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Keyword: billingscheme

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  • DOJ Charges 324 in Largest Healthcare Fraud Takedown in U.S. History — $14.6 BILLION Scheme Involved 96 Doctors, Nurses, and Pharmacists Targeting Medicare and Medicaid

    06/30/2025 11:43:19 AM PDT · by Red Badger · 54 replies
    Gateway Pundit ^ | June 30, 2025 | Jim Hᴏft
    The Department of Justice on Monday unveiled a record-shattering crackdown on the corrupt underbelly of America’s health care system. A jaw-dropping 324 defendants — including 96 medical professionals — have been charged in 50 federal districts and 12 states for orchestrating over $14.6 billion in intended fraud, largely targeting Medicare, Medicaid, and federal health programs meant to serve the elderly, disabled, and the poor. The takedown, spearheaded by the DOJ’s Health Care Fraud Unit in coordination with HHS-OIG, the FBI, the DEA, and over a dozen state attorney general offices, marks the largest health care fraud bust in U.S. history....
  • Ten Defendants Charged in $1.4 Billion Rural Hospital Pass-Through Billing Scheme

    07/02/2020 1:10:52 PM PDT · by ransomnote · 3 replies
    justice.gov ^ | June 29, 2020 | DOJ
    Ten individuals, including hospital managers, laboratory owners, billers and recruiters, were charged in an indictment unsealed today for their participation in an elaborate pass-through billing scheme using rural hospitals in several states as billing shells to submit fraudulent claims for laboratory testing.  The indictment alleges that from approximately November 2015 through February 2018, the conspirators billed private insurance companies approximately $1.4 billion for laboratory testing claims as part of this fraudulent scheme, and were paid approximately $400 million.Jorge Perez, 60, of Miami-Dade County, Florida; Seth Guterman, 54, of Chicago, Illinois; Ricardo Perez, 57, of Miami-Dade County, Florida; Aaron Durall,...