-19 Medicare Fraud Enforcements

The U.S. Department of Justice (DOJ) on May 26 announced law enforcement actions for several COVID-19-related Medicare fraud schemes totaling $143 million. The actions involved the exploitation of Centers for Medicare and Medicaid Services (CMS) policies designed to increase access to care during the COVID-19 pandemic. Fourteen defendants were charged for their actions involving the exploitation of the broadened COVID-19 emergency declaration, telehealth regulations, and rules. In all the DOJ has charged 14 defendants for their involvement in COVID-19-related Medicare Fraud schemes.In response to the COVID-19 pandemic, CMS revised or amended some policies so that Medicare...

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