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Health Care Fraud

The prosecution and prevention of health care fraud is an important priority of the district, focusing upon fraud matters involving false billings, violations of the Anti-Kickback Statute and other schemes that victimize patients, health care providers, private insurers and government insurers, such as Medicare and Medicare. This district investigates fraud by both corporate and individual defendants, including hospitals, nursing home chains, pharmaceutical manufacturers, durable medical equipment suppliers, individual physicians, therapists and other health care providers. The office leads the newly organized Health Care Fraud Task Force, which coordinates the resources and expertise of federal and state law enforcement agencies to more effectively and efficiently identity and prosecute fraud. In appropriate cases involving health care fraud and fraud on government agencies, the criminal division coordinates with the office's Affirmative Civil Enforcement Program.

If you suspect Medicare or Medicaid fraud please report it by phone at 1-800-447- 8477 (1-800-HHS-TIPS), or E-Mail at To report Medicaid fraud in North Carolina, call the North Carolina Medicaid Investigations Division at 919-881-2320.

Updated November 2, 2022