Medicare Fraud Strike

Review the Medicare Fraud Strike Force website: https://oig.hhs.gov/fraud/strike-force/
(Links to an external site.)

On June 18, 2015, the Medicare Fraud Strike Force charged 243 healthcare professionals with Medicare fraud resulting in $712 million in false billings. This was the largest one day arrest ever conducted by the Medicare Fraud Strike Force. These individuals are accused of conspiracy to commit fraud, kickbacks, and identity theft. The defendants are physicians, pharmacy owners, and home health providers. Specific alleged fraudulent behavior includes billing for durable medical equipment and services that were not provided, as well as healthcare services that were not medically necessary (DOJ 2015). Inspector General Levinson stated:

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This record-setting takedown sends a message to would-be perpetrators that healthcare fraud is a risky way to line your pockets. Our agents and our law enforcement partners stand ready to protect these vital programs and ensure that those who would steal from federal healthcare programs ultimately pay for their crimes (DOJ 2015).

US Department of Justice. 2015. National Medicare Fraud Takedown Results in Charges Against 243 Individuals for Approximately $712 Million in False Billing. http://www.justice.gov/opa/pr/national-medicare-fraud-takedown-results-charges-against-243-individuals-approximately-712.

1. What is your reaction to this massive arrest by the Medicare Fraud Strike Force?

2. What other healthcare professionals could be charged with fraud and abuse?

3. What does it mean that a service was not medically necessary?

This assignment is for a discussion, there’s no specific format! Just a review over the article and answering these three questions listed above. However, please do the references in APA format. Thank you!

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