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Fact Sheet: Department of Justice Efforts to Combat Health Care Fraud and Abuse
Date:5/28/2008

ion of the Criminal Division, along with the U.S. Attorneys' Offices for the Southern District of Florida and Central District of California lead the strike force teams that are implementing a targeted criminal, civil and administrative effort against individuals and health care companies that fraudulently bill the Medicare program. These efforts include:

-- Covert Strike Force "Phase One" operations began in Miami-Dade

County, Florida in March 2007. Federal and state agents included

personnel from HHS-OIG, the FBI, City of Hialeah Police Department, and

the Florida Medicaid Fraud Control Unit. Investigations have

concentrated on HIV/AIDS infusion therapy fraud and durable medical

equipment fraud.

-- Covert Strike Force "Phase Two" operations began in Los

Angeles County, California in March 2008. Federal and state agents

included personnel from HHS-OIG, the FBI, California Department of

Justice and Bureau of Medical Fraud and Elder Abuse, and the Los Angeles

County Health Authority Law Enforcement Task Force. Investigations to

date have focused on fraud involving durable medical equipment and

health care testing facilities.

-- As of May 20, 2008, Strike Force prosecutions include:

85 cases indicted and involving charges filed against 139 defendants who collectively billed the Medicare program nearly $440 million;

92 guilty pleas negotiated and eight jury trials litigated, winning guilty verdicts against 11 additional defendants;

Sentences to incarceration for 86 defendants, averaging 43 months of imprisonment.

-- Since March 2007 when the Strike Force began, Medicare claim submissions

dropped by $1.75 billion, and actual claims paid by Medicare decreased

by $334 million.

Some recent Strike Force prosecutions include:

-- On April 2, 2008,
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SOURCE U.S. Department of Justice
Copyright©2008 PR Newswire.
All rights reserved

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