tci Medicare Compliance & Reimbursement - 2015 Issue 15

Enforcement News: How The Latest Massive Medicare Fraud Takedown Is Changing Enforcement

Beware: Medicare Part D now under scrutiny for upcoming fraud actions. The biggest Medicare fraud bust to date is teaching providers and law enforcement alike a myriad of important lessons. If you want to stay off the government’s fraud watch list, make sure you’re keeping your Medicare billings squeaky clean. What Happened in the Colossal Fraud Sweep During a three-day sweep, government agencies coordinated a national Medicare fraud takedown involving 243 individuals who were allegedly involved in false billings totaling $712 million. Attorney General Loretta Lynch and Department of Health and Human Services (HHS) Secretary SylviaMathews Burwell...

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