Press Release: National Health Care Fraud Enforcement Action Results in Charges Involving over $1.4 Billion in Alleged Losses
Assistant Attorney General Kenneth A. Polite Jr. Delivers Remarks on Health Care Enforcement Actions
The largest amount of alleged fraud loss charged in connection with the cases announced today – over $1.1 billion in allegedly false and fraudulent claims submitted by more than 43 criminal defendants in 11 judicial districts – relates to schemes involving telemedicine.
Example of Sober Homes Fraud Scheme
Over $133 million in false & fraudulent claims are alleged in sober homes cases. Sober homes cases involve illegal kickback & bribery schemes to refer patients to substance abuse treatment facilities where patients could be subjected to medically unnecessary tests & treatments.
Example of CARES Act Provider Relief Fund Scheme
9 defendants are alleged to have engaged in various health care fraud schemes that exploited the COVID-19 pandemic which resulted in the submission of over $29 million in false billings. 5 of these defendants were charged in alleged CARES Act Provider Relief Fund fraud schemes.
Resources:
HHS OIG 2021 National Health Care Fraud Enforcement Action